dc.contributor.author | Souza, Joao | |
dc.contributor.author | Gulmezoglu, Ahmet Metin | |
dc.contributor.author | Guillermo, Carroli | |
dc.contributor.author | Lumbiganon, Pisake | |
dc.contributor.author | Qureshi, Zahida | |
dc.date.accessioned | 2013-03-01T06:43:54Z | |
dc.date.available | 2013-03-01T06:43:54Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | BMC Health Services Research 2011, 11:286 doi:10.1186/1472-6963-11-286 | en |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/12775 | |
dc.description.abstract | 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 nearmiss
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. | en |
dc.language.iso | en | en |
dc.publisher | BMC Health Services Research | en |
dc.subject | World Health Organization | en |
dc.subject | Multicountry survey | en |
dc.subject | maternal and newborn health: | en |
dc.subject | study protocol | en |
dc.title | The World Health Organization multicountry survey on maternal and newborn health: study protocol | en |
dc.type | Article | en |
local.publisher | School of medicine | en |