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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

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


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 Masaka districts by HCI/URC in December 2010 

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



Equipment supplied to facilities in Masaka and Luwero educational material and job aids

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



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


Coaches Preparing Action Plans for Visits to their Improvement by the Coaches supported by URC/HCI StaffAssigned Health Facilities



Facility in Improvement Collaborative Learning Session


Assessment of Maternal/Newborn Care at Community Level in

  • 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


HCI Community Collaborative Improvement Interventions in

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 in

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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