Table 1 Quality of Care Framework

Data source: Facility inventory and providerknowledge

Data source: Observations of client – provider interactions

Data Source: Client exit interviews and service statistics

Facility inputs

QoC

Reduction in

Appropriate availability of services

• Quality of clinical care

• Waiting time

• Facility readiness

• Interpersonal care/rapport

Improvement in:

• 24 h availability

• History taking

• Interpersonal relations

• Emergency preparedness

• Range of services offered

• Time spent with provider

• Equipment, medicine and supplies

• Maternal health care

Client understanding

•Infection prevention

• Infant health care

• Client choice:

•Infrastructure

• Danger signs for mother and infant

• RH goals and family planning

• IEC materials available

• Family planning

• Knowledge

• Guidelines and registers

• HIV services

• Increase in:

Technical Competence

Information given to client

• FP uptake

•Education and Training

• Assess client understanding

• Infant immunisation uptake

• Supervision

• Documentation

• Satisfaction

• Provider knowledge

• Confidentiality/privacy

• Continuity of care/followup

Increase service provision

• Range of services

• Multiple service use

• Diversification of client profile