7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

1/17

Zermargfhce fhd qufkityigpravegeht pracess ih gfterhfkfhd heahftfk nefktn cfre ihTfhzfhif2 successes+ cnfkkeh`esfhd wfys marwfrd

_ase Ghzfvf+ Cnristihf Kuku Gflehe+ Gfryf Zkatlih+]ictar Gpahzi+ Duhstfh Oisnfh`f+ Gfrybfhe Kfcaste+

Sneehf Currie+ @fudiasf Tiofibulf

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

2/17

Zresehtftiah Autkihe

Ofcl`rauhd ihckudih` tne GHCN _afdGfp

GFISNF pra`rfg strfte`ies ihckudih`Stfhdfrds Ofsed Gfhf`egeht fhd_eca`hitiah .SOG'_)

Getnadaka`y

_esukts fhd igpfct

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

3/17

Ofcl rauhd

Tne GFISNF pra rfg is f USFID'muhded pra rfg wnicn nfswarled witn tne Tfhzfhifh Gihistry am Nefktn fhd Sacifk Pekmfre.GANSP) sihce ?::> ta igprave tne qufkity am gfterhfk fhdhewoarh nefktn cfre ih Tfhzfhif( Strfte ies ihckude2

Devekapgeht am f hftiahfk kefrhih resaurce pfclf`e wnicn

utikizes cagpetehcy'ofsed trfihih fpprafcnes Trfihih` am nefktn cfre praviders ih Ofsic Eger ehcy Aostetric

fhd Hewoarh Cfre .OEgAHC) sihce ?::9(

Zermargfhce stfhdfrds'driveh qufkity fssurfhce fpprafcn usih`hftiahfk OEgAHC stfhdfrds

Streh tnehih mfcikitftive supervisiah hftiahfkky

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

4/17

Gfterhfk Nefktn

Gfterhfk gartfkity rftia ihTfhzfhif is 454!6::+::: kiveoirtns(

Ahe am tne > ni`n ourdehcauhtries ih tergs am fctufkhugoer am gfterhfk deftns

56% am oirtns fre fttehded oyslikked oirtn fttehdfht

Cfuses am Gfterhfk gartfkity2

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

5/17

Tfhzfhif Hewoarh Situftiah Fhfkysis

6(= gikkiah ofoies freoarh efcn yefr ihTfhzfhif

56+::: deftns accur ih

ofoies witnih tne mirstgahtn am kime every yefr

Heahftfk gartfkity rfte is?=!6+::: kive oirtns

Pnft fre tne gfbarcfuses am heahftfkgartfkity1

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

6/17

Ofcl rauhd

Tne GFISNF pra rfg is f USFID'muhded pra rfg wnicn warls witn tneGihistry am Nefktn fhd Sacifk Pekmfreta igprave tne qufkity am gfterhfk

fhd hewoarh cfre ih Tfhzfhif Ahe am tne ley gefhs am igpravih`

permargfhce fhd tne qufkity am cfreis oy Stfhdfrds'Ofsed Gfhf`egeht- _eca`hitiah .SOG'_) fpprafcn

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

7/17

Strfte ies ihckude2 Igpravih` fccess ta qufkity GHN cfre

Streh`tnehih` tne remerrfk systeg

Streh`tnehih` GHN district nefktnpkfhhih`- gfhf`egeht am

Fdvacftih` mar ihcrefsed caggitgeht- resaurces mar GHN

Tfhzfhif nfs f hftiahfk strfte`y fhd `uidekihes ta

reduce gfterhfk fhd hewoarh deftns

Tne Hftiahfk _afd Gfp Strfte`ic Zkfh taFccekerfte _eductiah am Gfterhfk+ Hewoarh

fhd Cnikd Deftns ?::> ' ?:65

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

8/17

Zrfcticfk gfhf`egeht

fpprafcn mar streh`tnehih`permargfhce fhd qufkity amnefktn services

Ofsed ah use amaperftiahfk+aoservfoke evidehce ofsedpermargfhce stfhdfrds mar ah'site fssessgeht

Tied ta rewfrd am mfcikityreca`hitiah

Evidehce ofsed permargfhce stfhdfrds ta nekpmfcikities fssess fps ih gfterhfk fhd hewoarh cfre

fhd fddress tneg

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

9/17

9

Fref2 Zre`hfhcy Cfre

Zerm( Stfhdfrd ]erimicftiah Criterif Y+ H+ HF Caggehts

6( Tne mfcikity

cahducts f

rautihe rfpid

fssessgeht am

pre`hfht

wageh

Sfgpke permargfhce stfhdfrd

Aoserve ih tne receptiah fref ar

wfitih` raag im tne persah wna

receives tne pre`hfht wagfh2

Fsls im sne nfs ar nfs nfd2

' ]f`ihfk okeedih`

' Nefdfcne ar visufk cnfh`es

' Oreftnih` dimmicukty

' Severe fodagihfk pfih

' Mever

Iggedifteky hatimies tne nefktn

pravider im fhy am tnese

cahditiahs fre preseht

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

10/17

Tne pra rfg kihls SOG'_ fhd suppartive supervisiah taouikd f qufkity am cfre cukture

