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Leading Transformational Change Across the System

Leading Transformational Change Across the System. Designing improvement for local ownership, great results, and learning. M. Rashad Massoud, MD, MPH, FACP Director, USAID Applying Science to Strengthen and Improve Systems Project Senior Vice President, Quality & Performance Institute

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Leading Transformational Change Across the System

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  1. Leading Transformational Change Across the System Designing improvement for local ownership, great results, and learning M. Rashad Massoud, MD, MPH, FACP Director, USAID Applying Science to Strengthen and Improve Systems Project Senior Vice President, Quality & Performance Institute Mirwais Rahimzai, MD, MBA, MPH Chief of Party, USAID Health Care Improvement Project, Afghanistan University Research Co., LLC – Center for Human Services

  2. No conflict of interests

  3. Session Objectives After this session, participants will be able to proactively design improvement projects with the view to achieving: • Local ownership • Great results • Sustainability • Scale-up • Institutionalization • Learning

  4. USAID Applying Science to Strengthen and Improve Systems Project FY2014 Activities

  5. USAID Health Care Improvement ProjectFY2014 Activities

  6. Contributions to Achieving the MDGs in FY14

  7. Country Integrated Design Plan Design Design continues iteratively throughout the project Implementation Continuing activities Sustainability Upfront design, implementation & scale-up with sustainability in mind Scale-up Upfront design with scale-up in mind Continuing activities Institutionalization Upfront design, implementation & scale-up with institutionalization in mind Year 0 1 2 3 4 10 Year 0 1 2 3 4 10 Learning: Knowledge Management & Research

  8. Work with the MOPH to build infrastructure for health care improvement Begin with three demonstration collaboratives with a focus on maternal and neonatal deaths: Provincial Facility-based collaborative Provincial Community collaborative Kabul Maternity Hospital collaborative Start in 3 selected provinces (out of 34) in “slices of the system”, 2 districts in each province. Afghanistan: What are we trying to accomplish and at what scale? 533,518 out of 1,144,800 in Balkh 477,677 out of 882,900 in Kunduz Four Public and Additional Private Hospitals. Malalai Hospital 40,000 approx births per year.

  9. Afganistan: Phasing of High-Impact Technical Interventions in Demonstration Maternal and Newborn Collaborative

  10. National Quality Improvement / Assurance Department Provincial Health System Provincial Quality Improvement Team RH QI Team RH Community QI Team HP HP HP HP DH QI Team DH Community QI Team HP HP HP HP CHC QI Team CHC Community QI Team HP HP HP HP BHC QI Team BHC Community QI Team HP HP HP HP Learning Session Facility Collaborative Sessions Joint Sessions Community Collaborative Sessions

  11. Afghanistan, 5 hospitals in Kabul: Partographs completed in five hospitals

  12. Afghanistan, 5 hospitals in Kabul: Mothers’ awareness of newborn danger signs

  13. Afghanistan, 5 hospitals in Kabul: Average compliance with Essential Newborn Care standards

  14. Wave Sequence Spread

  15. Afghanistan: Scaling up AMSTL

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