PRE-CONFERENCE WORKSHOP # 6 Print


QI IMPROVEMENT IN MATERNAL AND NEWBORN HEALTH
When: Wednesday, October 2, 2013 14:00 – 15:30
Where: Hilton Addis Ababa, Ethiopia
Registration Fee: none
Maximum Number of Participants: 16 - 24
Facilitators: Maternal and Newborn Health Unit, Liverpool School of Tropical Medicine, UK
Deadline for Registration: Monday, September 9, 2013   - CLOSED -
Background
Skilled Birth Attendance (SBA) and Emergency Obstetric and Newborn Care (EmONC) training is a key intervention to reduce maternal and newborn deaths in developing countries. Efforts have intensified to enhance availability of and accessibility to SBA and EmONC worldwide in order to attain MDG 4 and 5 goals of reducing maternal deaths by 3/4 and perinatal deaths by 2/3 between 1990 and 2015. The Maternal and Newborn Unit of LSTM is working in several Asian and sub-Saharan African countries to improve availability of and access to SBA and EmONC. LSTM's field experience suggests that quality improvement is poorly coordinated in most health care facilities in developing countries, thereby limiting the success of capacity-building for the delivery of SBA and EmONC. We hypothesize that a well-established quality improvement program with trained staff in essential obstetric care will lead to improved delivery of EmONC and outcomes for the mother and newborn.

To institutionalize and/or streghthen a culture of quality improvement in SBA and EmONC, LSTM developed and implements a Quality Improvement package.

The QI package developed at LSTM runs over 4 days and is composed of 4 modules;
Introduction to quality improvement in obstetrics and newborn care
Maternal death audit
Perinatal death audit
Standard-based audit

Plenary and group exercises are built in to maximize participants' understanding of the concepts and practice of QI.

Subsequently, QI committees will be formed for each hospital and will be supported to carry out maternal death audits, perinatal death audits and develop and use standards to review and improve quality of care provided facilities. Monitoring and evaluation of QI process and outcomes will be carried out by LSTM in-country staff and MoH officials, supported out of LSTM Office Liverpool.

With full implementation of the package it is expected that facility staff are trained in QI for EmONC; QI Committees set up and functioning in each facility as evidenced by maternal death audits, perinatal death audits and standard based audits carried out. Further, it is expected at follow-up that there would be evidence of implementation of recommendation of QI committees and improved outcomes for mothers and newborns measured by maternal and perinatal deaths averted.

Aim and rationale
The workshop aims to introduce participants to the LSTM QI package including its contents, layout and training strategies.

At the end of the workshop, the participants,
1.
Should be familiar with the QI package
2.
Have informed opinions about the package
3.
Make constructive criticism on how to further improve the package

Description
The workshop format is as follows:
1.
A brief presentation on measuring quality of care to introduce participants to key concepts and definitions in quality improvement (10 minutes)
2.
An overview of the LSTM's Quality Improvement Package is presently briefly to acquaint participants with its layout and content (10 minutes)
3.
Participants break into 4 groups of 4-6, each group to review a module and provide feedback (60 minutes). Each group will be given a printed copy of the modules they will be reviewing.
4.
Wrap up will conclude the session with appreciation to the participants (10 minutes)

Implications for practice
For efforts to enhance availability and access to SBA and EmONC to achieve their mutual goal of reducing maternal and newborn deaths, they need to be supported by a robust quality improvement regime. The proposal to implement a QI package as a complement to ongoing LSS/ EOC training could stimulate best practices at all levels within the facility. This could ultimately lead to further improvements in the outcomes for mothers and their newborns and accelerate progress towards attaining MDGs 4 and 5.