Part of a series of MCHIP Quality of Care tools, these questions capture training and experience of the health worker and then test their knowledge of how to identify, manage and treat common maternal and newborn health complications. It includes a simulated resuscitation with a newborn model to assess newborn resuscitation skills.
Quality of Care: Clinical Practice Observation of Antenatal Care and Labor & Delivery
Part of a series of MCHIP Quality of Care tools, these structured clinical observation checklists are for use in observation of antenatal care (ANC) consultations and labor and delivery (vaginal deliveries only) at facilities. The content of the checklists was developed based on World Health Organization guidelines and includes: screening for pre-eclampsia/eclampsia (PE/E) in ANC; management of PE/E and prevention of postpartum hemorrhage …
Quality of Care: Essential Inventory
Part of a series of MCHIP Quality of Care tools, this document is used to report infrastructure conditions and verify availability and storage conditions of medications, supplies and equipment. It includes a short record review to capture the number of antental care consultations and deliveries at each facility for the last year, based on the health management information system (HMIS) …
Quality of Care: Health Worker Line Listing
Part of a series of MCHIP Quality of Care tools, this document is used to produce a list of all health workers who provide services to mothers and newborns at the facility where observations will occur. It also captures medical qualifications of the staff and assigns individual code for each health worker for use in the survey.
Introduction to the Maternal and Newborn Quality of Care Surveys
A series of MCHIP health facility surveys on quality of care (QoC) focus on the frequency and quality of interventions that address the direct causes of maternal and newborn deaths, and act as key sources of information for policymakers and other stakeholders in country. This document provides information on the background, study objectives, and methodology of these surveys.
Reproductive health services in Malawi: An evaluation of a quality improvement intervention
An article in the journal “Midwifery” evaluates the impact of a quality improvement initiative in Malawi on reproductive health service quality and related outcomes. Results from the study indicate that PQI is an effective way to improve the quality of health services in a low-resource setting. To read the article, click here.
Quality of Care for Prevention and Management of Common Maternal and Newborn Complications: Findings from a National Health Facility Survey in Rwanda
This survey augments the existing literature on maternal and newborn health in Rwanda by including both knowledge tests and direct observation of care against standard checklists in both antenatal care and labor and delivery care, rather than collecting data through routine household surveys. The purpose of the survey is to generate information to quantify the need for and guide the …
Taking Stock of MCHIP Efforts Around Quality Improvement and Quality Assessment
MCHIP brings together a strong set of players in the field of maternal and child health (MCH). Each MCHIP partner has unique technical expertise with regards to Quality Improvement (QI) and Quality Assessment (QA) activities. Program partners also have specific knowledge about and experience with using different QI/QA approaches and tools. Given MCHIP’s decentralized nature, the number of partners involved …
Quality of Maternal and Newborn Health Services in Zanzibar, 2010: Findings from Selected Health Facilities in Unguja and Pemba
The MAISHA Quality of Maternal and Newborn Health Services study in Zanzibar, conducted in November–December 2010, was an observational study conducted in nine health facilities in Pemba and Unguja. The aim of the study, which combined observations of service delivery with inventories, record reviews and health worker knowledge assessments, was to provide strong information on the quality of maternal and …
Finding Common Ground: Harmonizing the Application of Different Quality Improvement Models in Maternal, Newborn, and Child Health Programs
This paper attempts to systematically review and compare quality improvement (QI) models that have been applied extensively in maternal, newborn, and child health (MNCH) or are potentially effective models for MNCH programs.The paper identifies the models’ essential elements in an attempt to find common ground: a place where those who apply different QI models can discuss them with a common language …