2011
DOI: 10.1186/1471-2393-11-94
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Using audit to enhance quality of maternity care in resource limited countries: lessons learnt from rural Tanzania

Abstract: BackgroundAlthough clinical audit is an important instrument for quality care improvement, the concept has not yet been adequately taken on board in rural settings in most resource limited countries where the problem of maternal mortality is immense. Maternal mortality and morbidity audit was established at Saint Francis Designated District Hospital (SFDDH) in rural Tanzania in order to generate information upon which to base interventions.MethodsMethods are informed by the principles of operations research. A… Show more

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Cited by 45 publications
(48 citation statements)
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“…; Nyamtema et al . ). An external champion is often seen as the key to the success of maternal death reviews (Dumont et al .…”
Section: Discussionmentioning
confidence: 97%
See 1 more Smart Citation
“…; Nyamtema et al . ). An external champion is often seen as the key to the success of maternal death reviews (Dumont et al .…”
Section: Discussionmentioning
confidence: 97%
“…), attrition of staff (Nyamtema et al . ) and inadequate identification of sub‐standard care (Kidanto et al . ; Sorensen et al .…”
Section: Discussionmentioning
confidence: 99%
“…Quality improvement methods in countries including Ghana and Tanzania led to improving responsiveness to obstetric emergencies, referral systems, capacity-building within the health workforce and upgrading health centres in hard-to-reach areas [29-31]. Evidence on effective implementation of guidelines, protocols and policies include ownership and incorporation of local practical experience as key components [32].…”
Section: Discussionmentioning
confidence: 99%
“…The quality of many of the resultant services, however, has often times been low or poorly understood. Since the 1980s, quality improvement (QI) research and implementation have taken steps towards reducing the “quality chasm” [2,3] that exists in developed-country settings [4-7]. If increased funding mechanisms for disease-focused global health initiatives was the major theme of the last decade in global health policy [8], then the next decade must emphasize the quality of health systems, and indeed several global initiatives are now underway [9,10].…”
Section: The Quality Chasm In Resource-limited Settingsmentioning
confidence: 99%