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Health workers’ views on audit in maternal and newborn healthcare in LMICs: a qualitative evidence synthesis

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Rousseva, Christiana, Kammath, Vishnu, Tancred, Tara ORCID: https://orcid.org/0000-0002-8718-5110 and Smith, Helen (2020) 'Health workers’ views on audit in maternal and newborn healthcare in LMICs: a qualitative evidence synthesis'. Tropical Medicine & International Health, Vol 25, Issue 5, pp. 525-539.

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Abstract

Objectives

To identify and summarise health workers’ views on the use of audit as a method to improve the quality of maternal and newborn healthcare in low‐ and middle‐income countries (LMICs).

Methods

We conducted a qualitative evidence synthesis. PubMed, CINAHL, and Global Health databases were searched using keywords, synonyms and MeSH headings for ‘audit’, ‘views’ and ‘health workers’ to find papers that used qualitative methods to explore health workers’ views on audit in LMICs. Titles and abstracts were then screened for inclusion. The remaining full‐text papers were then screened. The final included papers were quality assessed using the Critical Appraisal Skills Programme tool for qualitative research. Data on audit type and health workers’ perceptions were extracted and analysed using thematic synthesis.

Results

19 papers were included in the review, most from sub‐Saharan Africa. Health workers generally held favourable views of audit and expressed dedication to the process. Similarly, they described positive experiences conducting audit. The main barriers to implementing audit were the presence of a blame culture, inadequate training and the lack of time and resources to conduct audit. Health workers’ motivation and dedication to the audit process helped to overcome such barriers.

Conclusions

Health workers are dedicated to the process of audit, but must be supported with training, leadership and adequate resources to use it. Decision‐makers and technical partners supporting audit should focus on improving audit training and finding ways to conduct audit without requiring too much staff time.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WS Pediatrics > By Age Groups > WS 420 Newborn infants. Neonatology
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1111/tmi.13377
Depositing User: Tina Bowers
Date Deposited: 03 Feb 2020 13:59
Last Modified: 20 Jul 2020 11:14
URI: https://archive.lstmed.ac.uk/id/eprint/13672

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