Quality of care for pregnant women and newborns—the WHO vision

In 2015, as we review progress towards Millennium Development Goals (MDGs), despite significant progress in reduction of mortality, we still have unacceptably high numbers of maternal and newborn deaths globally. Efforts over the past decade to reduce adverse outcomes for pregnant women and newborns have been directed at increasing skilled birth attendance.1, 2 This has resulted in higher rates of births in health facilities in all regions.3 The proportion of deliveries reportedly attended by skilled health personnel in developing countries rose from 56% in 1990 to 68% in 2012.4 With increasing utilisation of health services, a higher proportion of avoidable maternal and perinatal mortality and morbidity have moved to health facilities. In this context, poor quality of care (QoC) in many facilities becomes a paramount roadblock in our quest to end preventable mortality and morbidity.

[1]  Contributions from M. Walpole.  The Millennium Development Goals Report , 2008 .

[2]  Taghreed Adam,et al.  Systems thinking for health systems strengthening. , 2009 .

[3]  Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? , 2014 .

[4]  J. Fortney,et al.  A framework for the evaluation of quality care in maternity services. , 2000 .

[5]  L. Kohn,et al.  COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA , 2000 .

[6]  Martyn Thomas,et al.  What is quality , 1990 .

[7]  L. Say,et al.  Obstetric transition: the pathway towards ending preventable maternal deaths , 2014, BJOG : an international journal of obstetrics and gynaecology.

[8]  Julia Johnson,et al.  The Quality of Care , 2010 .

[9]  A. Lalonde.  Global strategy for women's and children's health. , 2010, Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC.

[10]  R. Mori,et al.  Moving beyond essential interventions for reduction of maternal mortality (the WHO Multicountry Survey on Maternal and Newborn Health): a cross-sectional study , 2013, The Lancet.

[11]  A. Donabedian,et al.  The quality of care. How can it be assessed? , 1988, JAMA.

[12]  A. Culyer,et al.  Framework of the Evaluation , 1990 .

[13]  Rehana A. Salam,et al.  Approaches to improve Quality of Care (QoC) for women and newborns: conclusions, evidence gaps and research priorities , 2014, Reproductive Health.

[14]  J. Raven,et al.  Methodology and tools for quality improvement in maternal and newborn health care , 2011, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[15]  O. Campbell,et al.  Strategies for reducing maternal mortality: getting on with what works , 2006, The Lancet.

[16]  J. Raven,et al.  What is quality in maternal and neonatal health care? , 2012, Midwifery.

[17]  Jai K Das,et al.  Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? , 2014, The Lancet.

[18]  A. Malata,et al.  Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care , 2014, The Lancet.

[19]  A. Darzi,et al.  Systematic review of the application of the plan–do–study–act method to improve quality in healthcare , 2013, BMJ quality & safety.

[20]  K. New.  Every Newborn: An Action plan to end preventable deaths , 2013 .

[21]  M. Bohren,et al.  Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis , 2014, Reproductive Health.

[22]  Özge Tunçalp,et al.  Global causes of maternal death: a WHO systematic analysis. , 2014, The Lancet. Global health.