Customer's self-audit to improve the technical quality of maternity care in Tabriz: a community trial.

Pregnant women have a major role to play in assessing and improving their own quality of care. This study in Tabriz, Islamic Republic of Iran, aimed to assess the effectiveness of an intervention for pregnant women-based on education and support groups and involvement in quality assessment activities-in order to improve the technical quality of public maternity care at public health centres. The intervention phase began in September 2011 and lasted 8 months. The outcome measure was health-care providers' degree of adherence to the Iranian maternity care standards. An intervention group of 92 pregnant women from 10 health centres was compared with a control group of 93 pregnant women from 11 centres. Logistic regression analysis showed that the self-assessed technical quality of maternity care received by the women was significantly better in the intervention that the control group for several of the standards concerning clinical examinations, maternal education and vitamin and mineral supplements.

Customer's self-audit to improve the technical quality of maternity care in Tabriz: a community trial

Pregnant women have a major role to play in assessing and improving their own quality of care. This study in Tabriz, Islamic Republic of Iran, aimed to assess the effectiveness of an intervention for pregnant women-based on education and support groups and involvement in quality assessment activities-in order to improve the technical quality of public maternity care at public health centres. The intervention phase took place between September 2012 and may 2013. The outcome measure was health-care providers' degree of adherence to the Iranian maternity care standards. An intervention group of 92 pregnant women from 10 health centres was compared with a control group of 93 pregnant women from 11 centres. Logistic regression analysis showed that the self-assessed technical quality of maternity care received by the women was significantly better in the intervention that the control group for several of the standards concerning clinical examinations, maternal education and vitamin and mineral supplements

Les femmes enceintes ont un rôle majeur à jouer dans l'évaluation et l'amélioration de la qualité des soins qui leur sont dispensés. Cette étude conduite à Tabriz, en République islamique d'Iran, avait pour objectif d'évaluer l'efficacité d'une intervention pour les femmes enceintes, reposant sur des programmes éducationnels et des groupes de soutien ainsi que sur l'implication dans des activités d'évaluation de la qualité, dans le but d'améliorer la qualité technique des soins de maternité publics dispensés dans les centres de santé publique. La phase d'intervention s'est déroulée entre septembre 2012 et mai 2103. La mesure du résultat était le degré d'adhésion des prestataires de soins de santé aux normes de soins de maternité iraniennes. Un groupe d'intervention de 92 femmes enceintes venues de 10 centres de santé a été comparé à un groupe témoin de 93 femmes venues de 11 centres. L'analyse de régression logistique a montré que la qualité technique auto-évaluée des soins de maternité reçus par les femmes était sensiblement meilleure dans le groupe d'intervention que dans le groupe témoin en ce qui concerne plusieurs normes liées à l'examen clinique, à l'éducation des mères et à la supplémentation en vitamines et en minéraux