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Measuring quality of care for all women and newborns: How do we know if we are doing it right? A review of facility assessment tools

The Lancet Global Health Apr 19, 2019

Brizuela V, et al. - In this investigation, researchers evaluated the capacity of globally used, large-scale facility evaluation tools to measure maternal and newborn care quality in accordance with the WHO framework. They identified evaluation tools through a purposeful sample that met the following inclusion criteria: multicountry, facility-level, major focus on maternal and newborn health, data on input and process indicators, used between 2007 and 2017, and currently in use. With 274 quality measures related to inputs and processes within the WHO standards, they matched questions in the tools. According to findings, existing facility evaluation tools give a valuable way to evaluate the quality of maternal and newborn care as one element within the national measurement toolkit. Guidance on priority measures and better harmonization across tools is clearly needed in order to reduce the measurement burden and increase the use of data to improve quality. A key research priority is the targeted development of measurement modules to address significant gaps.
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