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Methodology and tools for quality improvement in maternal and newborn health care
Abstract
Objective: To gain an overview of approaches, methodologies, and tools used in quality improvement of maternal and newborn health in low‐income countries. Methods: Electronic search of MEDLINE and organizational databases for literature describing approaches, methodologies, and tools used to improve the quality of maternal and newborn health care in low‐income countries. Relevant papers and reports were reviewed and summarized. Results: Developing a culture of quality is an important requisite for successful quality improvement. Methodologies to improve quality include the development of standards and guidelines and the performance of mortality, near‐miss, and criterion‐based audits. Tools for data collection and process description were identified, and examples of work to improve quality of care are provided. Conclusion: The documented experience with the identified approaches, methodologies, and tools indicates that none is sufficient by itself to achieve a desirable improvement in quality of care. The choice of methodologies and tools depends on the healthcare system and its available resources. There is a lack of studies that describe the process of quality improvement and a need for research to provide evidence of the effectiveness of the identified methods and tools.
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“A number of strategies that guide implementation efforts to improve QoC have been proposed. Many of these primarily focus on adapting interventions and working to overcome barriers to adaptation and implementation.21”
From Quality of care for pregnant women and newborns—the WHO vision (2015) · cites this paper as [21]
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Metadata
- Authors
- Raven, J., Hofman, J., Adegoke, A., & van den Broek, N.
- Affiliations
- Liverpool School of Tropical Medicine (GB)
- Corresponding author
- Raven, Joanna
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2011-05-29
- Volume
- 114
- Issue
- 1
- Pages
- 4-9
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2150935363
- Cited by
- 68
- References
- 42
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 11 · 2014: 8 · 2013: 4 · 2012: 5
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- quality improvement, maternal care, newborn health care, low-income countries, quality culture, mortality audit, data collection tools, quality of care
- MeSH terms
- Child Health Services, Developing Countries, Female, Humans, Infant Welfare, Infant, Newborn, Maternal Health Services, Maternal Welfare, Pregnancy, Quality Assurance, Health Care
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- Raven, J., Hofman, J., Adegoke, A., & van den Broek, N. (2011). Methodology and tools for quality improvement in maternal and newborn health care. International Journal of Gynecology & Obstetrics. https://doi.org/10.1016/j.ijgo.2011.02.007
