data driven quality improvement in uganda annie clark, urc sr. qi advisor mnch
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Data Driven Quality Improvement in Uganda Annie Clark, URC Sr. QI Advisor MNCH. What are we trying to accomplish in Uganda?. Support the MOH and USAID strategy for improving maternal and newborn health outcomes in Uganda - PowerPoint PPT PresentationTRANSCRIPT
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Data Driven Quality Improvement in Uganda Annie Clark, URC Sr. QI Advisor MNCH
USAID HEALTH CARE IMPROVEMENT PROJECT
What are we trying to accomplish in Uganda?
• Support the MOH and USAID strategy for improving maternal and newborn health outcomes in Uganda
• Demonstrate the effectiveness of modern quality improvement approaches in improving maternal and newborn care at both the facility and community level.
• Operationalize the MOH community strategy
USAID HEALTH CARE IMPROVEMENT PROJECT
Findings of the facility baseline assessment in Luwero and Masaka districts by HCI/URC in December 2010
• Standard of newborn care could not be ascertained since services were not adequately documented at facilities.
• Only 32% of health facilities surveyed had equipment for resuscitation of newborns
• 46% mothers discharged before 24 hours for facility deliveries• Health workers still emphasized postnatal follow-up 6 weeks after
delivery• No mother/newborn and health worker interface during first week
of life for home or facility births except in presence of danger signs noted by mothers
• Staff unaware of MOH newborn care standards.
Facility Collaborative Interventions
Provision of locally made cloth childbirth models for ENC/AMTSL training
Provision of Helping Babies Breathe training equipment, educational material and job aids
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Equipment supplied to facilities in Masaka and LuweroLocally Made Newborn Resuscitation Tables. Bag, Masks and
Penguin Suction Device
USAID HEALTH CARE IMPROVEMENT PROJECT
TOT for 20 District Coaches in ENC/HBB/AMTSL and Quality Improvement
USAID HEALTH CARE IMPROVEMENT PROJECT
Training of 82 providers in ENC/HBB/AMTSL & Quality Improvement by the Coaches supported by URC/HCI Staff
USAID HEALTH CARE IMPROVEMENT PROJECT9
Coaches Preparing Action Plans for Visits to their Assigned Health Facilities
USAID HEALTH CARE IMPROVEMENT PROJECT10
Monthly Coaching Sessions of Maternal/Newborn Care Providers in Masaka & Luwero Districts
Facility Improvement Collaborative Learning Session
USAID HEALTH CARE IMPROVEMENT PROJECT
Assessment of Maternal/Newborn Care at Community Level
• No VHTs trained in ENC • No job aids• No postpartum visits to
mothers and newborns• Poor data collection• No quality improvement
strategy for VHTs• No supportive supervision
mechanism in place
USAID HEALTH CARE IMPROVEMENT PROJECT
HCI Community Collaborative Improvement Interventions
Training VHTs in Essential Newborn Care, Quality Improvement, and Data
Collection
USAID HEALTH CARE IMPROVEMENT PROJECT
USAID HEALTH CARE IMPROVEMENT PROJECT
Looking Ahead - Sustaining Gains and Scaling Up
Uganda:• Demonstrated effectiveness of QI to improve
MNH in Uganda• Harvest Meeting September 2012• Dissemination Meeting September 2012• CORE funded MNCH Project ends Sept. 2012• Opportune time for scale-up