Study component | Data collection activity (Data source) | Tool used | Key outcome measures |
---|---|---|---|
Quality of Care : Structural & Input elements | Assessment of facility infrastructure (health facility, heads of services) | Structured observation survey | • Adequacy of infrastructural and organizational set-up in relation to EmOC standards |
• Availability, accessibility, functionality of materials and equipment in obstetric care, ANC, PNC services | |||
• Availability, accessibility of clinical guidelines and protocols related to obstetric care, ANC, PNC | |||
• Availability, accessibility of essential drugs related to obstetric care, ANC, PNC | |||
Assessment of providers’ professional qualification & technical knowledge (maternity care providers) | Structured interview survey (using clinical vignettes) | • Number & type of provider training activities | |
• Level of providers’ technical knowledge on EmOC, ANC, PNC | |||
Quality of Care : Process & Outcome elements | Assessment of provider-patient encounters (obstetric care visits, ANC visits) | Structured observation survey | • Clinical case management (clinical assessment, diagnosis, treatment) of obstetric, pregnant, and newborn patients |
Assessment of health facility records (maternity registers, patient charts) | Structured observation survey | • Timely identification of obstetric/neonatal complication (patient assessment, diagnostic procedures) | |
• Timely supportive and definitive management of obstetric/neonatal complications (intravenous fluids, oxygen, antibiotics, blood transfusion, C-sections) | |||
• Case outcomes (length of stay, fatality, disability) | |||
Quality of Care : Experiential elements | Assessment of providers’ workload, motivation, satisfaction (maternity care providers) | Structured interview survey | • Provider’s role, responsibility, workload |
• Provider’s training background and appreciation | |||
• Provider’s compensation and incentives | |||
• Provider’s satisfaction and motivation | |||
Assessment of clients’ perception, satisfaction, experience (women attending obstetric care, ANC, or PNC services) | Structured exit interview survey | • Clients’ demographic and socioeconomic information | |
• Type of care received at healthcare facility | |||
• Type of care received at outside formal health sector | |||
• Clients’ perception of healthcare services received | |||
• Clients’ knowledge retention related to danger signs | |||
• Clients’ satisfaction of healthcare services received |