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Introducing criteria based audit into Ugandan maternity units

BMJ, 2003-12, Vol.13 (1), p.52-1331 [Peer Reviewed Journal]

Copyright 2004 Quality and Safety in Health Care ;Copyright 2003 BMJ Publishing Group Ltd ;2004 INIST-CNRS ;Copyright: 2003 (c) 2003 BMJ Publishing Group Ltd. ;Copyright © 2003, BMJ Publishing Group Ltd. 2003 ;ISSN: 1475-3898 ;ISSN: 0959-8138 ;ISSN: 0959-8146 ;EISSN: 1475-3901 ;EISSN: 1756-1833 ;EISSN: 1468-5833 ;DOI: 10.1136/bmj.327.7427.1329 ;PMID: 14656844 ;CODEN: BMJOAE

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Title:
Introducing criteria based audit into Ugandan maternity units
Author: Weeks, A D ; Alia, G ; Ononge, S ; Mutungi, A ; Otolorin, E O ; Mirembe, F M
Subjects: Audit committees ; Auditing standards ; Biological and medical sciences ; Data collection ; Diseases of mother, fetus and pregnancy ; Empowerment ; Environmental auditing ; Female ; Financial audits ; Funding ; Gynecology. Andrology. Obstetrics ; Health administration ; Health care ; Health care industry ; Health facilities ; Health Personnel - education ; Hospitals ; Hospitals, District ; Hospitals, Maternity - standards ; Humans ; Local government ; maternity unit ; Medical Audit - methods ; Medical Audit - standards ; Medical audits ; Medical personnel ; Medical sciences ; Mortality ; Obstetrics ; Obstetrics - education ; Pilot Projects ; Pregnancy ; Pregnancy. Fetus. Placenta ; Prenatal Care - standards ; Problems ; Project management ; Quality Improvement Report ; Quality of Health Care ; Rural areas ; Rural Health Services - standards ; Teaching - methods ; Uganda ; Workshops
Is Part Of: BMJ, 2003-12, Vol.13 (1), p.52-1331
Description: Problem: Maternal mortality in Uganda has remained unchanged at 500/100 000 over the past 10 years despite concerted efforts to improve the standard of maternity care. It is especially difficult to improve standards in rural areas, where there is little money for improvements. Furthermore, staff may be isolated, poorly paid, disempowered, lacking in morale, and have few skills to bring about change. Design: Training programme to introduce criteria based audit into rural Uganda. Setting: Makerere University Medical School, Mulago Hospital (large government teaching hospital in Kampala), and Mpigi District (rural area with 10 small health centres around a district hospital). Strategies for change: Didactic teaching about criteria based audit followed by practical work in own units, with ongoing support and follow up workshops. Effects of change: Improvements were seen in many standards of care. Staff showed universal enthusiasm for the training; many staff produced simple, cost-free improvements in their standard of care. Lessons learnt: Teaching of criteria based audit to those providing health care in developing countries can produce low cost improvements in the standards of care. Because the method is simple and can be used to provide improvements even without new funding, it has the potential to produce sustainable and cost effective changes in the standard of health care. Follow up is needed to prevent a waning of enthusiasm with time.
Publisher: London: BMJ Publishing Group Ltd
Language: English
Identifier: ISSN: 1475-3898
ISSN: 0959-8138
ISSN: 0959-8146
EISSN: 1475-3901
EISSN: 1756-1833
EISSN: 1468-5833
DOI: 10.1136/bmj.327.7427.1329
PMID: 14656844
CODEN: BMJOAE
Source: Open Access: PubMed Central
MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Introducing criteria based audit into Ugandan maternity units

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