Improving the quality of maternal and newborn care in the Pacific region: A scoping review
Background: Quality care is essential for improving maternal and newborn health. Low- and middle-income Pacific Island nations face challenges in delivering quality maternal and newborn care. The aim of this review was to identify all published studies of interventions which sought to improve the qu...
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doaj-38786d6f7b984731b9f74e814b6dcd6b2021-03-19T07:31:27ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652020-10-013100028Improving the quality of maternal and newborn care in the Pacific region: A scoping reviewA.N. Wilson0N. Spotswood1G.S. Hayman2J.P. Vogel3J. Narasia4A. Elijah5C. Morgan6A. Morgan7J. Beeson8C.S.E. Homer9Maternal, Child and Adolescent Health Program, Burnet Institute, Australia; Nossal Institute for Global Health, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia; Corresponding author at: Maternal, Child and Adolescent Health Program, Burnet Institute, Australia.Maternal, Child and Adolescent Health Program, Burnet Institute, Australia; Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia; Department of Paediatrics, Royal Hobart Hospital, AustraliaMaternal, Child and Adolescent Health Program, Burnet Institute, AustraliaMaternal, Child and Adolescent Health Program, Burnet Institute, Australia; Nossal Institute for Global Health, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, AustraliaMinistry of Health & Medical Services, Solomon IslandsPort Moresby General Hospital, Port Moresby, Papua New Guinea; University of Papua New Guinea, Port Moresby, Papua New GuineaMaternal, Child and Adolescent Health Program, Burnet Institute, Australia; Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, AustraliaNossal Institute for Global Health, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, AustraliaMaternal, Child and Adolescent Health Program, Burnet Institute, Australia; Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, AustraliaMaternal, Child and Adolescent Health Program, Burnet Institute, Australia; Nossal Institute for Global Health, School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, AustraliaBackground: Quality care is essential for improving maternal and newborn health. Low- and middle-income Pacific Island nations face challenges in delivering quality maternal and newborn care. The aim of this review was to identify all published studies of interventions which sought to improve the quality of maternal and newborn care in Pacific low-and middle-income countries. Methods: A scoping review framework was used. Databases and grey literature were searched for studies published between January 2000 and July 2019 which described actions to improve the quality of maternal and newborn care in Pacific low- and middle-income countries. Interventions were categorised using a four-level health system framework and the WHO quality of maternal and newborn care standards. An expert advisory group of Pacific Islander clinicians and researchers provided guidance throughout the review process. Results: 2010 citations were identified and 32 studies included. Most interventions focused on the clinical service or organisational level, such as healthcare worker training, audit processes and improvements to infrastructure. Few addressed patient experiences or system-wide improvements. Enablers to improving quality care included community engagement, collaborative partnerships, adequate staff education and training and alignment with local priorities. Conclusions: There are several quality improvement initiatives in low- and middle-income Pacific Island nations, most at the point of health service delivery. To effectively strengthen quality maternal and newborn care in this region, efforts must broaden to improve health system leadership, deliver sustaining education programs and encompass learnings from women and their communities.http://www.sciencedirect.com/science/article/pii/S2666606520300286Quality careQuality improvementMaternal healthNeonatal healthPacificLMIC |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A.N. Wilson N. Spotswood G.S. Hayman J.P. Vogel J. Narasia A. Elijah C. Morgan A. Morgan J. Beeson C.S.E. Homer |
spellingShingle |
A.N. Wilson N. Spotswood G.S. Hayman J.P. Vogel J. Narasia A. Elijah C. Morgan A. Morgan J. Beeson C.S.E. Homer Improving the quality of maternal and newborn care in the Pacific region: A scoping review The Lancet Regional Health. Western Pacific Quality care Quality improvement Maternal health Neonatal health Pacific LMIC |
author_facet |
A.N. Wilson N. Spotswood G.S. Hayman J.P. Vogel J. Narasia A. Elijah C. Morgan A. Morgan J. Beeson C.S.E. Homer |
author_sort |
A.N. Wilson |
title |
Improving the quality of maternal and newborn care in the Pacific region: A scoping review |
title_short |
Improving the quality of maternal and newborn care in the Pacific region: A scoping review |
title_full |
Improving the quality of maternal and newborn care in the Pacific region: A scoping review |
title_fullStr |
Improving the quality of maternal and newborn care in the Pacific region: A scoping review |
title_full_unstemmed |
Improving the quality of maternal and newborn care in the Pacific region: A scoping review |
title_sort |
improving the quality of maternal and newborn care in the pacific region: a scoping review |
publisher |
Elsevier |
series |
The Lancet Regional Health. Western Pacific |
issn |
2666-6065 |
publishDate |
2020-10-01 |
description |
Background: Quality care is essential for improving maternal and newborn health. Low- and middle-income Pacific Island nations face challenges in delivering quality maternal and newborn care. The aim of this review was to identify all published studies of interventions which sought to improve the quality of maternal and newborn care in Pacific low-and middle-income countries. Methods: A scoping review framework was used. Databases and grey literature were searched for studies published between January 2000 and July 2019 which described actions to improve the quality of maternal and newborn care in Pacific low- and middle-income countries. Interventions were categorised using a four-level health system framework and the WHO quality of maternal and newborn care standards. An expert advisory group of Pacific Islander clinicians and researchers provided guidance throughout the review process. Results: 2010 citations were identified and 32 studies included. Most interventions focused on the clinical service or organisational level, such as healthcare worker training, audit processes and improvements to infrastructure. Few addressed patient experiences or system-wide improvements. Enablers to improving quality care included community engagement, collaborative partnerships, adequate staff education and training and alignment with local priorities. Conclusions: There are several quality improvement initiatives in low- and middle-income Pacific Island nations, most at the point of health service delivery. To effectively strengthen quality maternal and newborn care in this region, efforts must broaden to improve health system leadership, deliver sustaining education programs and encompass learnings from women and their communities. |
topic |
Quality care Quality improvement Maternal health Neonatal health Pacific LMIC |
url |
http://www.sciencedirect.com/science/article/pii/S2666606520300286 |
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