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Criteria-based audit to improve women-friendly care in maternity units in Malawi

Kongnyuy, Eugene J., Mlava, G. and Van Den Broek, Nynke (2009) 'Criteria-based audit to improve women-friendly care in maternity units in Malawi'. Journal of Obstetrics and Gynaecology Research, Vol 35, Issue 3, pp. 483-489.

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Abstract

Aim: To assess and improve women-friendly care in. maternity units in Malawi. Methods: We interviewed 280 women about the care they received during childbirth at 29 different health centers. Results were compared with standards for women-friendly care, developed locally and based on evidence from World Health Organization manuals. The audit results were presented, and recommendations were made and implemented. A re-audit (involving 367 women) was conducted 3 months later. Results: Significant improvements were recorded on greeting clients (74.6 vs 87.7%; P < 0.001), respect for clients (91.1 vs 98.6%; P < 0.001), support by a companion during labor (58.9 vs 75.60%; P < 0.001), informing clients about different birthing positions (68.6 vs 79.30%; P = 0.002), allowing clients to adopt different birthing positions (67.9 vs 83.4%; P < 0.001), cleanliness of maternity wards (89.6 vs 97.0%; P < 0.001), speaking to clients using simple language (92.1. vs 98.6%; P < 0.001), ensuring privacy with curtains or screens (86.1 vs 92.1%; P < 0.012), and client willing to recommend the health facility to a friend (94.6 vs 98.6%; P = 0.004). However, there were no significant changes in the level of self-introduction by providers (62.5 vs 68.7%; P = 0.103) and provision of a clean bathroom and toilet (83.6 vs 80.4%; P = 0.282). Surprisingly, there was a significant deterioration in the use of linen to ensure privacy (86.4% vs 74.9%; P < 0.001). Overall, satisfaction of women increased by 9%. Conclusion: The criteria-based audit was associated with an improvement in the quality of women-friendly care services in maternity units in Malawi.

Item Type: Article
Additional Information: Kongnyuy, Eugene J. Mlava, Grace van den Broek, Nynke
Uncontrolled Keywords: criteria-based audit Malawi women-friendly care
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery
WQ Obstetrics > Childbirth. Prenatal Care > WQ 175 Prenatal care
WA Public Health > WA 20.5 Research (General)
WQ Obstetrics > Labor > WQ 300 General works
WQ Obstetrics > WQ 100 General works
WA Public Health > Health Administration and Organization > WA 525 General works
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WQ Obstetrics > WQ 20 Research (General)
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Digital Object Identifer (DOI): https://doi.org/10.1111/j.1447-0756.2008.00990.x
Depositing User: Users 19 not found.
Date Deposited: 26 May 2010 14:43
Last Modified: 06 Feb 2018 12:59
URI: http://archive.lstmed.ac.uk/id/eprint/308

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