Figure 1.

Conceptual framework for the quality of obstetric care. 1Number of human resources on staff and on duty 24 hrs/day, 7 days/week. 2 Qualification is the fact, for example, of having a degree in medicine, midwifery, etc.; this is not to be confused with competence, which is expressed in the care process: qualification and competence are not automatically interrelated. 3 A person's interest in pursuing the objectives of the organization for which he or she works. 4 Should be available at all times, functional, and in sufficient quantity. 5 Including buildings and support services (sterilization, laundry, etc.). 6 E.g. team organization, job descriptions, regular payment of salaries, sanctions and rewards, etc. 7Should be in user-friendly formats and well maintained. 8 E.g. review of cases having negative outcomes, collecting patient's opinions on services received, etc. 9 Such that women are not required to pay anything before receiving obstetric services. 10 Between the caregiver and the patient. 11 Characteristics of the setting within which care is provided that help put the patient at ease (for example, not only are there curtains--a material resource--in the delivery room, but the caregivers actually take care to close them to protect the women's privacy). 12 All of the single interactions, and how they are interconnected, from the beginning to the end of the patient's treatment. This looks at how services are organized. 13 Within the health facility and, if the patient is referred, from one facility to another. 14 All the services required are provided. 15 Abusive fees charged by certain healthcare professionals, which are a flagrant sign of bad practices.

Morestin et al. BMC Health Services Research 2010 10:20   doi:10.1186/1472-6963-10-20
Download authors' original image