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Maternal & Neonatal Healthcare Quality Measurement: Real and Desired
December 2018
A ‘how-to’ for efficient, effective, and locally-validated data collection in maternal health QoC.
SUMMARY: Written in collaboration with the James P. Grant School of Public Health at BRAC University, Bangladesh (JPGSPH), this M4M report presents an approach for translating guidelines to practice. Beginning with the indicators included in the 2016 World Health Organization (WHO) Standards for Improving Quality of Maternal and Newborn Care in Health Facilities report, it aims to identify a short list of maternal and neonatal quality of care indicators feasible for routine use in lower level facilities in low and middle-income countries (LMICs). Our approach sought to determine which indicators are most likely to be linked to health outcomes, and to be relevant to clinic managers to monitor and manage performance.
FINDINGS: Implementing the current list of indicators in the WHO QoC Standards may not be feasible in LMICs, and the evidence for inclusion of most current indicators is unclear. Prioritization of indicators based on evidence of likely correlation to outcomes, as well as including and provider and stakeholder input on indicator utility and viability for data collection may help guide the process to identify a short set feasible for routine use.
