Effectiveness of checklist-based box system intervention (CBBSI) versus routine care on improving postnatal care utilization in Northwest Ethiopia: a cluster randomized controlled trial

The implementation of checklist-based box system intervention was found effective in improving the utilization of three postnatal care visits. Mothers who received CBBSI were more likely to receive three postnatal visits compared to their counterparts. The implementation of this trial can be boosted by minimizing practical level challenges: improving documentation at the health post level, uninterrupted supply of necessary materials, improving the knowledge and skill of health extension workers, and strengthening the linkage between primary health care units.

研究表明，基于清单的箱式系统干预措施（checklist-based box system intervention，CBBSI）可有效提升三次产后访视（postnatal care visits）的利用率。与对照组母亲相比，接受CBBSI干预的母亲完成三次产后访视的比例更高。可通过降低实际执行层面的各类障碍来推动本临床试验的实施：优化卫生所（health post）层面的文档记录工作、保障必要物资的不间断供应、提升卫生推广员（health extension workers）的知识与技能水平，以及强化基层医疗卫生机构（primary health care units）之间的协同联动。