Table 2

Examples of groups of key actions/indicators to make composite scores of quality of care

Quality of:

Observed provider actions:


a. Client - provider rapport (0-7)

Client greeted warmly, Discussed medical conditions, Asked if client understood information, Encouraged client to ask questions, Used client's name, Help in decision-making, Consultation time > 15 minutes


b. ANC counseling

Birth planning, danger signs, physical and laboratory examinations, vitamin A capsule, iron tablet/syrup, TT vaccination, infant feeding, fertility intentions


c. PNC counseling on danger signs since childbirth (0-10)

Ask about: bleeding since birth, color/smell of vaginal discharge, condition of perineum/CS scar, fever, headache or blurred vision, swelling in face, hands or feet, signs of thrombophlebitis, tiredness or breathlessness, convulsions or fits, LAM, breastfeeding


Rob et al. BMC Public Health 2011 11:257   doi:10.1186/1471-2458-11-257

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