Factors Affecting Quality of Care in Maternal and Child Health in Timor-Leste: A Scoping Review

Khorshed, Mahmuda Shayema, Lindsay, David, McAuliffe, Marie, West, Caryn, and Wild, Kayli (2022) Factors Affecting Quality of Care in Maternal and Child Health in Timor-Leste: A Scoping Review. Health Services Insights, 15.

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Timor-Leste faces many challenges implementing quality maternal, newborn and child health (MNCH) services due to resource constraints and socio-cultural factors that disproportionately affect the health of women and children. A scoping review was conducted to map the quality of MNCH services against WHO quality standards on: 1. Provision of care, 2. Experiences of care, and 3. Cross-cutting standards. The literature search identified 1058 citations, from which 28 full-text articles met the inclusion criteria. The findings highlight health workers' limited capacity to provide quality services and referrals. The major reasons for this are: a lack of essential supplies, poor infrastructure and transport, limited opportunities for ongoing learning, and gaps in health information systems. Provision of care standards and cross-cutting standards require attention at a broad systems level. Findings related to experiences of care highlight the importance of effective communication, respect, and emotional support, particularly for vulnerable women and children who have difficulty accessing services, and for those who have experienced violence. These experience-related standards could be addressed at an individual health worker and health service level, as well as at a systems level. This review provides direction to focus quality-improvement initiatives within local health facilities, as well as at municipal and national level.

Item ID: 75883
Item Type: Article (Research - C1)
ISSN: 1178-6329
Keywords: Quality improvement, Timor-Leste, maternal health, child health, health services, quality of care
Copyright Information: © The Author(s) 2022 Creative Commons CC BY: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Date Deposited: 31 Aug 2022 07:49
FoR Codes: 42 HEALTH SCIENCES > 4204 Midwifery > 420499 Midwifery not elsewhere classified @ 50%
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 50%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes @ 50%
20 HEALTH > 2002 Evaluation of health and support services > 200205 Health policy evaluation @ 50%
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