Exploratory study of the influence of the adoption of total quality management on the level of neonatal mortality in Moroccan hospitals

Abstract

ABSTRACT The objective of this research was to investigate the impact of the adoption of total quality management (TQM) practices on neonatal mortality rates within Moroccan hospitals. An exploratory qualitative methodology was adopted. The dataset comprised qualitative inputs from 12 face to face interviews with hospital management staff and associated stakeholders. The study revealed several factors affecting the adoption of TQM practices in Moroccan hospitals, including human resource constraints, financial and material resource deficiencies, lack of leadership, and gaps in the quality of services provided. Moreover, while TQM practices significantly influence neonatal mortality rates, other external factors, such as accessibility to hospitals, infrastructure, and patient care quality, also play crucial roles. There’s a clear intertwining of neonatal mortality rates with the broader healthcare management dynamics. The findings underscore the need for Moroccan hospitals to adopt a comprehensive approach to TQM. This not only involves addressing internal managerial and operational challenges but also considering broader systemic issues within the healthcare ecosystem. Embracing TQM holistically could pave the way for improved neonatal care outcomes and reduced mortality rates. Additionally, understanding patient perspectives, especially those of pregnant women and recent mothers, can further enhance the quality of healthcare delivery in the region.