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Validation in China of the Quality Maternal and Newborn Care Framework index
Jinguo Zhai1, Jie Tao1, Shiying Wang2
1School of Nursing, Southern Medical University, Guangzhou, China.
Problem:
Despite progress in maternal and newborn health, China still lacks a validated and multidimensional tool to monitor care quality and guide improvements.
Background:
The Quality Maternal and Newborn Care Framework index (QMNCFi) is a novel but comprehensive and globally developed tool for assessing maternity care quality from the service user's perspective, offering huge potential for assessing care quality in China.
Aim:
This study aimed to validate the Chinese version of the QMNCFi and report initial findings from economically diverse settings.
Methods:
An online survey was conducted in five hospitals in five provinces in China among women between 6 weeks to 1 year postpartum. Construct validity was assessed using confirmatory factor analysis. Reliability was evaluated through internal consistency and test-retest reliability. Inferential statistics were used to analyze score differences across sub-groups.
Findings:
547 mothers completed the survey. Confirmatory factor analysis indicated that the construct of the Chinese version aligned with the original version. The Cronbach's α for the survey's 13 sections ranged from 0.629 to 0.975, and the Intraclass Correlation Coefficient of test-retest ranged from 0.620 to 0.926. There is a modest correlation between regional economic level and QMNCFi scores at all time periods (p < 0.05). Pregnancy sub-index scores were slightly higher among women in rural areas compared to urban areas (p < 0.05).
Conclusion:
The Chinese version of the QMNCFi is feasible to obtain service user perceptions of the quality of care at scale in China.
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