D.2.Quality improvement – Quantity is it possible?
By E, S, Gumbo, Quality Assurance Specialist JHPIEGO and Save the Children US, Umoyo Network
Objectives and Scope:
JHPIEGO has been working with the MoHP since late 2001 to introduce the Performance and Quality Improvement (PQI) approach through an infection prevention intervention. The Save the Children Umoyo Network Project is using this approach to introduce partner NGOs to quality assurance issues. Through assessments, training and on-site mentoring, Save the Children Umoyo Networks has witnessed vast improvement in quality over a short period of time. This paper will detail the methodology in general and focus on the promising results from specific, selected NGOs.
In Year One and Two, during an initial stakeholder meeting, the project introduced NGO staff to the PQI process, using government standards, in particular the infection prevention, as a model. The course strengthens participant competencies in national quality standards, using infection prevention practices as a model, or other standards if prepared. Participants are introduced to the first steps of the PQI model and instructed on how to complete baseline assessments, using infection prevention, service delivery assessments or other baseline assessments as a model, at their sites. Trained PQI teams from each NGO, with support from project staff or local consultants, then conducted baseline assessments of infection prevention or other practices at their sites. The PQI Team from each NGO use this baseline assessment data to identify and analyze the gaps between desired and actual performance. Teams identify priority areas for intervention and the resources required to effect these interventions. Project staff provide the necessary technical assistance and support to the PQI teams as they begin their interventions to improve practices.
Results and Conclusions: The first Internal Assessment of Infection Prevention Practices at Nkhoma Hospital from 14th to 16th December 2004. Since then the results of all internal assessments conducted to date reveal that Nkhoma is making considerable progress considerable progress towards achieving the national certification.
Nkhoma Baseline – 25.1%Nkhoma internal assessment – 55.1%-
Similarly, Malamulo hospital has achieved a great improvement in scores since the baseline: Malamulo Baseline 30%Malamulo internal assessment 52 %
The PQI process brings improvement in quality of service provision through reduced new and cross infections and illustrates that focussed efforts can bring results.