标题：Risk identification from maternal and neonatal data for improvements in Quality of Care: A comparison of audit based approach with Maternal and Child Tracking System and Verbal Autopsy
摘要：Background: Maternal and Child Tracking System (MCTS) and Verbal Autopsy (VA) are inadequate in risk identification from the available maternal and neonatal data. Hence community based audit approach is required. Maternal and neonatal data obtained from MCTS, VA were compared with data obtained from the Audit model to know the differences in: 1) Quantity of information. 2) Relevance of the information. Methods: Perinatal death auditing was conducted in two districts of Karnataka state. As a part of audit system, an expert panel consisting of paediatricians and obstetricians was formed for each district. The panel received information about perinatal deaths occurring in the hospitals (government and private) apart from the community in these districts. Doctors and paramedical personnel were trained to fill a tool which covered extensive details pertaining to care received, transport, referral, apart from socio-demographic details. Medical Social Workers collected filled tools from the hospitals. They also collected maternal and neonatal data of MCTS and VA from the office of district health officers in the both the districts. Maternal and neonatal data of audit model was compared with that obtained from MCTS and VA. Results: The data captured from audit model (n=1032) was more than MCTS (n=224) and VA (n=165) as it included the data from private hospitals and community. Maternal and neonatal risk identification was possible with audit system but not with MCTS and VA. Conclusion: Audit system is comprehensive and provides inputs for health care planning.
关键词：Maternal and Neonatal data;Risk Identification;MCTS;Verbal Autopsy;Audit Based Approach;Quality of care
