Private Maternity Care - Quality Toolkit

(Published May, 2016)
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In many parts of the developing world, a large proportion of women seek maternal health services from private maternity providers. Yet, too often, these independent physicians, nurses and midwives lack the tools they need to measure and improve the quality of their care. Those responsible for assuring care quality—such as hospital managers, accreditors, and regulators—also lack agreed upon, streamlined quality standards and metrics. To address these gaps, MSD for Mothers’ partners, led by Jhpiego India, worked together to develop what may be the first practical quality management toolkit specifically catering to the needs of private maternal health providers.

The toolkit is unique in the sense that while it aligns with the WHO quality standards, it is tailored and streamlined to meet the specific needs of private maternity care providers that may not have the time or resources to undertake complex quality management processes. The toolkit includes quality standards that span the maternity care continuum (antenatal, intrapartum, and immediate postpartum period), indicators that can be used to monitor quality of care, guidance for building capacity of health workers on key areas, and practical tools for easy data collection and informed decision-making. The toolkit components can be easily customized depending on the level of facility and type of services offered, ranging from facilities offering only antenatal care to those offering comprehensive emergency obstetric care. The toolkit has a global focus and the quality improvement process recommended in it is applicable to a wide range of providers and settings.

Jhpiego led the development of the toolkit, in partnership with FOGSI, through a consultative process with dozens of representatives from development partners, provider associations, and national governments in India and Uganda. Participants field-tested the toolkit to ensure usability across a variety of private maternity care settings.

Visit the PMCQT website for more information.

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