|Motivation & quality of pre-natal & maternal health|
The key determinants of success for achieving MDGs are closely related to human resource in low income countries (Wyss, 2004). The problem of inadequate performance of (physicians, nurses, and midwives) in low income countries is persistent (Hongoro et al. 2004). The volume and quality of work expected from otherwise competent staff are not always forthcoming (Pfeiffer et al, 2007; Dovlo, 2005). The reduction of maternal mortality is hindered by limited awareness of the magnitude and manageability of this problem (de Brouwere et al. 1998). Many theories and conceptual frameworks have been proposed to explain health workers practices (Franco et al. 2002; Travis et al. 2004).
Few studies analyze specific intervention programs which address those factors in order to improve the quality of MNC. Our focus on motivation, clinical decision support and performance based incentive schemes are interlinked (Figure 2). This focus does not imply that we ignore other, tested tools for quality improvement which members of the consortium teach or have done extensive research about. Our assumption is that all quality strategies will benefit from motivated health workers.
Figure 2. Bridging the know-do gap through the innovative combination of two interventions which focus on the human factor or quality of care