ArticleBulletin of the World Health Organization2017
Maternal and neonatal services in Ethiopia: measuring and improving quality.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Improving the quality of neonatal health care in Ethiopia: a systematic review.Frontiers in medicine · 2024Pooled it
- Antenatal Care Reduces Neonatal Mortality in Ethiopia: A Systematic Review and Meta-Analysis of Observational Studies.Maternal and child health journal · 2023Pooled it
- Reflections on a global partnership for perinatal quality improvement in Rwanda.BMJ paediatrics open · 2026Review
- Structural Quality of Institutional Delivery Services at Public Health Facilities in North-West Ethiopia: A Mixed Study.Health science reports · 2026Article
- Starvation remains the leading cause of death in Tigray, northern Ethiopia, after the Pretoria deal: a call for expedited action.BMC public health · 2024Article
- Postnatal care utilization within 48 h after birth and its determinants in northwest Ethiopia: a multilevel logistic regression analysis.Scientific reports · 2024Article
- Evidence-based intrapartum care practice and associated factors among obstetrics workers in Ethiopia, systematic review and meta-analysis.SAGE open medicine · 2024Review
- Understanding challenges as they impact on hospital-level care for pre-eclampsia in rural Ethiopia: a qualitative study.BMJ open · 2023Article
- Place of death and associated factors among reviewed maternal deaths in Ethiopia: a generalised structural equation modelling.BMJ open · 2023Review
- Utilization of optimal antenatal care, institutional delivery, and associated factors in Northwest Ethiopia.Scientific reports · 2023Article
- Article
- Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia.Global health, science and practice · 2022Article
- Quality of intrapartum care at Public Health Institutions of North Achefer District, North West Ethiopia: a mixed method study.BMC pregnancy and childbirth · 2022Article
- Applying a gender lens to social norms, couple communication and decision making to increase modern contraceptive use in Ethiopia, a mixed methods study.Reproductive health · 2022Article
- Contribution of health information system to child immunization services in Ethiopia: baseline study of 33 woredas.BMC medical informatics and decision making · 2022Article
- "Even though they insult us, the delivery they give us is the greatest thing": a qualitative study contextualizing women's experiences with facility-based maternal health care in Ethiopia.BMC pregnancy and childbirth · 2022Article
- Improving in-patient neonatal data quality as a pre-requisite for monitoring and improving quality of care at scale: A multisite retrospective cohort study in Kenya.PLOS global public health · 2022Article
- Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement.Seminars in fetal & neonatal medicine · 2021Review
- Process Evaluation of Prevention of Mother-to-Child Transmission of HIV Service at Gondar City Administration Governmental Health Facilities, Northwest Ethiopia: A Mixed Approach Case Study Evaluation Design.HIV/AIDS (Auckland, N.Z.) · 2021Article
- Institutional delivery and associated factors in rural communities of Central Gondar Zone, Northwest Ethiopia.PloS one · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemMaternal and neonatal mortality remains high in low- and middle-income countries, with poor quality of intrapartum care as a barrier to further progress. APPROACH: We developed and tested a method of measuring the quality of maternal and neonatal care that could be embedded in a larger national performance management initiative. The tool used direct observations and medical record reviews to score quality in nine domains of intrapartum care. We piloted and evaluated the tool in visits to the 18 lead hospitals that have responsibility to promote and coordinate quality improvement efforts within a hospital cluster in Ethiopia. Between baseline and follow-up assessments, staff from a national quality collaborative alliance provided hospital-based training on labour and delivery services. LOCAL
settingEthiopia has invested in hospital quality improvement for more than a decade and this tool was integrated into existing quality improvement mechanisms within lead hospitals, with the potential for scale-up to all government hospitals. RELEVANT CHANGES: Significant improvements in quality of intrapartum care were detected from baseline (June-July 2015) to follow-up (February-March 2016) in targeted hospitals. The overall mean quality score rose from 65.6 (standard deviation, SD: 10.5) to 91.2 (SD: 12.4) out of 110 items ( LESSONS LEARNT: The method was feasible, requiring a total of 3 days and two to three trained data collectors per hospital visit. It produced data that detected substantial changes made during 8 months of national hospital quality improvement efforts. With additional replication studies, this tool may be useful in other low- and middle-income countries.
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