{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:41:56Z","timestamp":1793655716894,"version":"4.5.1"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007843","name":"Direktoratet for Utviklingssamarbeid","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007843","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Quality maternity care is known to improve a range of maternal and neonatal outcomes. The Lancet Series on Midwifery's Quality Maternal and Newborn Care (QMNC) Framework is a high\u2010level synthesis of the global evidence on quality maternity care. Initial qualitative work demonstrated the Framework's adaptability in evaluating service user and provider perceptions of the quality of maternity care. However, evaluating services at scale requires a survey instrument. This paper reports the validation of the QMNC Framework index (QMNCFi), a five\u2010part survey for the evaluation of maternity care across diverse settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>International online English language survey of women who had given birth in the previous year in Australia, Ghana, India and the United Kingdom (UK). It was distributed through service user networks (UK and Australia) and at postnatal clinics (Ghana and India). All forms were completed online. Test\u2013retest was conducted to assess reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five hundred and forty mothers completed the survey (Australia 136; Ghana 131; India 153; UK 120). Construct validity: Cronbach's\n                      <jats:italic>\u03b1<\/jats:italic>\n                      in 12 of the survey's 13 sections ranged from 0.795 to 0.986; for the remaining section the alpha was 0.594. Reliability: 55 participants completed the QMNCFi a second time. Intraclass correlation coefficient results ranged from 0.657 to 0.939 across the 13 sections. Field researchers in Ghana and India reported that the survey was easily understood and completed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This survey has shown that, across diverse contexts, the QMNCFi is a valid, reliable, and comprehensive tool for measuring service user perceptions of the quality of care over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12895","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T08:09:48Z","timestamp":1731312588000},"page":"347-352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Validating the Quality Maternal and Newborn Care Framework Index: A Global Tool for Quality\u2010of\u2010Care Evaluations"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9269-940X","authenticated-orcid":false,"given":"Andrew","family":"Symon","sequence":"first","affiliation":[{"name":"School of Health Sciences University of Dundee  Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berit","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Are Hugo","family":"Pripp","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manju","family":"Chhugani","sequence":"additional","affiliation":[{"name":"Jamia Hamdard  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Adjorlolo","sequence":"additional","affiliation":[{"name":"University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Badzi","sequence":"additional","affiliation":[{"name":"University of Ghana  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renu","family":"Kharb","sequence":"additional","affiliation":[{"name":"Jamia Hamdard  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elysse","family":"Prussing","sequence":"additional","affiliation":[{"name":"University of Newcastle, College of Health, Medicine and Wellbeing, School of Nursing and Midwifery  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5164-2025","authenticated-orcid":false,"given":"Alison","family":"McFadden","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Dundee  Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola M.","family":"Gray","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Dundee  Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0626-3365","authenticated-orcid":false,"given":"Allison","family":"Cummins","sequence":"additional","affiliation":[{"name":"University of Newcastle, College of Health, Medicine and Wellbeing, School of Nursing and Midwifery  Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Maternal Mortality\u2014Factsheet","author":"WHO","year":"2019"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(23)00468-0"},{"key":"e_1_2_10_4_1","volume-title":"The Report of the Morecambe Bay Investigation","author":"Kirkup B.","year":"2015"},{"key":"e_1_2_10_5_1","volume-title":"Findings, Conclusions and Essential Actions From the Independent Review of Maternity Services at the Shrewsbury and Telford Hospitals NHS Trust","author":"Ockendon D.","year":"2022"},{"key":"e_1_2_10_6_1","volume-title":"Shropshire Maternity Scandal: 300 Babies Died or Left Brain\u2010Damaged, Says Report","author":"Badshah N.","year":"2022"},{"key":"e_1_2_10_7_1","volume-title":"Birth Trauma","author":"Select Committee on Birth 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