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

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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

Data Driven Quality Improvement in UgandaAnnie Clark, URC Sr. QI Advisor MNCH


What are we trying to accomplish in uganda

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


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

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.


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Facility Collaborative Interventions

Provision of locally made cloth childbirth models for ENC/AMTSL training


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Provision of Helping Babies Breathe training equipment, educational material and job aids


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Equipment supplied to facilities in Masaka and Luwero

Locally Made Newborn Resuscitation Tables. Bag, Masks and Penguin Suction Device


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

TOT for 20 District Coaches in ENC/HBB/AMTSL and Quality Improvement


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Training of 82 providers in ENC/HBB/AMTSL & Quality Improvement by the Coaches supported by URC/HCI Staff


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Coaches Preparing Action Plans for Visits to their Assigned Health Facilities


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Monthly Coaching Sessions of Maternal/Newborn Care Providers in Masaka & Luwero Districts


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

Facility Improvement Collaborative Learning Session


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

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


Data driven quality improvement in uganda annie clark urc sr qi advisor mnch

HCI Community Collaborative Improvement Interventions

Training VHTs in Essential Newborn Care, Quality Improvement, and Data Collection


Looking ahead sustaining gains and scaling up

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


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