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CABI Book Chapter

Maternal and perinatal health in developing countries.

Book cover for Maternal and perinatal health in developing countries.

Description

The promotion of maternal health and mortality reduction is of worldwide importance, and constitutes a vital part of the UN Millennium Development Goals. The highest maternal mortality rates are in developing countries, where global and regional initiatives are needed to improve the systems and practices involved in maternal care and medical access. Taking a practical policy approach, this book co...

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Chapter 14 (Page no: 181)

Quality of care.

Definitions of quality of care vary, but all recognize the multidimensional nature of quality. Choosing a suitable quality of care framework should be driven by the purpose of assessing quality of care, the setting in which quality improvements are planned, the nature of the interventions and the target beneficiaries. Improving oving quality of care cannot be isolated from the function of the health system. Quality aspects permeate through all levels of the health system and at all stages of the reproductive life cycle, thus encompassing the concept of the continuum of care. Failure to maintain this 'continuum of quality' at any stage will result in death or severe disability, a failure occurring in too many maternity care services in countries where levels of maternal mortality are still high. Certain times of pregnancy are particularly risky. Most maternal and newborn deaths occur during childbirth and in the first few days after delivery. To save lives, quality of care during childbirth and in the immediate postpartum period is crucial, as well as attention to high quality care during complications. The person who provides maternity care, her/his knowledge, attitudes and practice are essential aspects of quality, but ensuring that a 'skilled attendant at delivery' is present is not a sufficient factor to ensure good quality care. The place where women seek maternity care (whether at home, en route or in a health facility) influences quality, and consideration of these different settings affects how quality is assessed. Studies indicate that quality of maternity care is poor in many developing country settings. Quality improvement strategies that are widely recommended include interactive educational events, reminders, use of opinion leaders and mass media to change provider practice, audit and combinations of interventions.

Other chapters from this book

Chapter: 1 (Page no: 1) An introduction to maternal and perinatal health. Author(s): Hussein, J. Blanc, A. K. Donnay, F. McCaw-Binns, A.
Chapter: 2 (Page no: 10) The Millennium Development Goals. Author(s): McCaw-Binns, A. Hussein, J.
Chapter: 3 (Page no: 25) The politics of progress: the story of maternal mortality. Author(s): Graham, W. J.
Chapter: 4 (Page no: 40) The epidemiology of maternal mortality. Author(s): Stanton, C. McCaw-Binns, A.
Chapter: 5 (Page no: 51) The epidemiology of stillbirths and neonatal deaths. Author(s): Stanton, C. Lawn, J. E.
Chapter: 6 (Page no: 64) Health systems. Author(s): Mavalankar, D. V. Raman, P. S.
Chapter: 7 (Page no: 77) Financing maternity care. Author(s): Witter, S. Ensor, T.
Chapter: 8 (Page no: 96) Implementing clinical interventions within maternal health programmes. Author(s): Langer, A. Knight, H. Charnock, A. Wegner, M. N. Villar, J.
Chapter: 9 (Page no: 114) Medical conditions in pregnancy. Author(s): Webber, R. McCaw-Binns, A. Hussein, J.
Chapter: 10 (Page no: 127) Improving the availability of services. Author(s): Phoya, A. Mavalankar, D. V. Raman, P. S. Hussein, J.
Chapter: 11 (Page no: 139) Geographical access, transport and referral systems. Author(s): Munjanja, S. P. Magure, T. Kandawasvika, G.
Chapter: 12 (Page no: 155) Demand for maternity care: beliefs, behaviour and social access. Author(s): Mumtaz, Z. Levay, A.
Chapter: 13 (Page no: 170) Empowering the community: BRAC's approach in Bangladesh. Author(s): Kaosar Afsana
Chapter: 15 (Page no: 193) Monitoring and evaluation. Author(s): Hounton, S. Newlands, D. Meda, N. Hussein, J.
Chapter: 16 (Page no: 210) Addressing maternal health in emergency settings. Author(s): Bartlett, L. Aitken, I. Smith, J. M. Thomas, L. J. Rosen, H. E. Tappis, H. Burnham, G.

Chapter details

  • Author Affiliation
  • University of Indonesia, West Java, Indonesia.
  • Year of Publication
  • 2012
  • ISBN
  • 9781845937454
  • Record Number
  • 20123188925