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A cross-sectional study was conducted in 52 health facilities in Tanzania utilizing direct observations of women during labor and delivery. Findings suggets that the quality of PPH prevention increased substantially in facilities that implemented competency-based training and quality improvement interventions, with the most dramatic improvement seen at lower-level facilities. As Tanzania continues with efforts to increase facility births, it is imperative that the quality of care also be improved by promoting use of up-to-date guidelines and ensuring regular training and mentoring for health care providers so that they adhere to the guidelines for care of women during labor. These measures can reduce maternal and newborn mortality.
References
World Bank. Trends in Maternal Mortality: 1990 to 2015—estimates by WHO, UNICEF, UNFPA, the World Bank Group, and the United Nations population division. Washington DC: World Bank Group; 2010.
World Health Organization (WHO). Standards for improving quality of maternal and newborn care in health facilities. Geneva: WHO; 2016. p. 73.
Bhutta ZA, Salam RA, Lassi ZS, Austin A, Langer A. Approaches to improve quality of care (QoC) for women and newborns: conclusions, evidence gaps and research priorities. Reprod Health. 2014;11(Suppl 2):S5.