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07-07-2023 | Care | Review Paper

Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis

Authors: Sureka Pavalagantharajah, Atziri Ramirez Negrin, Katrina Bouzanis, Tin-Suet Joan Lee, Peter Miller, Rebecca Jones, Will Sinnott, Elizabeth Alvarez

Published in: Maternal and Child Health Journal | Issue 10/2023

Abstract

Objectives

The World Health Organization has adopted two main strategies to improve the quality of maternal health: increasing the number of deliveries by skilled birth attendants and increasing access to emergency obstetric care. Despite increased access to care, there continue to be high rates of maternal morbidity and mortality in part due to quality of care. This study aims to identify and summarize existing frameworks for measuring quality of maternal care at a facility-level.

Methods

PubMed, Health Systems Evidence, Embase, Global Health, OVID Healthstar, OVID Medline, PsycINFO, and Web of Science were searched for frameworks, tools, theories, or components of frameworks relevant to maternal quality of care in facility-level settings. Title/abstract and full-text screening were completed by two independent reviewers and conflicts resolved through consensus or a third reviewer.

Results

An initial search resulted in 3182 studies. Fifty-four studies were included in the qualitative analysis. A best fit framework analysis was done using the updated Hulton framework as the conceptual framework. A facility-based maternal quality of care framework is proposed including the following components, separated into provision and experience of care: (1) human resources; (2) infrastructure; (3) equipment, supplies and medicine; (4) evidence and information; (5) referral and networks of care; (6) cultural competence; (7) clinical practice; (8) financing; (9) leadership and governance; (10) cognition; and 11) respect, dignity, equity, and emotional support.

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Title: Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis
Authors: Sureka Pavalagantharajah
Atziri Ramirez Negrin
Katrina Bouzanis
Tin-Suet Joan Lee
Peter Miller
Rebecca Jones
Will Sinnott
Elizabeth Alvarez
Publication date: 07-07-2023
Publisher: Springer US
Keyword: Care
Published in: Maternal and Child Health Journal / Issue 10/2023
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-023-03702-8

At a glance: The STEP trials

Springer Medicine

Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis

Abstract

Objectives

Methods

Results

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

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