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Health Policy and Planning Advance Access published online on October 27, 2007
Health Policy and Planning, doi:10.1093/heapol/czm039
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Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2007; all rights reserved.

Implementation of a new birth record in three hospitals in Jordan: a study of health system improvement

Reham Khresheh1 and Lesley Barclay2,*

1Lecturer, Faculty of Nursing, Mutah University, PO Box 7, Karak, Jordan.
2Professor of Health Services Development, Institute of Advanced Studies, Charles Darwin University, Darwin, NT, Australia.

*Corresponding author. Institute of Advanced Studies, Charles Darwin University, Darwin, NT 0909, Australia. E-mail: Lesley.Barclay{at}cdu.edu.au

This study tested the introduction of a new integrated clinical record in Jordan where currently no clinical report links antenatal, birth and postnatal care for women. As a result, no continuity of information is provided to clinicians nor are there national statistics on trends, or performance of hospitals around birth. Our study was conducted in the Jordanian Ministry of Health, the maternity wards and registration departments of three hospitals in Jordan and in the Maternal and Child Health Centres located near these hospitals. We used an exploratory, descriptive design and practice-research engagement to investigate and report on the process of change to improve and implement the new birth record. Through engaging practitioners in research, care improved, the quality of reporting changed, managers developed more effective measures of hospital performance and policy makers were provided with information that could form the basis of a national maternity data monitoring system. Quantitative and qualitative audit data demonstrated improved clinical reporting, organizational development and sustained commitment to the new record from clinicians, managers and policy leaders.

Key Words: Maternal health services, practice-research engagement, quality assurance, health care quality

Accepted for publication 13 August 2007.


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