Table 1 Interview guide
Questions | Possible probes | Targets |
|---|---|---|
1. Identity and other general information related to maternal death audits. | - Qualification - Service, - Technical post, - Responsibility, - Duration in the: profession, service, technical post, position of responsibility, - Was trained on MDAs, - Year and place of training on audits - Experience in the practice of audits, | - All interviewees |
2. What is your definition (s) for MDAs and what are their interests? | - Definition of audits - Interest of audits | - All interviewees |
3. How do you perceive the conditions under which audits are carried out in your structure? | - Human resources (number, training, knowledge, involvement, motivation) - Logistic and financial resources - Coordination and monitoring of activities - Importance of maternal mortality | - All interviewees |
4. How are audit sessions prepared in your structure? | - How information on conducting audit meetings is given? - How are cases identified? - How are informations about the case collected? - How participants in the audit session are identified? | - Head of health districts/regional hospitals - Member of the Audit Committees, - Heads of MCSUs, - Heads of maternity units. |
5. How are audit sessions organized in your structures? | - How is the choice of where audit session has to be hold? - How is the audit site prepared? - How are the roles distributed during the audit session? - How is speech management done during the audit? - How do you like the atmosphere in which the audit sessions take place? | - Persons who have already participated in a maternal death audit. |
6. How are maternal deaths examined in practice during the audit session (steps of the audit cycle)? | - What are your references for these audits? (Standards and reference protocols) - How are the data on the case audited (clinical summary) delivered? - How is the case analyzed? (Dysfunctions, causes, solutions) - How do you solve problems? (Resolution plan, restitution, monitoring of implementation, assessment of changes) | - Persons who have already participated in a maternal death audit. |
7. How are agents and teams (that have been involved in the treatment of women who have died and who have been audited) treated before, during and after the auditing sessions? | - How do you appreciate the respect of anonymity before, during and after the audit sessions in your district, your health structure? - How do you appreciate the lack of shame before, during and after the audit sessions in your district, your health facility? - How do you appreciate the lack of blame before, during and after the audit sessions in your district, your health facility? | - All interviewees |
8. What conclusion do you make about the practice of auditing maternal deaths in the district? | - What are the positive aspects and their causes? - What are the negative aspects and their causes? - What are your suggestions / recommendations? | - All interviewees |