Mentoring and measurement for better maternal and newborn survival: developingan intervention to put accountability into practice in Tanzania. (360G-Wellcome-110317_Z_15_Z)

We aim to develop, pilot and assess options for maternal and newborn death surveillance and response in a consultative manner, together with local stakeholders. We will use qualitative research methods including stakeholder interviews to maximise feasibility and acceptability. In a joint process with the regional health secretariat we will review ongoing surveillance data for maternal and newborn deaths and audits in the facilities and develop a mentoring-based approach to improve quality of care. Previous learning from the EQUIP study and from the "collaborative approach" to quality improvement will guide this work. Alignment to local structures, costs and feasibility will be central to the development work, including national training materials for maternal and perinatal audits prepared by the Ministry of Health. We will also review abstraction tools, and review of matrices for analysis.