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Table 2 Dimensions and source of information to analyse the internal context influence on the PPA implementation

From: Evaluation of a quality improvement intervention for labour and birth care in Brazilian private hospitals: a protocol

Driving components

Dimension

Data Source

Governance

PPA as an estrategic intervention for high hospital management

PPA as an estrategic intervention for high hospital management

Partnership between hospital and healthcare insurance company to implementing PPA

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative)

Support and participation of women in PPA desing and implementation

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative). Women interview (qualitative)

Support and participation of the health professionals in PPA desing and implementation

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative)

Support from professional societies to hospital implementing PPA

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative)

Protocols and educational program for doctors and nurse-midwives on evidencebased childbirth care

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative)

Structured communication process between high hospital management and frontline team to plan and implement PPA strategies

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative); Systematic observation notes

Favorable ambiance to childbirth care

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative); Systematic observation notes

Monitoring

Structured process to monitore PPA indicators

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative)

Transparancy of results

Interview with hospital mananger (quantitative and qualitative). Interview with health professional from hospital team (qualitative). Women interview (qualitative); Systematic observation notes