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CONFERENCE PROCEEDING
Validation of the Quality Maternal and Newborn Care (QMNC) Framework index: A service user tool
1
University of Newcastle, School of Nursing and Midwifery, Gosford, Australia
2
University of Jamia Hamdard, School of Nursing and Allied Health, New Delhi, India
3
University of Dundee- Scotland, Maternal Infant research unit, Dundee, United Kingdom
4
Oslo Metropolitan University - OsloMet, Faculty of Health Sciences, Oslo, Norway
5
Oslo Metropolitan University - OsloMet, Faculty of Health Science, Oslo, Norway
6
University of Ghana, Dept of Maternal and Child Health, Accra, Ghana
Eur J Midwifery 2026;10(Supplement 1):A895
ABSTRACT
BACKGROUND:
The Quality Maternal and Newborn Care (QMNC) Framework is a high-level synthesis of the global evidence on care quality and provides an international benchmark in different contexts. Following qualitative work and an international modified Delphi study, members of the QMNC Research Alliance set out to validate a QMNC Framework survey tool. The tool evaluated service user perceptions of the quality of care received across pregnancy, birth and the postnatal period.
OBJECTIVES:
This study validated the transformed Quality Maternal Newborn Care Framework into an index for service users to rate the quality of their care received.
METHODS:
International online survey of women giving birth within Australia, Ghana, India and the United Kingdom (UK). Some of the 44 questions, were divided into pregnancy/birth/postnatal sub-questions. Cronbach’s Alpha estimated internal consistency. Kappa co-efficient evaluated test-retest reliability. Confirmatory factor analysis was complete. The QMNC Framework index (QMNCFi) score, expressed as a percentage (0%: worst care. 100%: best care), was calculated by summing responses to all questions. Sub-indices for pregnancy, labour/birth, and postnatal were calculated. Descriptive data reflected responses by socio-demographic characteristics.
RESULTS:
540 women completed the survey (Australia 136; Ghana 131; India 153; UK 120). Cronbach’s alpha results ranged from 0.795-0.986, one exception (0.594). Test-retest reliability was good (n=55 participants; average kappa range across 13 sections: 0.657-0.939). Global QMNCFi scores ranged from 8.7%-100% (m 78.9%; SD 14.0%) with some international variation in average scores (Australia 76.9%; Ghana 80.1%; India 84.2%; UK 72.8%).
CONCLUSIONS:
A globally focussed instrument that assesses care quality across pregnancy-birth-postnatal. Feasible recruitment from different socio-economic contexts, Acceptable survey to participants. The QMNFCi results reflected a wide range of experiences. remedied. The QMNCFi is a valid instrument to monitor care quality, essential for good care to be maintained and poor care identified through a global score.
KEY MESSAGE:
Quality maternal care measurement Poster session 4 (Group B)
The Quality Maternal and Newborn Care (QMNC) Framework is a high-level synthesis of the global evidence on care quality and provides an international benchmark in different contexts. Following qualitative work and an international modified Delphi study, members of the QMNC Research Alliance set out to validate a QMNC Framework survey tool. The tool evaluated service user perceptions of the quality of care received across pregnancy, birth and the postnatal period.
OBJECTIVES:
This study validated the transformed Quality Maternal Newborn Care Framework into an index for service users to rate the quality of their care received.
METHODS:
International online survey of women giving birth within Australia, Ghana, India and the United Kingdom (UK). Some of the 44 questions, were divided into pregnancy/birth/postnatal sub-questions. Cronbach’s Alpha estimated internal consistency. Kappa co-efficient evaluated test-retest reliability. Confirmatory factor analysis was complete. The QMNC Framework index (QMNCFi) score, expressed as a percentage (0%: worst care. 100%: best care), was calculated by summing responses to all questions. Sub-indices for pregnancy, labour/birth, and postnatal were calculated. Descriptive data reflected responses by socio-demographic characteristics.
RESULTS:
540 women completed the survey (Australia 136; Ghana 131; India 153; UK 120). Cronbach’s alpha results ranged from 0.795-0.986, one exception (0.594). Test-retest reliability was good (n=55 participants; average kappa range across 13 sections: 0.657-0.939). Global QMNCFi scores ranged from 8.7%-100% (m 78.9%; SD 14.0%) with some international variation in average scores (Australia 76.9%; Ghana 80.1%; India 84.2%; UK 72.8%).
CONCLUSIONS:
A globally focussed instrument that assesses care quality across pregnancy-birth-postnatal. Feasible recruitment from different socio-economic contexts, Acceptable survey to participants. The QMNFCi results reflected a wide range of experiences. remedied. The QMNCFi is a valid instrument to monitor care quality, essential for good care to be maintained and poor care identified through a global score.
KEY MESSAGE:
Quality maternal care measurement Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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