High-quality respectful care around the time of childbirth is a fundamental aspect of human rights and, according to recent global estimates, could prevent more than 100,000 maternal deaths and 1.3 million neonatal deaths annually. Despite some maternal and newborn health indicators in high-income countries being better in comparison to low-income and middle-income countries, existing evidence shows that improvements are needed in the quality of care provided to women and newborns in every country. In 2016, the World Health Organization (WHO) developed a framework and a list of Standards for improving the quality of maternal and newborn care (QMNC). The WHO Standards define a set of 318 Quality Measures, divided into three key domains - experience of care, provision of care and availability of resources - which can be used to assess the QMNC at facility level. The ongoing project, named IMAgiNE (Improving MAternal Newborn carE), includes all maternities hospitals of the FVG Region and aimed at improving the quality of maternal and neonatal health care in the region. Quality of care is assessed using two complementary perspectives (women and health workers), with two validated questionnaires including about 100 quality measures based on the WHO Standards. It provides data on both the baseline assessment and the Quality Improvement component (progresses made).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
9,000
Developed and implemented at facility level to address key quality gaps emerging from the baseline assessment
Ospedale San Polo Monfalcone
Monfalcone, Gorizia, Italy
RECRUITINGOspedale di S. Antonio
San Daniele, Udine, Italy
RECRUITINGOspedale di San Vito al Tagliamento
San Vito al Tagliamento, Udine, Italy
RECRUITINGOspedale di S. Antonio Abate
Tolmezzo, Udine, Italy
ACTIVE_NOT_RECRUITINGCasa di Cura Policlinico San Giorgio
Pordenone, Italy
RECRUITINGIRCCS Burlo Garofolo
Trieste, Italy
RECRUITINGOspedale di Palmanova
Udine, Italy
RECRUITINGPresidio Ospedaliero Universitario Santa Maria della Misericordia
Udine, Italy
RECRUITINGQuality of Maternal and Newborn Care Index evaluated by women
Evaluated by questionnaire
Time frame: At hospital discharge (assessed up to day 5)
Quality of Maternal and Newborn Care Index evaluated by health professionals
Evaluated by questionnaire
Time frame: At hospital discharge (assessed up to day 5)
Frequency of caesarean section
Time frame: At hospital discharge (assessed up to day 5)
Frequency of episiotomy
Time frame: At hospital discharge (assessed up to day 5)
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