Assessing quality of care provided by Indonesian village midwives with a confidential enquiry

Midwifery
Lucia D'AmbruosoJulia Hussein

Abstract

to conduct a confidential enquiry to assess the quality of care provided by Indonesian village midwives and to identify opportunities for improvement. local health-care practitioners assessed village-based care in obstetric emergencies in 13 cases of maternal death and near-miss from rural villages in West Java. The study focused on clinical quality of care, but also investigated the influence of the health system and social factors. The reviews were based on transcripts of interviews with health-care providers, family and community members involved in the cases. Both favourable and adverse factors were identified in order to recognise positive contributions, where they occurred. At the end of a series of case reviews, recommendations for practice were generated and disseminated. in the cases reviewed, midwives facilitated referral effectively, reducing delays in reaching health facilities. Midwives' emergency diagnostic skills were accurate but they were less capable in the clinical management of complications. Coverage was poor; in some locations, midwives were responsible for up to five villages. Village midwives were also perceived as unacceptable to women and their families. Families and communities did not prepare for eme...Continue Reading

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Nov 10, 2011·International Journal for Equity in Health·Budi UtomoFita R Utami
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Jul 12, 2019·The International Journal of Health Planning and Management·Thida Thida, Tippawan Liabsuetrakul

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