PMID: 9428083Jan 15, 1998Paper

Essential obstetric care: assessment and determinants of quality

Social Science & Medicine
O Adeyi, R Morrow

Abstract

This paper reports on a study to develop and to apply methods for measuring the quality of essential obstetric care (EOC) in health centers. Based on a Nigerian guideline and an international guideline, and in consultation with local experts in primary care obstetrics, norms were established for equipment, personnel, supplies and the process of EOC, focusing on critical tasks. A combination of assessment methods was used, including observation of tasks performed during intrapartum care; use of data from records of care kept by midwives during the period of observation; use of data from records kept by midwives in the calendar year preceding the period of observation; exit interviews with clients; and inventories of equipment and supplies. Twelve health centers in three Local Government Areas (LGAs) and 360 clients in labor were included in the study. Quality of care was measured quantitatively as a score, calculated for each task and for each delivery in the health center. The results show that the methods developed are useful for: identifying quality score differences among health centers, and the effects of methods of assessment on quality scores; identifying aspects of EOC requiring improvements within each health center; an...Continue Reading

References

Jan 1, 1989·Social Science & Medicine·B Van NorrenE K Sempebwa
Jan 1, 1980·Annual Review of Public Health·P J Sanazaro
Apr 1, 1993·The American Journal of Orthopsychiatry·S N Covington, S K Theut
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Citations

Sep 3, 2003·The Australian Journal of Rural Health·Karen Patterson, Patricia Logan-Sinclair
Jun 16, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Catherine M PirkleMaria-Victoria Zunzunegui
Mar 4, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Adama FayePierre Fournier
Jan 1, 2005·Reproductive Health Matters·Julia HusseinWendy Graham
Sep 11, 2007·Journal of Midwifery & Women's Health·Jennifer Foster, Annemarie Heath
Jun 24, 2005·Journal of Midwifery & Women's Health·Jennifer FosterAnnemarie Heath Sanchez
Jul 9, 2004·Journal of Midwifery & Women's Health·Lesley MilneJulia Hussein

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