What is quality in maternal and neonatal health care?
OBJECTIVE
to review published papers and reports examining quality of care in maternal and newborn health to identify definitions and models of quality of care.


METHODS
literature review.


METHODS
electronic search of MEDLINE and organisational databases for literature describing definitions and models of quality used in health care and maternal and newborn health care. Relevant papers and reports were reviewed and summarised.


RESULTS
there is no universally accepted definition of quality of care. The multi-faceted nature of quality is widely acknowledged. In the literature quality of care is described: from the perspective of health care providers, managers and patients; dimensions within the health care system; using elements such as safety, effectiveness, patient-centeredness, timeliness, equity and efficiency; and through the provision of care and experience of care.


CONCLUSIONS
the importance of ensuring good quality of care for women and newborn babies is well recognised in the literature, however, there is currently no agreed single and comprehensive definition described. Several models were identified, which can be combined to form a comprehensive framework to help define and assess quality of care or lack of quality. Approaches to quality of care that are specifically important for maternal and newborn health were identified and include a rights based approach, adopting care that is evidence-based, consideration of the mother and baby as interdependent and the fact that pregnancy is on the whole a healthy state.


CONCLUSIONS
a model of quality of maternal and newborn health care using perspectives, characteristics, dimensions of the system and elements of quality of care specific to maternal and newborn health is proposed, which can be used as a basis for developing quality improvement strategies and activities, and incorporating quality into existing programmes.
Maternal and Newborn Health Unit, Child and Reproductive Health Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. j.raven@liverpool.ac.uk
Joanna H
JH
Raven
Rachel J
RJ
Tolhurst
Shenglan
S
Tang
Nynke
N
van den Broek
D002662:Child Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007229:Infant Welfare / Q000706:statistics & numerical data*; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000458:organization & administration*; D008429:Maternal Welfare / Q000706:statistics & numerical data*; D007744:Obstetric Labor Complications / Q000517:prevention & control; D061214:Patient Safety; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011785:Quality Assurance, Health Care