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Table 5 Data collection forms used in the EMEN baseline facility quality of care assessment

From: Assessment of facility readiness for implementing the WHO/UNICEF standards for improving quality of maternal and newborn care in health facilities – experiences from UNICEF’s implementation in three countries of South Asia and sub-Saharan Africa

Form no Respondent Purpose & Content of the form
1 All departments for direct observation The form was used to
- assess the physical infrastructure in the facility for maternal and newborn care
- obtain an inventory of all equipment to determine whether they were functioning well or not, the last time they were calibrated and
- ascertain the expiry dates on some key drugs used for maternal and newborn care emergencies such as magnesium sulfate and antibiotics.
2 Facility manager The form involved
- desk review of facility protocols and policies for maternal and newborn care,
- recruitment and placement procedures,
- refresher training and workload management,
- referral systems,
- facility mechanisms for providing dignified care and abuse response as well as existence and activities of quality improvement teams.
3 Professionals providing care for mothers and newborns It assesses
- any formal and refresher training care providers received to validate the data provided by the superintendent in the form 2.
- knowledge and care practices around care for mothers and babies in case of complications and
- clinical skills directly through the administration of a clinical vignette to assess their knowledge and practices around selected maternal and newborn care emergencies. Their practices related to diagnosis and management of pre-eclampsia, obstetric haemorrhage, very low birthweight infant, perinatal asphyxia and hypothermia with be assessed in these vignettes.
4 Direct observation The observation of client-provider interactions will involve
- visual assessment of the dynamics of the interactions,
- listening to the communications.
- transcription of records taken on women to assess which aspects of the care were recorded but not verbalised such as the BP measurement if taken
5 Direct abstraction Assesses the
- completeness of record keeping and
- content of care captured on patient records.
- completeness of record keeping during labour monitoring with partographs together with actions taken based on the progress of the labour.
- practices around caesarean section including records of the indications for and the entire management given intra- and post-operatively.
6 Mothers and companions Assesses women’s perceptions on the content and quality of care including insights into whether
- they thought the care was dignified,
- they paid for any of the services and
- any service was withheld because of non-affordability.
It also assesses their overall impression about the facility and the quality of care they received.