Table 1 Summary of characteristics of instruments for evaluating quality of obstetric care in low-resource settings
Instrument | Unit | Source(s) of information | Type of data | Structure (out of 19 items) | Process (out of 7 items) | Outcome (out of 6 items) |
|---|---|---|---|---|---|---|
Room-by-room walk-through (Gill et al., 2005) [31] | F | O | QT | 7 | 0 | 0 |
The walk-through with staff (EngenderHealth & AMDD, 2003a) [27] | F | O, St., R | QT | 12 | 6 | 0 |
"Access to services and continuity of care" assessment form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 9 | 2 | 0 |
"Competent care" assessment form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 4 | 5 | 1 |
"Information & informed choice" assessment. form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 0 | 1 | 0 |
"Privacy, confidentiality, dignity, comfort & expression of opinion" assessment form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 3 | 2 | 0 |
"Facilitative supervision & management" assessment form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 9 | 0 | 0 |
"Information, training & development" assessment form (EngenderHealth & AMDD, 2003b) [23] | F | St., O | QT | 4 | 0 | 0 |
"Supplies, equipment & infrastructure" assessment. form (EngenderHealth & AMDD, 2003b) [23] | F | O | QT | 7 | 0 | 0 |
Registers & records review forms (EngenderHealth & AMDD, 2003b) [23] | F | R, MR | QT | 1 | 0 | 0 |
Performance standards for EOC - Infection prevention (Jhpiego, USAID & Afghan MoH, 2005a) [28] | F | O | QT | 3 | 0 | 0 |
Performance standards for EOC - Human, physical & material resources (Jhpiego, USAID & Afghan MoH, 2005b) [29] | F | O | QT | 7 | 0 | 0 |
Performance standards for EOC - Support services (Jhpiego, USAID & Afghan MoH, 2005b) [29] | F | O | QT | 7 | 0 | 0 |
Performance standards for EOC - Management systems (Jhpiego, USAID & Afghan MoH, 2005b) [29] | F | O, R | QT | 5 | 0 | 0 |
Performance standards for EOC - Information, education & communication (Jhpiego, USAID & Afghan MoH, 2005b) [29] | F | O | QT | 2 | 0 | 0 |
Skilled attendance index (Hussein et al., 2004) [32] | F | MR, R | QT | 3 | 4 | 4 |
Health worker incentive survey (IMMPACT, 2007) [24] | F | St. | QT | 6 | 0 | 0 |
Perceptions of quality of care - In-depth interview guide for users and non-users of maternity services (IMMPACT, 2007) [24] | F | P | QL | 3 | 4 | 1 |
Perceptions of quality of care - Provider in-depth interview guide (IMMPACT, 2007) [24] | F | St. | QL | 6 | 0 | 0 |
Perceptions of quality of care - Manager's interview guide (IMMPACT, 2007) [24] | F | St. | QL | 9 | 0 | 0 |
Health facility staff interview guide (Maine et al., 1997) [40] | F | St. | QL | 5 | 1 | 0 |
Supervision checklist for hospital/for health center (Maine et al., 1997) [40] | F | O | Co. | 4 | 0 | 0 |
Performance standards for EOC - Care during normal labor, delivery & selected complications (Jhpiego, USAID & Afghan MoH, 2005b) [29] | C | O, MR, S | QT | 3 | 7 | 0 |
Performance standards for EOC - Management of complications during pregnancy (Jhpiego, USAID & Afghan MoH, 2005b) [29] | C | O, MR, S | QT | 1 | 7 | 0 |
Health facility questionnaire for case studies of women with obstetric complications (Maine et al., 1997) [40] | C | St., MR, P, Fm. | QT | 2 | 4 | 2 |
Patient/Family Interview Guide, Case Studies of Women with OC (Maine et al., 1997) [40] | C | P or Fm. | QL | 4 | 2 | 2 |
TRACE Maternal death assessment form (IMMPACT, 2007) [24] | C | MR or St. | QL | 5 | 5 | 1 |
Facility-based maternal death review - Medical record extraction form (WHO, 2004) [25] | C | MR | QL | 2 | 4 | 1 |
Facility-based maternal death review - Facility staff interview record (WHO, 2004) [25] | C | St. | QL | 5 | 4 | 1 |
Case review form (EngenderHealth & AMDD, 2003b) [23] | C | MR | QL | 1 | 2 | 4 |
EmOC client/family interview form (EngenderHealth & AMDD, 2003b) [23] | C | P or Fm. | Co. | 1 | 3 | 1 |
Audits de décès maternels - Entrevue famille (Univ. of Montreal; CR-CHUM; Direction Régionale Santé Kayes-Mali 2006) [26] | C | Fm. | Co. | 2 | 2 | 3 |
Audits de décès maternels - Entrevue centre de santé communautaire (Univ. of Montreal; CR-CHUM; DRS Kayes-Mali 2006) [26] | C | St. | Co. | 3 | 4 | 3 |
Audits de décès maternels - Entrevue centre de santé de référence (Univ. of Montreal; CR-CHUM; DRS Kayes-Mali 2006) [26] | C | St. | Co. | 4 | 4 | 3 |
Guidelines for conducting a near-miss case review (WHO, 2004) [25] | C | St., MR | Co. | 9 | 6 | 1 |
Clinical audit - Case extraction form (WHO, 2004) [25] | C | MR | Co. | 2 | 4 | 2 |
Client flow analysis - Client data form (EngenderHealth & AMDD, 2003b) [23] | C | O | Co. | 0 | 2 | 0 |