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. 2022 Jan;51(1):160-171.
doi: 10.18502/ijph.v51i1.8307.

Developing an Evaluation Model for Maternity Care: A Mixed-Method Study from Iran

Rozita Firooznia  1 , Hossein Dargahi  1 , Tohid Jafari-Koshki  1 , Zeinab Khaledian  1
Affiliations

Developing an Evaluation Model for Maternity Care: A Mixed-Method Study from Iran

Rozita Firooznia et al. Iran J Public Health. 2022 Jan.

Abstract

Background: Maternity care is an integral part of primary health care (PHC) systems worldwide. This study aimed to develop a new model for evaluating the maternity health program (MHP) in Iran.

Methods: In this mixed-methods study, first, the challenges of MHP were surveyed through systematic review and expert interviews. Next, to identify the existing shortcomings in MHP evaluation system, the SWOT technique, cross-sectional study and comparative analyses were used. Finally, the Delphi technique was used to reach consensus on developed evaluation standards.

Results: The final developed evaluation model contains five dimensions including reproductive health/family planning, maternity health, health records, evaluation, and resources management. Overall, this model has 32 standards and 289 measures. The scores obtained for the sum of the measures in two importance and applicability criteria were 8.24 and 7.85, which these scores are estimated to be equal to 91.55 and 87.22 percent of the highest possible scores, respectively.

Conclusion: Considering the comprehensiveness of the obtained model, it is hoped that it could lead to performance improvement of the PHC centers in the area of maternity health.

Keywords: Evaluation; Iran; Maternity health; Model.

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Conflict of interest statement

Conflict of interest The authors declare that there is no conflict of interest.

Figures

Fig. 1:
Fig. 1:
The process of searching and applying the inclusion and exclusion criteria of referees in the systematic review stage of this study
Fig. 2:
Fig. 2:
The study implementation process as a flowchart
Fig. 3:
Fig. 3:
The content of final evaluation model as satellite figure
See this image and copyright information in PMC

References

    1. Wilson A, Tabrizi JS, Gholipour K, Farahbakhsh M. (2013). Technical quality of maternity care: the pregnant women’s perspective. Health Promot Perspect,3(1):23–30. - PMC - PubMed
    1. de Bernis L, Kinney MV, Stones W, Ten Hoope-Bender P, Vivio D, Leisher S. (2016). Stillbirths: ending preventable deaths by 2030. Lancet, 387(10019):703–16. - PubMed
    1. Nahar S, Banu M, Nasreen HE. (2011). Women-focused development intervention reduces delays in accessing emergency obstetric care in urban slums in Bangladesh: a cross-sectional study. BMC Pregnancy Childbirth, 11(11):1–10. - PMC - PubMed
    1. Debiec KE, Paul KJ, Mitchell CM, Hitti JE. (2010). Inadequate prenatal care and risk of preterm delivery among adolescents: a retrospective study over 10 years. Am J Obstet Gynecol, 203(2):1–6. - PubMed
    1. WHO (2003). Low birth weight - a tabulation of available information: Maternity and safe motherhood program. Geneva: The World Health Organization Publisher.

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