Abstract:
This study aims at assessing the evidence base in an implementation of the 5S and Total
quality management strategy (5S-TQM) within antenatal care setting at Piliyandala Medical
Officer of Health division. The study is the first of its kind in Sri Lanka to be conducted
within a preventative health care framework in assessing the impact of a 5S-TQM
intervention to enhance the Quality of antenatal care. The study population comprised of all
mothers and health care workers attending antenatal care clinics (n=ll) in the selected
Piliyandala Medical Officer of Health division. The clinics were also assessed under the 5
S- TQ M assessment checklists. The base line assessment revealed relatively low knowledge
and attitude in health care workers in some aspects of antenatal care provision. However, the
knowledge and attitudes showed significant improvement post-intervention. The
intervention tools developed in this study may be useful in assessing the status and
improving the quality of antenatal care for the other areas in Sri Lanka .
