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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The world health organization multicountry survey on maternal and newborn health: Study protocol
BMC Health Services Research, Volume 11, Article 286, Year 2011
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Description
Background: Effective interventions to reduce mortality and morbidity in maternal and newborn health already exist. Information about quality and performance of care and the use of critical interventions are useful for shaping improvements in health care and strengthening the contribution of health systems towards the Millennium Development Goals 4 and 5. The near-miss concept and the criterion-based clinical audit are proposed as useful approaches for obtaining such information in maternal and newborn health care. This paper presents the methods of the World Health Organization Multicountry Study in Maternal and Newborn Health. The main objectives of this study are to determine the prevalence of maternal near-miss cases in a worldwide network of health facilities, evaluate the quality of care using the maternal near-miss concept and the criterion-based clinical audit, and develop the near-miss concept in neonatal health. Methods/Design. This is a large cross-sectional study being implemented in a worldwide network of health facilities. A total of 370 health facilities from 29 countries will take part in this study and produce nearly 275,000 observations. All women giving birth, all maternal near-miss cases regardless of the gestational age and delivery status and all maternal deaths during the study period comprise the study population. In each health facility, medical records of all eligible women will be reviewed during a data collection period that ranges from two to three months according to the annual number of deliveries. Discussion. Implementing the systematic identification of near-miss cases, mapping the use of critical evidence-based interventions and analysing the corresponding indicators are just the initial steps for using the maternal near-miss concept as a tool to improve maternal and newborn health. The findings of projects using approaches similar to those described in this manuscript will be a good starter for a more comprehensive dialogue with governments, professionals and civil societies, health systems or facilities for promoting best practices, improving quality of care and achieving better health for mothers and children. © 2011 Souza et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Souza, Joao Paulo
United States, Washington, D.c.
The World Bank, Usa
Gülmezoglu, Ahmet Metin
United States, Washington, D.c.
The World Bank, Usa
Carroli, Guillermo
Argentina, Rosario
Centro Rosarino de Estudios Perinatales
Lumbiganon, Pisake
Thailand, Khon Kaen
Faculty of Medicine, Khon Kaen University
Qureshi, Zahida P.
Kenya, Nairobi
University of Nairobi
Statistics
Citations: 109
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1186/1472-6963-11-286
e-ISSN:
14726963
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Grounded Theory
Study Approach
Quantitative
Participants Gender
Female