Evaluating quality of obstetric care in low-resource settings: Building on the literature to design tailor-made evaluation instruments - an illustration in Burkina Faso

Table 2 Extract from the analysis grid of instruments to evaluate the quality of obstetric care in low- and middle-income countries.

			Instrument:	Access to services and continuity of care assmt. form (EngenderHealth & AMDD, 2003b) [23]	PQOC - Interview guide for users and non-users of maternity services (IMMPACT, 2007) [24]	Performance standards for EOC - Management of complications during pregnancy (Jhpiego, USAID & Afghan MoH, 2005b) [29]	Audits de décès maternels- Entrevue CSCOM (Univ. of Montreal, DRS Kayes-Mali 2006) [26]
			Unit of observation:	Facility	Facility	Case	Case
			Source(s) of information:	Staff, observation	Users & non-users	Observation, record, simulation	Staff
			Type of data:	Quantitative	Qualitative	Quantitative	Combined
STRUCTURE	Human resources		Availability	X			X
			Qualification		X		X
			Motivation
	Material resources		Drugs/consumables	X
			Equipment	X
			Blood for transfusions	X
'		Infrastructure	Buildings	X	X
			Support services
			Means of communication & transport (evacuations)	X
	Organizational resources		Human resources management
			Registers & medical records	X		X	X
			Obstetric care protocols
			Supervision
			Continuing education
			Quality assurance mechanisms
			Supply logistics	X
			Repair/maintenance
			Financial arrangements	X	X
			Links with community
PROCESS	Single interaction	Technical perfor- mance	Appropriate interventions			X	X
			Competent execution			X (if observation)
		Non-technical perfor- mance	Interpersonal relationship		X	X
			Amenities		X	X
	Episode of care		Continuity	X	X	X	X
			Comprehensiveness			X	X
			Timeliness	X	X	X	X
OUTCOME	Mother		Mortality				X
			Morbidity
			Abusive expenses
			Satisfaction with care		X
	Newborn		Mortality				X
			Morbidity				X

ISSN: 1472-6963