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This is better than the 56% seen in historical controls (population based audit of outcome from 42 UK centres) in this patient population in the UK (Vale et al, 2010).
Criteria based audit of surviving near miss mothers could become an integral part of health facility practices to improve quality of obstetric care.
We conducted a criteria based audit of 389 eclampsia patients admitted to Muhimbili National Hospital (MNH), Dar es Salaam Tanzania between April 14, 2006 and December 31 , 2006
As part of a baseline assessment of risk factor management practices, all providers were asked to complete a paper based audit of risk factor management activities undertaken for each patient seen during a two week audit period.
To the best of our knowledge there are no published studies on the use of criterion based audit to improve women friendly care in a developing country setting.
To address the problem of poor compliance of doctor, name based audit with monthly feedback to their department heads.
The health providers in Malawi generally held a favourable attitude towards clinical audit: 100.0% (54/54) agreed that criterion based audit will improve the quality of care and 92.6% believed that clinical audit is a good educational tool.
Part two consisted of two open ended questions: first question was on the perceived challenges of implementing criterion based audit and second question was on the possible ways of overcoming the challenges.
We equally involved managers and policy-makers from the first step of criterion based audit, and we hope that this will facilitate the implementation of recommendations that require extra resources (e.g. finance and staff) and approval of hierarchy.
There are many reasons why criterion-based audit of the referral system succeeded in Salima District.
It is not certain whether the immediate gains from criterion-based audit of the referral system in Salima District will be sustained.
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