Table 1.

Classification of, and response to, barriers among 932 non‐completed essential birth practices documented in the coach support tool

Coach‐coded barrier	Frequencya	Example
Opportunity	130 (13.9)	“Because there is a lot of work, BA says is not able to take BP at PP4.”
Ability	578 (62.0)	“BA does not know why it is necessary to check for bleeding.”
Motivation	308 (33.0)	“BA does not want to use the SCC.”
Supplies	97 (10.4)	“Baby linen has run out in the supply.”
System level (opportunity and/or supply)	223 (23.9)	“No water supply in labor room. BA said when water supply will be fixed she will be able to wash hand.”
Individual level (ability and/or motivation)	851 (91.3)	“Does not know importance of taking BP, BA does not want to take BP either.”
Combination of system and individual level	146 (15.7)	“Thermometer was not available in the labor room. Does not know importance of taking temperature.”
		“Oxytocin is not in supply. BA does not understand the importance of keeping oxytocin prepared.”

Abbreviations: BA, birth attendant; BP, blood pressure; PP4, pause point 4 (before discharge); SCC, WHO Safe Childbirth Checklist.

^aValues are given as number (percentage).