RESUMO
Maternal death reviews (MDRs) provide the multidisciplinary maternity care team with a process to conduct in-depth review of the health care and circumstances surrounding maternal deaths. From these reviews, recommendations to improve care in primary, secondary, and tertiary healthcare settings can be made. Practical guidelines and training curricula for MDRs are lacking. To fill this gap, a manual comprising guidelines and tools to help health professionals conduct structured MDRs was developed through the FIGO LOGIC initiative.
Assuntos
Atenção à Saúde/organização & administração , Morte Materna/etiologia , Auditoria Médica/organização & administração , Guias de Prática Clínica como Assunto , Atenção à Saúde/normas , Feminino , Humanos , Morte Materna/prevenção & controle , Mortalidade Materna , Equipe de Assistência ao Paciente/organização & administração , GravidezRESUMO
In countries where maternal death review (MDR) sessions are proposed as an intervention to improve quality of obstetric care, training focuses on the theory behind this method. However, experience shows that health staff lack confidence to apply the theory if they have not attended a practical training session. To address this problem, a training curriculum based on the new guidelines from the FIGO Leadership in Obstetrics and Gynecology for Impact and Change (LOGIC) Initiative for preparing and conducting MDR sessions was designed and tested in Cameroon. This curriculum is competency-based and consists primarily of practical individual or group exercises.
Assuntos
Morte Materna/etiologia , Auditoria Médica/organização & administração , Obstetrícia/organização & administração , Guias de Prática Clínica como Assunto , Camarões , Educação Baseada em Competências/organização & administração , Currículo , Atenção à Saúde/organização & administração , Atenção à Saúde/normas , Feminino , Humanos , Morte Materna/prevenção & controle , Gravidez , Qualidade da Assistência à SaúdeRESUMO
The international community holds high expectations for aid producing demonstrable results in the health sector, at the global and developing country levels. Yet, measuring the effectiveness of aid presents methodological challenges. Existing evaluation frameworks are not sufficiently geared toward learning whether and how practices have changed. We present a framework for measuring the results of implementing aid effectiveness principles at three levels: implementation process, health system strengthening, and outcomes/impact. We developed this framework in the context of monitoring results on the effectiveness of the aid agenda in the health sector in Mali. Despite some changes in behavior that resulted in increased aid effectiveness and improved results at system and outcome levels, overall, the aid effectiveness principles have not been fully implemented. Thus expectations in terms of health outcomes should be realistic.
