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Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Improving obstetric care in low-resource settings: implementation of facility-based maternal death reviews in five pilot hospitals in Senegal | Human Resources for Health BioMed Central Research Improving obstetric care in low-resource settings implementation of facility-based maternal death reviews in five pilot hospitals in Senegal Alexandre Dumont 1 Caroline Tourigny2 and Pierre Fournier2 Address 1UR10 santé de la mère et de l enfant en milieu tropical Institut de Recherche pour le Développement Dakar Sénégal and 2Unité de Santé Internationale Centre de Recherche du Centre Hospitalier de l Université de Montréal Université de Montréal Montréal Canada Email Alexandre Dumont - alexandre.dumont@ird.fr Caroline Tourigny- caroline.tourigny@umontreal.ca Pierre Fournier - pierre.fournier@umontreal.ca Corresponding author Open Access Published 23 July 2009 Received 30 April 2009 Human Resources for Health 2009 7 61 doi 10.1186 1478-4491-7-61 Accepted 23 July 2009 This article is available from http www.human-resources-health.cOm content 7 1 61 2009 Dumont et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background In sub-Saharan Africa maternal and perinatal mortality and morbidity are major problems. Service availability and quality of care in health facilities are heterogeneous and most often inadequate. In resource-poor settings the facility-based maternal death review or audit is one of the most promising strategies to improve health service performance. We aim to explore and describe health workers perceptions of facility-based maternal death reviews and to identify barriers to and facilitators of the implementation of this approach in pilot health facilities of Senegal. Methods This study was conducted in five reference hospitals in Senegal with different characteristics. Data were collected from focus group discussions participant observations of .