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Reproductive health services in Malawi: an evaluation of a quality improvement intervention

Journal Article
(Published December, 2012)
Rawlins, B. (Author),
Kim, Y.M. (Author),
Rozario, A. (Author),
Bazant, E. (Author),
Rashidi, T. (Author),
Bandazi, S. (Author),
Kachale, F. (Author),
Sanghvi, H. (Author),
Noh, J.W. (Author)
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The authors evaluate the impact of a quality improvement initiative in Malawi on reproductive health service quality and related outcomes.  The study included sixteen of Malawi's 23 district hospitals, half of which had implemented the Performance and Quality Improvement (PQI) intervention for reproductive health at the time of the study. A total of 98 reproductive health-care providers (mostly nurse-midwives) and 139 patients seeking family planning (FP), antenatal care (ANC), labour and delivery (L&D), or postnatal care (PNC) services participated in baseline and outcomes surveys of intervention and control centers.  health facility teams implemented a performance and quality improvement (PQI) intervention over a 3-year period. Results from the study indicate that PQI is an effective way to improve the quality of health services in a low-resource setting.
 

Citation: 
Rawlins BJ, Kim Y-M, Rozario AM, Bazant E, Rashidi T, Bandazi SN, et al. Reproductive health services in Malawi: an evaluation of a quality improvement intervention. Midwifery. 2013;29(1):53-9. .