Negotiating quality standards for effective delivery of labor and childbirth care in Nigeria and Uganda
| العنوان: | Negotiating quality standards for effective delivery of labor and childbirth care in Nigeria and Uganda |
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| المؤلفون: | Halima Bello, Adesina Akintan, A Metin Gülmezoglu, Olubunmi Alabi, Salim Bataale, AO Olutayo, Musibau A. Titiloye, Olubunmi A. Ojelade, Francis E. Alu, Olufemi T. Oladapo, Meghan A. Bohren, Musana O. Mambya, Amos Adebayo, Bukola Fawole, João Paulo Souza, David Kyaddondo, Ola Okike, Lawal O. Oyeneyin, Hadiza A. Idris, Josaphat Byamugisha, Kidza Mugerwa, Sanni Wilfred |
| المصدر: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Process (engineering), media_common.quotation_subject, Best practice, Health Personnel, Nigeria, Audit, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, GRAVIDEZ, Medicine, Humans, Quality (business), Maternal Health Services, Uganda, 030212 general & internal medicine, Qualitative Research, media_common, Quality of Health Care, Protocol (science), Contextualization, 030219 obstetrics & reproductive medicine, Labor, Obstetric, business.industry, Negotiating, Parturition, Obstetrics and Gynecology, General Medicine, Public relations, Delivery, Obstetric, Negotiation, Female, Health Facilities, business, Delivery of Health Care, Qualitative research |
| الوصف: | Objective “Negotiated standards” describe a level of quality of care that is acceptable and achievable within a specific health system, based on consensus between key stakeholders. This paper presents the development of negotiated standards for effective labor and childbirth care in selected hospitals and communities in Nigeria and Uganda. Methods A four-step development process involving different methodologies. The process included: (1) review and synthesis of internationally recognized intrapartum clinical principles and practices; (2) primary qualitative research to assess values and preferences of women and healthcare providers, and practices that align with these preferences; (3) draft contextualization of effective and ineffective behaviors to reflect values and preferences; and (4) WHO-mediated negotiations between relevant stakeholders, including community members, providers, and administrators. Results The primary outcomes of this process were a comprehensive set of effective behaviors and clinical practices covering the main domains of quality of care, which are practical and easy to communicate, implement, and audit across all levels of healthcare delivery. Conclusion The process demonstrates that health facilities and providers can be motivated to adopt standards of care that uphold the values and preferences of both service users and providers, while adhering to international best practices. |
| تدمد: | 1879-3479 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::309995dff447b8541f8e511791b25550 https://pubmed.ncbi.nlm.nih.gov/29230800 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....309995dff447b8541f8e511791b25550 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18793479 |
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