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Article History

Received: 21 September 2021

Accepted: 8 October 2021

First Online: 18 October 2021

Declarations

:

: All research activities will conform to the Declaration of Helsinki [CitationRef removed]. Ethical approval to conduct the study and publish the protocol has been received from the Tanzania National Institute for Medical Research (Ref. NIMR/HQ/R.8a/Vol.IX/3458). The administration team in all included regions and health facilities have been informed and agreed to participate. All women admitted to the labour ward for delivery will be informed about the quality improvement project. They will be informed about the tools to be used for FHR monitoring (Moyo and Pinard), and newborn resuscitation (NeoBeat and Upright bag mask). Waiver of consent was applied and granted by the national ethical review board because this is a quality improvement project. However, all data collected during labour and delivery, which will be used for evaluation of the CQI program will be de-identified to ensure confidentiality.For the qualitative studies, only women and healthcare workers above 18 years will be recruited. Written informed consent will be obtained from both recruited women and healthcare workers who will be interviewed. All research assistants and investigators in the project will be trained on good clinical practice, research ethics, research integrity and confidentiality, before starting the project. Electronic data will be stored in a password protected secure research server at Haydom Lutheran Hospital with access control, and hard data copies will be stored in secure locked cabinets in the research centre at Haydom.

: This is the study protocol, and no identifying data is being presented in this manuscript therefore consent to publish is not applicable.

: Neither Global Financing Facility nor UNICEF has influenced the design of the study protocol. All authors declare no competing interests.