Table 2

Extract from the analysis grid of instruments to evaluate the quality of obstetric care in low- and middle-income countries.

Instrument:

Access to services and continuity of care assmt. form (EngenderHealth & AMDD, 2003b) [23]

PQOC - Interview guide for users and non-users of maternity services (IMMPACT, 2007) [24]

Performance standards for EOC - Management of complications during pregnancy (Jhpiego, USAID & Afghan MoH, 2005b) [29]

Audits de décès maternels- Entrevue CSCOM (Univ. of Montreal, DRS Kayes-Mali 2006) [26]


Unit of observation:

Facility

Facility

Case

Case


Source(s) of information:

Staff, observation

Users & non-users

Observation, record, simulation

Staff


Type of data:

Quantitative

Qualitative

Quantitative

Combined


STRUCTURE

Human resources

Availability

X

X


Qualification

X

X


Motivation


Material resources

Drugs/consumables

X


Equipment

X


Blood for transfusions

X


'

Infrastructure

Buildings

X

X


Support services


Means of communication & transport (evacuations)

X


Organizational resources

Human resources management


Registers & medical records

X

X

X


Obstetric care protocols


Supervision


Continuing education


Quality assurance mechanisms


Supply logistics

X


Repair/maintenance


Financial arrangements

X

X


Links with community


PROCESS

Single interaction

Technical perfor- mance

Appropriate interventions

X

X


Competent execution

X

(if observation)


Non-technical perfor- mance

Interpersonal relationship

X

X


Amenities

X

X


Episode of care

Continuity

X

X

X

X


Comprehensiveness

X

X


Timeliness

X

X

X

X


OUTCOME

Mother

Mortality

X


Morbidity


Abusive expenses


Satisfaction with care

X


Newborn

Mortality

X


Morbidity

X


Morestin et al. BMC Health Services Research 2010 10:20   doi:10.1186/1472-6963-10-20

Open Data