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Applying a framework for assessing the quality of maternal health services in urban India

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  • Hulton, Louise Anne
  • Matthews, Zoë
  • Stones, Robert William

Abstract

This paper presents findings from the application of a framework for assessing the quality of care of institutional maternity services in an urban slum in India. The framework divides quality into two parts: the quality of users' experience of care and the quality of the provision of care. Data from public and private hospitals were collected via observation, exit interviews, provider interviews, review of hospital records, the mystery client approach and a household survey of 650 women in the immediate vicinity of the case study hospitals. Findings provide evidence that quality is far from optimal in both public and private facilities. Problems identified included a lack of essential drugs, women being left unsupported, evidence of physical and verbal abuse, and births occurring in hospitals without a health professional in attendance. The paper concludes that while many governments have explicit targets to increase institutional deliveries, many do not have explicit targets or even a commitment to assess and improve the quality of institutional services for childbirth.

Suggested Citation

  • Hulton, Louise Anne & Matthews, Zoë & Stones, Robert William, 2007. "Applying a framework for assessing the quality of maternal health services in urban India," Social Science & Medicine, Elsevier, vol. 64(10), pages 2083-2095, May.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:10:p:2083-2095
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    References listed on IDEAS

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    1. Finerman, Ruthbeth D., 1983. "Experience and expectation: Conflict and change in traditional family health care among the Quichua of Saraguro," Social Science & Medicine, Elsevier, vol. 17(17), pages 1291-1298, January.
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    Cited by:

    1. Powell-Jackson, Timothy & Mazumdar, Sumit & Mills, Anne, 2015. "Financial incentives in health: New evidence from India's Janani Suraksha Yojana," Journal of Health Economics, Elsevier, vol. 43(C), pages 154-169.
    2. Muchabaiwa L. & Mazambani D. & Chigusiwa L. & Bindu S. & Mudavanhu V., 2012. "Determinants of Maternal Healthcare Utilization in Zimbabwe," International Journal of Business and Economic Sciences Applied Research (IJBESAR), International Hellenic University (IHU), Kavala Campus, Greece (formerly Eastern Macedonia and Thrace Institute of Technology - EMaTTech), vol. 5(2), pages 145-162, August.
    3. Nazmul Alam & Mohammad Hajizadeh & Alexandre Dumont & Pierre Fournier, 2015. "Inequalities in Maternal Health Care Utilization in Sub-Saharan African Countries: A Multiyear and Multi-Country Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-16, April.
    4. Lange, Isabelle L. & Kanhonou, Lydie & Goufodji, Sourou & Ronsmans, Carine & Filippi, Véronique, 2016. "The costs of ‘free’: Experiences of facility-based childbirth after Benin's caesarean section exemption policy," Social Science & Medicine, Elsevier, vol. 168(C), pages 53-62.
    5. Pitchforth, Emma & Lilford, Richard J. & Kebede, Yigzaw & Asres, Getahun & Stanford, Charlotte & Frost, Jodie, 2010. "Assessing and understanding quality of care in a labour ward: A pilot study combining clinical and social science perspectives in Gondar, Ethiopia," Social Science & Medicine, Elsevier, vol. 71(10), pages 1739-1748, November.

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