Evaluation of a quality improvement intervention for labour and birth care in Brazilian private hospitals: a protocol.

ABSTRACT:

Background

In Brazilian private hospitals, caesarean section (CS) is almost universal (88%) and is integrated into the model of birth care. A quality improvement intervention, "Adequate Birth" (PPA), based on four driving components (governance, participation of women and families, reorganisation of care, and monitoring), has been implemented to help 23 hospitals reduce their CS rate. This is a protocol designed to evaluate the implementation of PPA and its effectiveness at reducing CS as a primary outcome of birth care.

Methods

Case study of PPA intervention conducted in 2017/2018. We integrated quantitative and qualitative methods into data collection and analysis. For the quantitative stage, we selected a convenient sample of twelve hospitals. In each of these hospitals,

SUBMITTER: Torres JA 

PROVIDER: S-EPMC6257968 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature