Table 1 Best Practices for Implementation of the BABIES Matrix

Supportive workplace policies with multilevel collaboration

Regular discussions of the BABIES Matrix data that include all levels of staff can foster an environment of learning and help to integrate the use of the matrix with other quality improvement processes (e.g., perinatal death reviews).

Enabling work environment with appropriate training

Recurrent training/refreshers and integration into new staff orientation supports team member inclusivity, availability of trained staff, team spirit, and motivation to track outcomes.

Identify and support champions

Appoint a designated person responsible to collect data and complete the matrix. Ensure this person can delegate the task or receive assistance from helpers (e.g., students, records staff). Integrate BABIES matrix duties and processes into standard operating procedures.

Collect and increase visibility of surveillance data

Visible changes in adverse outcomes on the BABIES matrix prompts facilities to work with their communities to identify potential causes and to foster a sense of agency and accountability over health challenges.