Ley fctiahs ihckuded2 Devekaped f hetwarl am SOG'_ pragaters fhd

mfcikitftars .District supervisars oeih` care tefg)

Kihlih` nefktn mfcikity qufkity igpravegeht tefgswitn naspitfk gfhf`egeht tefgs

Zragatih` permargfhce stfhdfrds mar suppartivesupervisiah

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

11/17

Getnads

Use fssessgehts ta gefsure GHN service qufkity

idehtimyih` `fps fhd warlih` witn mfcikities ta fddress

tneg tnrau`n f cahtihuaus cycke am permargfhce

!qufkity igpravegeht( Mar exfgpke cagpetehcy ofsed

trfihih` ah Ofsic Eger`ehcy Aostetric fhd Hewoarh

Cfre fhd ehsurih` essehtifk suppkies fhd dru`s(

Tnese fssessgehts fre scneduked fs makkaws2

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

12/17

Mi`ure 62 Cycke am Zermargfhce

Igpravegeht

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

13/17

_esukts

:%

6:%

?:%

3:%

4:%

5:%

=:%

0:%

>:%

9:%

Ki`ukf Salaihe Gt( Geru Gfwehzi Irih`f

Ofsekihe 6st Ihterhfk ?hd Ihterhfk 3rd Ihterhfk 4tn Ihterhfk

Mar gast mfcikities+ tne scares cahsistehtky igpraved witn every fssessgeht+ witn

gefh ihcrefses rfh`ih` oetweeh > fhd 5=%(Mi`ures I witn 4 fssessgeht resukts

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

14/17

Igpravegeht ih permargfhce stfhdfrds ih leytecnhicfk frefs wfs girrared oy deckihe ih gfterhfk

deftns

Mi`ure III( Zermargfhce stfhdfrds fcnievegehts ih cagpkicfted kfoar fhd dekivery

fhd gfterhfk deftns ih ahe re`iahfk naspitfk aver tnree yefrs periad

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

15/17

Kessahs Kefrhed

SOG'_ is f vifoke aptiah tacnfh`e!igprave qufkity am GHcfre fhd requires fcagprenehsive fpprafcnihckudih`2

Cagpetehcy ofsed trfihih` ampraviders fhd supervisars caupkedwitn past trfihih` makkaw up!suppartive supervisiah ta ehsuretrfhsmer am kefrhih` ih oest prfctices

Ouikdih` tne cfpfcity am mfc ikity VItefgs+ _NGTs+ CNGTS NGTs(

Streh`tnehih` fhd kihlih` nefktnmfcikities witn cagguhities

am trfihih`s ihta services

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

16/17

Suggfry

Ih Tfhzfhif+ use am SOG'_ nfs snawhigpartfht cnfh`es ih tne qufkity amgfterhfk fhd hewoarh nefktn cfreservices ih mfcikities+ wnicn suppart

hftiahfk strfte`ies ta reducegfterhfk fhd hewoarh gartfkity

Sustfihih` fhd ihstitutiahfkizih` tnesecnfh`es wikk oe pfrt am tne ah`aih`warl ta igprave qufkity am cfre margatners fhd hewoarhs

7/30/2019 Performance and quality improvement process in maternal and neonatal health care in Tanzania: successes, challenges and ways forward

17/17

Fclhawked`egehts

Tnis presehtftiah is gfde passioke oy tne `eheraus suppart am tne Fgericfh

peapke tnrau`n tne Uhited Stftes F`ehcy mar Ihterhftiahfk Devekapgeht .USFID)Caaperftive F`reegeht Ha( =?6'F'::':>':::?3'::( Tne cahtehts fre tne

respahsioikity am tne Gatners fhd Ihmfhts+ Sfme Nefktny Fkive .GFISNF) pra`rfg

fhd da hat hecessfriky remkect tne views am USFID ar tne Uhited Stftes

@averhgeht(

Futnars2 _ase Ghzfvf+ @fudiasf Tiofibulf+ Gfryf

Zkatlih+ Duhstfh Oisnfh`f+ Gfrybfhe Kfcaste+

Sneehf Currie

Ihstitutiahs2 Bnpie`a Tfhzfhif