The Ethiopia healthcare quality initiative: design and initial lessons learned.
Int J Qual Health Care
; 31(10): G180-G186, 2019 Dec 31.
Article
em En
| MEDLINE
| ID: mdl-31834384
ABSTRACT
OBJECTIVE:
To describe the development, implementation and initial outcomes of a national quality improvement (QI) intervention in Ethiopia.DESIGN:
Retrospective descriptive study of initial prototype phase implementation outcomes.SETTING:
All public facilities in one selected prototype district in each of four agrarian regions.PARTICIPANTS:
Facility QI teams composed of managers, healthcare workers and health extension workers.INTERVENTIONS:
The Ethiopian Federal Ministry of Health (FMoH) and the Institute for Healthcare Improvement co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national healthcare quality strategy (NHQS); building QI capability at all health system levels and introducing scalable district MNH QI collaboratives across four regions, involving healthcare providers and managers. OUTCOMEMEASURES:
Implementation outcomes including fidelity, acceptability, adoption and program effectiveness.RESULTS:
The NHQS was launched in 2016 and governance structures were established at the federal, regional and sub-regional levels to oversee implementation. A total of 212 federal, regional and woreda managers have been trained in context-specific QI methods, and a national FMoH-owned in-service curriculum has been developed. Four prototype improvement collaboratives have been completed with high fidelity and acceptability. About 102 MNH change ideas were tested and a change package was developed with 83 successfully tested ideas.CONCLUSION:
The initial successes observed are attributable to the FMoH's commitment in implementing the initiative, the active engagement of all stakeholders and the district-wide approach utilized. Challenges included weak data systems and security concerns. The second phase-in 26 district-level collaboratives-is now underway.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade da Assistência à Saúde
/
Serviços de Saúde Materno-Infantil
/
Melhoria de Qualidade
Tipo de estudo:
Evaluation_studies
/
Observational_studies
Limite:
Female
/
Humans
/
Infant
/
Newborn
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article