Table 1 Performance of LaQshya checklist under review according to WHO quality statements
WHO Quality Statement | WHO Quality Statement | Input (%) | Process (%) | Outcome (%) | Overall (%) |
|---|---|---|---|---|---|
1.1a | Women are assessed routinely on admission and during labour and childbirth and are given timely, appropriate care. | 100 | 60 | 100 | 83 |
1.1b | Newborns receive routine care immediately after birth. | 100 | 80 | 100 | 92 |
1.1c | Mothers and newborns receive routine postnatal care. | 63 | 56 | 100 | 63 |
1.2 | Women with pre-eclampsia or eclampsia promptly receive appropriate interventions, according to WHO guidelines. | 100 | 100 | 100 | 100 |
1.3 | Women with postpartum haemorrhage promptly receive appropriate interventions, according to WHO guidelines. | 100 | 50 | 60 | 73 |
1.4 | Women with delay in labour or whose labour is obstructed receive appropriate interventions, according to WHO guidelines. | 100 | 86 | 50 | 81 |
1.5 | Newborns who are not breathing spontaneously receive appropriate stimulation and resuscitation with a bag-and-mask within 1 min of birth, according to WHO guidelines. | 100 | 100 | 50 | 89 |
1.6a | Women in preterm labour receive appropriate interventions for both themselves and their babies, according to WHO guidelines. | 75 | 100 | 100 | 90 |
1.6b | Preterm and small babies receive appropriate care, according to WHO guidelines. | 100 | 100 | 50 | 82 |
1.7a | Women with or at risk for infection during labour, childbirth or the early postnatal period promptly receive appropriate interventions, according to WHO guidelines. | 100 | 80 | 0 | 70 |
1.7b | Newborns with suspected infection or risk factors for infection are promptly given antibiotic treatment, according to WHO guidelines. | 100 | 0 | 100 | 78 |
1.8 | All women and newborns receive care according to standard precautions for preventing hospital-acquired infections. | 100 | 75 | 67 | 86 |
1.9 | No woman or newborn is subjected to unnecessary or harmful practices during labour, childbirth and the early postnatal period. | 50 | 43 | NA | 46 |
2.1 | Every woman and newborn has a complete, accurate, standardized medical record during labour, childbirth and the early postnatal period. | 33 | 100 | NA | 67 |
2.2 | Every health facility has a mechanism for data collection, analysis and feedback as part of its activities for monitoring and improving performance around the time of childbirth. | 100 | 67 | 100 | 91 |
3.1 | Every woman and newborn is appropriately assessed on admission, during labour and in the early postnatal period to determine whether referral is required, and the decision to refer is made without delay. | 100 | 100 | 100 | 100 |
3.2 | For every woman and newborn who requires referral, the referral follows a pre-established plan that can be implemented without delay at any time. | 100 | 100 | 67 | 90 |
3.3 | For every woman and newborn referred within or between health facilities, there is appropriate information exchange and feedback to relevant health care staff. | 100 | 100 | NA | 100 |
4.1 | All women and their families receive information about the care and have effective interactions with staff. | 50 | 67 | 75 | 64 |
4.2 | All women and their families experience coordinated care, with clear, accurate information exchange between relevant health and social care professionals | 100 | 100 | 100 | 100 |
5.1 | All women and newborns have privacy around the time of labour and childbirth, and their confidentiality is respected. | 100 | 100 | 100 | 100 |
5.2 | No woman or newborn is subjected to mistreatment, such as physical, sexual or verbal abuse, discrimination, neglect, detainment, extortion or denial of services | 63 | 60 | 33 | 56 |
5.3 | All women have informed choices in the services they receive, and the reasons for interventions or outcomes are clearly explained. | 100 | 67 | 67 | 80 |
6.1 | Every woman is offered the option to experience labour and childbirth with the companion of her choice. | 100 | 100 | 100 | 100 |
6.2 | Every woman receives support to strengthen her capability during childbirth. | 50 | 25 | 75 | 50 |
7.1 | Every woman and child has access at all times to at least one skilled birth attendant and support staff for routine care and management of complications. | 100 | 100 | 100 | 100 |
7.2 | The skilled birth attendants and support staff have appropriate competence and skills mix to meet the requirements of labour, childbirth, and the early postnatal period. | 33 | 43 | 40 | 39 |
7.3 | Every health facility has managerial and clinical leadership that is collectively responsible for developing and implementing appropriate policies and fosters an environment that supports facility staff in continuous quality improvement. | 50 | 50 | 100 | 57 |
8.1 | Water, energy, sanitation, hand hygiene and waste disposal facilities are functional, reliable, safe and sufficient to meet the needs of staff, women and their families. | 64 | NA | 100 | 71 |
8.2 | Areas for labour, childbirth and postnatal care are designed, organized and maintained so that every woman and newborn can be cared for according to their needs in private, to facilitate the continuity of care. | 88 | 100 | 100 | 90 |
8.3 | An adequate stock of medicines, supplies and equipment is available for routine care and management of complications. | 85 | 67 | 50 | 78 |