Did a quality improvement intervention improve quality of maternal health care? Implementation evaluation from a cluster-randomized controlled study.

ABSTRACT:

Objective

To test the success of a maternal healthcare quality improvement intervention in actually improving quality.

Design

Cluster-randomized controlled study with implementation evaluation; we randomized 12 primary care facilities to receive a quality improvement intervention, while 12 facilities served as controls.

Setting

Four districts in rural Tanzania.

Participants

Health facilities (24), providers (70 at baseline; 119 at endline) and patients (784 at baseline; 886 at endline).

Interventions

In-service training, mentorship and supportive supervision and infrastructure support.

Main outcome measures

We measured fidelity with indictors of quality and compared quality between intervention and control facilities using difference-in-difference

SUBMITTER: Larson E 

PROVIDER: S-EPMC7172021 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature