The multi-faceted Quali-Dec intervention have four components: The use of opinion leaders at healthcare facilities to implement best practices; the implementation of a medical audit to help providers identify area of medical practice improvements; the encouragement of companionship during labour; and the use of the Decision Analysis Tool (D.A.T) that spark meaningful dialogue between providers and women.

You can learn more about each component down below :

The implementation strategy of the multi-faceted intervention is aligned within the usual model of care in participating healthcare facilities. The main implementers are the local opinion leaders and healthcare providers who are involved in the programme and supported by the country-level study coordinator. Baseline formative research improved our understanding of the factors affecting caesarean rates and helped us to adapt the multi-faceted intervention to each context.