Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality

Lerberghe, Wim Van; Matthews, Zoë; Achadi, Endang; Ancona, Chiara; Campbell, James; Channon, Andrew Amos; Bernis, Luc de; Brouwere, Vincent De; Fauveau, Vincent; Fogstad, Helga; Koblinsky, Marge; Liljestrand, Jerker; Mechbal, A; Murray, Susan; Rathavay, Tung; Rehr, Helen; Richard, Fabienne; Hoope‐Bender, Petra ten; Turkmani, Sabera

doi:10.1016/s0140-6736(14)60919-3

Cited by 200 publications

(183 citation statements)

References 30 publications

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“…In addition to the substantial structural barriers to care in Kunduz (eg, poor roads, long distances, lack of vehicular transport options, few capable health care facilities), there were many other barriers to care that precluded timely access to comprehensive trauma care service, including both direct and indirect financial barriers, barriers related to the sex of the individual, and safety-related barriers. [8][9][10][11] The Trauma Centre was able to alleviate some of these barriers by rending care completely free of charge, caring for all injured patients indiscriminately, and being proximate to the population living amid conflict.…”

Section: Methodsmentioning

confidence: 99%

Averted health burden over 4 years at Médecins Sans Frontières (MSF) Trauma Centre in Kunduz, Afghanistan, prior to its closure in 2015

Trelles

Stewart

Hemat

et al. 2016

Surgery

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Section: Methodsmentioning

confidence: 99%

Averted health burden over 4 years at Médecins Sans Frontières (MSF) Trauma Centre in Kunduz, Afghanistan, prior to its closure in 2015

Trelles

Stewart

Hemat

et al. 2016

Surgery

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“…Two recent reviews of successful health systems strengthening efforts across a number of countries have identified that systematic actions to strengthen QoC have been implemented only very recently [14]. Even where they have been implemented many of these initiatives fail to encapsulate all of the necessary dimensions of quality care-including the provision and experience of care-under one framework that lends itself to transparent monitoring efforts.…”

Section: Quality Of Care Framework and Their Use To Improve Standardsmentioning

confidence: 99%

Accountability for quality of care: Monitoring all aspects of quality across a framework adapted for action

Hulton

Matthews

Bandali

et al. 2015

Intl J Gynecology & Obste

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Synopsis:A multidimensional framework provides an index for measuring quality of maternity services. Certification based on such a framework can be used to improve quality and reward good performance. 2 AbstractQuality of care is essential to maternal and newborn survival. The multidimensional nature of quality of care means that frameworks are useful for capturing it. The present paper proposes an adaptation to a widely used quality of care framework for maternity services. The framework subdivides quality into two inter-related dimensions-provision and experience of care-but suggests adaptations to reflect changes in the concept of quality over the past 15 years. The application of the updated framework is presented in a case study, which uses it to measure and inform quality improvements in northern Nigeria across the reproductive, maternal, newborn, and child health continuum of care. Data from 231 sampled basic and comprehensive emergency obstetric and newborn care (BEmONC and CEmONC) facilities in six northern Nigerian states showed that only 35%-47% of facilities met minimum quality standards in infrastructure. Standards for human resources performed better with 49%-73% reaching minimum standards. A framework like this could form the basis for a certification scheme. Certification offers a practical and concrete opportunity to drive quality standards up and reward good performance. It also offers a mechanism to strengthen accountability.3

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“…However, increasing the size of the midwifery workforce only addresses the availability of midwives. It is also necessary to take into account the quality of care that they are competent and enabled to provide, otherwise increased availability may not result in improved health outcomes [3,4]. …”

Section: Introductionmentioning

confidence: 99%

The development of a global Midwifery Education Accreditation Programme

Nove

Pairman

Bohle

et al. 2018

Global Health Action

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Background: Many countries are responding to the global shortage of midwives by increasing the student intake to their midwifery schools. At the same time, attention must be paid to the quality of education being provided, so that quality of midwifery care can be assured. Methods of assuring quality of education include accreditation schemes, but capacity to implement such schemes is weak in many countries. Objective: This paper describes the process of developing and pilot testing the International Confederation of Midwives’ Midwifery Education Accreditation Programme (ICM MEAP), based on global standards for midwifery education, and discusses the potential contribution it can make to building capacity and improving quality of care for mothers and their newborns. Methods: A review of relevant global, regional and national standards and tools informed the development of a set of assessment criteria (which was validated during an international consultation exercise) and a process for applying these criteria to midwifery schools. The process was pilot tested in two countries: Comoros and Trinidad and Tobago. Results: The assessment criteria and accreditation process were found to be appropriate in both country contexts, but both were refined after the pilot to make them more user-friendly. Conclusion: The ICM MEAP has the potential to contribute to improving health outcomes for women and newborns by building institutional capacity for the provision of high-quality midwifery education and thus improved quality of midwifery care, via improved accountability for the quality of midwifery education.

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Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality

Cited by 200 publications

References 30 publications

Averted health burden over 4 years at Médecins Sans Frontières (MSF) Trauma Centre in Kunduz, Afghanistan, prior to its closure in 2015

Averted health burden over 4 years at Médecins Sans Frontières (MSF) Trauma Centre in Kunduz, Afghanistan, prior to its closure in 2015

Accountability for quality of care: Monitoring all aspects of quality across a framework adapted for action

The development of a global Midwifery Education Accreditation Programme

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