Title:
Quality of Delivery Care in Kabul Maternity Hospitals
Authors:
Salehi, K.I.
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2014
PAGE:
x, 46
Language:
eng
Subject:
Maternal Health – Lessons Learned
Keywords:
Quality care, hospital, structure and system, staff and infrastructure, skill, tools
Abstract:
Background: Afghanistan has the highest maternal mortality in the Central Asia region. Sixty percent of deliveries still occur at home. Facility-based deliveries can contribute to a further reduction in maternal mortality, but care provided needs to be of adequate quality. Objective: To assess health service-related factors that are affecting quality of care in two Kabul maternity hospitals, in order to assist the MoPH in improving quality of care at the tertiary hospital level. Methods: The study used mixed methods consisting of a records review using the Skilled Attendants Index (SAI), a document and literature review and key informant interviews to assess quality of care. The study used Potter and Brough framework of capacity building. Results: The result shows an overall adequate quality of delivery care with a SAI score indicating that on average, 74% of essential procedures were documented as having been implemented. Significant gaps were found in documenting patient history, postpartum care and discharge information. This could, in part, be attributed to the two hospitals working significantly over their infrastructural capacity (46 times and 13 times above capacity based on available data). QA processes were in place in both hospitals but they lacked structure, technical and financial support. Conclusions: In order to improve quality of care, both maternity hospitals in Kabul need to be moved to larger buildings. A more extensive network of primary and secondary care facilities needs to be made available to provide normal delivery services. Quality assurance processes at the hospitals need technical and financial support.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy and Practice
Country:
Afghanistan, Islamic Republic of
Region:
South Asia
Training:
Master of Public health / International Course in Health Development (ICHD)
Category:
Research
Right:
© 2014 Salehi
Document type:
Thesis/dissertation
File:
VdTc9Aq6hW_20161101101530851.pdf