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Article History

Received: 10 May 2025

Accepted: 30 January 2026

First Online: 16 February 2026

Declarations

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: Ethics approval was obtained from the Institutional Review Board (IRB) of Bahir Dar University College of Medicine and Health Sciences (IRB protocol number 377/2022). The Amhara Public Health Institute gave support letters to the relevant public health facilities and administrations. This quality improvement research uses anonymized data derived from medical record. The eHealth intervention was deployed at health facilities serving maternity care to enhance healthcare providers’ adherence to recommended quality improvement tools in labor and delivery care. The study participants were health facilities and their staffs working in the MCH clinics, however, women attending the MCH clinics did not meet the recommendations of the Ottawa Statement for being individual study participants [ , ]. Hence, they were not required to give informed consent to use the anonymized data for this study. After getting ethical approval, we sought permission from each participating health facility to access the medical records and extract the required data accordingly. We extracted anonymized data from eMCH registry and paper-based labor and delivery chart. In addition to institutional permission, a written consent was obtained from staffs working in the MCH clinics. The study team ensured the anonymity and confidentiality of information throughout the study process.

: Not applicable.

: The authors declare no competing interests.