@article{fdi:010061706,
  title = {{D}evelopment of an instrument to evaluate intrapartum care quality in {S}enegal : evaluation quality care},
  author = {{F}aye, {A}. and {D}umont, {A}lexandre and {N}diaye, {P}. and {F}ournier, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}o evaluate the reliability of direct observation for measuring intrapartum care and compare this method with clinical audits using objective criteria based on patients medical charts. {C}ross-sectional study, data collected by two independent evaluators. {H}ospital in {D}akar, {S}enegal. {T}hirty consecutive intrapartum care episodes provided by midwives and the corresponding medical charts. {T}he presence or absence of each of twelve criteria selected on the basis of national and international norms for monitoring of labour and delivery (six criteria) and the immediate postpartum period (six criteria). {F}or direct observation, the labour and delivery mean quality scores ranged from 5.34 to 5.77. {I}n contrast, for the chart-based method, the scores ranged from 0.32 to 0.45. {F}or postpartum care evaluated only with direct observation, the scores were also high (5.215.65). {F}or direct observation, inter-evaluator agreement was high: kappa coefficients varied from 0.78 to 0.93 depending on the criterion (total score {ICC} 0.74). {F}or the chart-based method, inter-evaluator agreement was also high: 0.66 to 1 (total score {ICC} 0.72). {C}omparison of the two methods showed strong differences by items and subscores. {U}sing direct observation, the quality of obstetric care was high for both the monitoring of labour and delivery and postpartum care. {B}oth measurement instruments showed high reliability. {T}he chart-based method underestimated the quality of care because of poor medical record documentation. {M}edical-record-based measurement may not be appropriate for the evaluation of the quality of obstetric care in {S}enegal and other low-income settings.},
  keywords = {quality ; obstetric care ; reliability ; {S}enegal ; {SENEGAL}},
  booktitle = {},
  journal = {{I}nternational {J}ournal for {Q}uality in {H}ealth {C}are},
  volume = {26},
  numero = {2},
  pages = {184--189},
  ISSN = {1353-4505},
  year = {2014},
  DOI = {10.1093/intqhc/mzu018},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061706},
}