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CONCOURS QUALITE IN GUINEA Context and perennity

CONCOURS QUALITE IN GUINEA Context and perennity. Dr Mohamed Lamine YANSANE Président du Conseil national de la Qualité des soins et services Chef de Cabinet du MSHP. Context and objective. CONTEXT

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CONCOURS QUALITE IN GUINEA Context and perennity

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  1. CONCOURS QUALITE IN GUINEAContext and perennity Dr Mohamed Lamine YANSANEPrésident du Conseil national de la Qualité des soins et servicesChef de Cabinet du MSHP Réunion Task Force CQ/SQI, Eschborn

  2. Context and objective • CONTEXT • Quality of health services is one of the Ministry of helath priorities in its National Developpement Plan for the period 2003- 2012; • Various quality approches have been implemented; • Despite these actions, clients are not insatisfied by health services; • Low disponibility of drugs and personnal ; • OBJECTIF • Create quality culture winthin health structures through a positive competition in order to increase utilisation; Réunion Task Force CQ/SQI, Eschborn

  3. Constraintes of SQI /CQ in Guinea • Low appropriation by the national level of the MOH; • Lack of resources for the organisation of SQI/CQ; • Insuffisance decentralisation of the process; • Low implication of partners Réunion Task Force CQ/SQI, Eschborn

  4. National Quality Council activities • Technical working group for SQI/CQ being impemeted officialy by the MOH; • Elaboration and implementation of annual programm for 2009 session; (CQ tools adaptation; sensitation , information ); • First session organised by the national working group for the all the country Réunion Task Force CQ/SQI, Eschborn

  5. Chalenges an perenity of Concours Qualité • Difficulties of the local social and economic context : fex disponibility of drugs in health structures ; • Difficulties to afford the SQI/CQ cost estimate at 140 000 € for 435 structures (health centers and hospitals) ; • Necessity to have good collaboration and combination of all partners efforts ( implication of all partners, reinforcement of health system through Gavi and , 9 th global fund round in preparation); Réunion Task Force CQ/SQI, Eschborn

  6. CONCOURS QUALITE IN GUINEAApproach implemention and effets Dr Mohamed Lamine YANSANEDr Abdoulaye Maci BAHDr Adrien NOUGTARA Réunion Task Force CQ/SQI, Eschborn

  7. Mise en œuvre de l’approche CQ (1) • Conception de l’approche et des outils de mise en œuvre (2001-2002); • Test des outils sur un zone du pays(2003) • Conception et adaptation des documents de normes et procédures (2003- 2004); • Information / Formation des acteurs du terrain à l’application des outils ( périodiquement); Réunion Task Force CQ/SQI, Eschborn

  8. Mise en œuvre de l’approche CQ (2) • Organisation de la première session du CQ (2003); • Revu de l’approche et introduction de la recherche-action au niveau des structures (2006); • Collaboration avec l’Université pour le volet recherche-action et management de la Qualité • Suivi évaluation de la mise en œuvre de chaque session, réadaptation de l’approche et des outils (évaluation interne et externe). Réunion Task Force CQ/SQI, Eschborn

  9. Concours qualité –Action Recherche – ImprovementFund Réunion Task Force CQ/SQI, Eschborn

  10. Evolution of proportion of health structures classified performant during the sessions ( >50%) Réunion Task Force CQ/SQI, Eschborn

  11. Réunion Task Force CQ/SQI, Eschborn

  12. Réunion Task Force CQ/SQI, Eschborn

  13. Evolution of clients satisfaction 13 Source:rapports enquêtes Réunion Task Force CQ/SQI, Eschborn

  14. Clients perception on changes «Waiting time has improved. The lack of personnal is a problem. The personnal is insuffiant. Those wo are here are competent. If 3 or 4 clients arrive, 3 or 4 cleints arrive, they are taking one by one for the consultations» (Extrait men focus in Dalaba); «To me, what is changed is the hygien, hospital beds are good and the local is washed frequently» (Extrait men/women focus in Kissidougou); 14 Réunion Task Force CQ/SQI, Eschborn

  15. Factors of succes • Regular follow up actions to improve comitment of partners and MOH at national level ; • Comitment of the operational level for SQI/CQ • Taking into account clients needs and observations • Communauty participation in the process. • Synergy with others quality management approach ; • Intégration of action recherche; • Disponibility of documents of normes and procedures for each level. Réunion Task Force CQ/SQI, Eschborn

  16. Capitalisation areas • Flexibility and progressivity in the developpement; • Open to othersquality management approch; • Intégration of action recherche; • Intégration of action recherche and quality management in faculty; • Effects on care providers, structures and population ; Réunion Task Force CQ/SQI, Eschborn

  17. Recommandations • Regular follow up actions to improve comitment of partners and MOH at national level; • Flexibility and progressivity in the developpement; • Continius adaption of tools in order to take into account needs and expectations of actors and partners ; • Good documentation of the process • Follow up and evaluations of the proceses ; Réunion Task Force CQ/SQI, Eschborn

  18. Thankyou ! Dankechen ! Réunion Task Force CQ/SQI, Eschborn

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