Qualification of Staff, Organization of Services, and Management of Pregnant Women in Rural Settings: The Case of Diema and Kayes Districts (Mali)

Table 2

Summary of variations in the environment and in work organization under MCPs.

	Technical and organization aspects				Relational and interpersonal aspects
	Work organization	Level of technology	Staff skills	Staffing levels	Competitive environment	Relations with the DHC	Relations with patients
Intentional variations	Closer involvement in patient management	Plans to raise the level of technology	Supplementary training in obstetrics	Support for trainees	Individual or collective benchmarking	Maintained	Acquisition of their population’s confidence
Unintentional variations		Equipment (operating suites, ultrasound) provided by the ASACOs with expatriate support		Attractive to trainees Midwives and obstetric nurses in centres with MCPs	Competition that stimulates performance		Patients’ preference for more qualified staff