The purpose of this mixed methods study is to evaluate the implementation of an adapted Safe
Childbirth Checklist in a rural hospital in Chiapas, Mexico. The study aims are:
1. To evaluate the implementation of the adapted Safe Childbirth Checklist using quality of
care indicators and the perspectives of providers and patients;
2. To examine changes in the perceptions of disrespectful and respectful practices around
childbirth among providers before and after a quality improvement program.
3. To understand how postpartum women and their male partners perceive the care they
received at the hospitals in Ángel Albino Corzo and Revolución with regard to
disrespectful and respectful practices, and how, if at all, these experiences compare
with prior birth experiences in other settings.
4. To examine trends in proportion of facility-based births in the catchment area of the
hospital after the implementation of the adapted Safe Childbirth Checklist