Translating international guidelines for use in routine maternal and neonatal healthcare quality measurement
Bibliographic Data
| ID | 19530446 |
|---|---|
| Authors | Karen T Chang (0000-0003-0074-6518, Metrics for Management, Oakland, CA, USA), Puspita Hossain (0000-0003-4042-9824, BRAC University), Malabika Sarker (0000-0001-7293-8805, Heidelberg University), Dominic Montagu (0000-0002-2477-5543, Metrics for Management, Oakland, CA, USA), Nirali M Chakraborty (0000-0003-1015-7477, Metrics for Management, Oakland, CA, USA), Andrea Sprockett (0000-0003-0117-2966, Metrics for Management, Oakland, CA, USA, corresponding author) |
| Year | 2020 |
| Volume | 13 |
| Issue | 1 |
| Pages | 1783956-1783956 |
| Publication date | 2020-12-31 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2020.1783956 |
| PMID | 32657252 |
| OpenAlex | W3042261026 |
| Language | EN |
| Citations received | 1 |
| References cited | 22 |
BACKGROUND: Improving facility-based quality for maternal and neonatal care is the key to reducing morbidity and mortality rates in low- and middle-income countries. Recent guidance from WHO and others has produced a large number of indicators to choose from to track quality. OBJECTIVE: To explore how to translate complex global maternal and neonatal health standards into actionable application at the facility level. METHODS: We applied a two-step process as an example of how the 352 indicators in WHO's 2016 Standards for Improving Quality of Maternal and Newborn Care in Health Facilities might be reduced to only those with the strongest evidence base, associated with outcomes, and actionable by facility managers. We applied Hill criteria and assessed whether indicators were within the control of facility managers. We next conducted a rapid review of supporting literature and applied GRADE analysis, retaining those with scores of 'moderate' or 'high'. To understand the utility and barriers to measuring this limited set of indicators in practice, we undertook a case study of hypothetical measurement application in two districts in Bangladesh, interviewing 25 clinicians, managers, and other stakeholders. RESULTS: From the initial 352 indicators, 56 were retained. The 56 indicators were used as a base for interviews. Respondents emphasized the practical challenges to the use of complex guides and the need for parsimonious and actionable sets of quality indicators. CONCLUSIONS: This work offers one way to move towards a reduced quality indicator set, beginning from current WHO guidance. Despite study limitations, this work provides evidence of the need for reduced and evidence-based sets of quality indicators if guides are to be used to improve quality in practice. We hope that future research will build on and refine our efforts. Measuring quality effectively so that evidence guides and improves practice is the first step to assuring safe maternal and neonatal care
Health care · Political science · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine
| Unique citing works | 1 |
|---|---|
| Citations per year | 0.2 |
| Citation span | 2021 - 2021 (1) |
| Citation velocity | historical |
| Highly cited | No |