Adoption of the WHO Assessment Tool on the Quality of Hospital Care for Mothers and Newborns in Albania - Zdravlje, medicina, lijecenje, zdravstveni portal

Adoption of the WHO Assessment Tool on the Quality of Hospital Care for Mothers and Newborns in Albania

Adoption of the WHO Assessment Tool on the Quality of Hospital Care for Mothers and Newborns in Albania
Ehadu Mersini, Silvana Novi, Eduard Tushe, Maksim Gjoni, Genc Burazeri
Acta Inform Med. 2012; 20(4): 226-234

View PDF Fulltext

Abstract

Aim: The aim of the adoption process of the “Quality of hospital care for mothers and newborns babies, assessment tool” (WHO, 2009) was to provide the Albanian health professionals of maternity hospitals with a tool that may help them assess the quality of perinatal care and identify key areas of pregnancy, childbirth and newborn care that need to be improved. Methods: Four maternity hospitals (one university hospital and three regional hospitals) were selected for the assessment using this standard tool covering over 600 items grouped into 13 areas ranging from supportive services to case management. Sources of information consisted of site visits, hospital statistics, medical records, observation of cases and interviews with staff and patients. A score was assigned to each item (range 0-3) and area of care. The assessments were carried out in two rounds: in 2009 and in 2011. These assessments provided semi-quantitative data on the quality of hospital care for mothers and newborns. Results: Data collected on the first round established a baseline assessment, whereas the second round monitored the subsequent changes. The findings of the second round revealed improvements encountered in all maternities, notwithstanding differences in the levels of improvement between maternities, not necessarily linked with extra financial inputs. Conclusions: The Albanian experience indicates a successful process of the adoption of the WHO tool on the quality of hospital care for mothers and newborn babies. The adopted tool can be used country-wide as a component of a quality improvement strategy in perinatal health care in Albania.

REFERENCES

1. WHO Regional Office for EuropeMaking Pregnancy Safer Assessment tool for the quality of hospital care for mothers and newborn babies. Available: http://www.euro.who.int/en/what-we-do/health-topics/Life-stages/maternal-and-newborn-health/publications2/2009/making-pregnancy-safer-assessment-tool-for-the-quality-of-hospital-care-for-mothers-and-newborn-babies).

2. Institute of Statistics, Institute of Public Health [Albania] and ICF Macro (2010) Albania Demographic and Health Survey 2008-2009.

3. WHO European Strategic Approach for Making Pregnancy Safer. Available: http://www.euro.who.int/en/what-we-do/health-topics/Life-stages/maternal-and-newborn-health/policy-and-tools/european-strategic-approach-for-making-pregnancy-safer).

4. Borchert M, Bacci A, Baltag V, Hodorogea S, Drife J. Improving maternal and perinatal health care in the Central Asian Republics. Int J Gyn Obst. 2010; 110(2): 97-100.

5. Bacci A, Lewis G, Baltag V, Betrand VP. The Introduction of Confidential Enquiries into Maternal Deaths and Near-Miss Case Reviews in the WHO European Region. Reproductive Health Matters. 2007; 15(30): 145-152.

6. Tamburlini G, Siupsinskas G, Bacci A. For the maternal and neonatal Care Quality assessment working group (2011) Quality of maternal and neonatal Care in Albania, Turkmenistan and Kazakhstan: A systematic, standard based participatory assessment. PLoS ONE. 2007; 6(12): e28763.

7. Graham WJ. Criterion-based clinical audit in obstetrics: bridging the quality gap? Best Pract Res Clin Obstet Gynaecol. 2009; 23: 375-88.

8. Duke T, Keshishiyan E, Kuttumuratova A, Ostergren M, Weber MW, et al. Quality of hospital care for children in Kazakhstan, Republic of Moldova, and Russia: systematic observational assessment. Lancet. 2006; 367: 919-925.

9. Campbell H, Duke T, Weber M, English M, Carai S, et al. Global initiatives for improving hospital care for children: state of the art and future prospects. Pediatrics. 2008; 121(4): e984-92.

10. WHOIMPAC Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors. WHO Geneva. Available: http://www.who.int/reproductive-health/impac/index.html).

11. WHOIMPAC Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. WHO Geneva. Available: http://www.who.int/making_pregnancy_safer/documents/924159084x/en/).

12. WHO Regional Office for EuropeEffective Perinatal Care training package. Available: http://www.euro.who.int/en/what-we-do/health-topics/Life-stages/maternal-and-newborn-health/policy-and-tools/effective-perinatal-care-training-package-epc).

13. Kazandijan V, Wood P, Lawthers J. Balancing science and practice in indicator development. Int J Qual Healthcare. 1995; 7: 30-46.

14. Collopy BT, Ansari MZ, Booth JL, Brosi JA. The Australian Council on Health Care Standards Care Evaluation program. Med J Aust. 1995; 163: 477-480.

15. WHO. The World Health Report 2000. Health systems: improving performance. Available: http://www.who.int/whr/2000/en/index.html). Accessed 2011 May 2.

16. WHO. European Ministerial Conference on Health Systems: Health Systems, Health and Wealth Tallinn, Estonia, 25–27 June 2008. Available: http://www.euro.who.int/InformationSources/Publications/Catalogue/20090122_1).

17. Tamburlini G, Schindler MR, Di Mario S, Vilarim JN, Bernardino L, et al. Assessing quality of paediatric care in developing countries. Asian J Paed Practice. 2007; 11(2): 1–11.

18. Institute of Medicine. Crossing the Quality Chasm. National Academy Press, Washington DC, 2001.

19. Van den Broek N, Graham W. Quality of care for maternal and newborn health: the neglected agenda. Brit J Obst Gyn. 2009; 116(1): 18-21.

20. Legido-Quigley H, McKee M, Nolte E, Glinos IA. Assuring the quality of health care in the European Union. A case for action. WHO regional Office for Europe (on behalf of the European Observatory for Health Systems and Policies), Copenhagen, 2008.

21. Øvretveit J. What are the advantages and limitations of different quality and safety tools for health care?. WHO Regional Office for Europe. Health Evidence Network report. Copenhagen, 2005. Available: http://www.euro.who.int/document/e87577.pdf).

Leave a reply

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>