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Enhancing Maternal and Newborn Health in Uganda through Data-Driven Quality Improvement

This project aims to support Uganda's strategy for improving maternal and newborn health outcomes by demonstrating the effectiveness of quality improvement approaches at facility and community levels. It addresses gaps in newborn care, maternal discharge practices, postnatal follow-up, and staff awareness of standards. Collaborative interventions include training, equipment provision, and facility improvement sessions. Future plans focus on sustaining gains and scaling up the successful quality improvement strategies.

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Enhancing Maternal and Newborn Health in Uganda through Data-Driven Quality Improvement

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  1. Data Driven Quality Improvement in UgandaAnnie Clark, URC Sr. QI Advisor MNCH

  2. What are we trying to accomplish in Uganda? • Support the MOH and USAID strategy for improving maternal and newborn health outcomes in Uganda • Demonstrate the effectiveness of modern quality improvement approaches in improving maternal and newborn care at both the facility and community level. • Operationalize the MOH community strategy

  3. Findings of the facility baseline assessment in Luwero and Masaka districts by HCI/URC in December 2010  • Standard of newborn care could not be ascertained since services were not adequately documented at facilities. • Only 32% of health facilities surveyed had equipment for resuscitation of newborns • 46% mothers discharged before 24 hours for facility deliveries • Health workers still emphasized postnatal follow-up 6 weeks after delivery • No mother/newborn and health worker interface during first week of life for home or facility births except in presence of danger signs noted by mothers • Staff unaware of MOH newborn care standards.

  4. Facility Collaborative Interventions Provision of locally made cloth childbirth models for ENC/AMTSL training

  5. Provision of Helping Babies Breathe training equipment, educational material and job aids

  6. Equipment supplied to facilities in Masaka and Luwero Locally Made Newborn Resuscitation Tables. Bag, Masks and Penguin Suction Device

  7. TOT for 20 District Coaches in ENC/HBB/AMTSL and Quality Improvement

  8. Training of 82 providers in ENC/HBB/AMTSL & Quality Improvement by the Coaches supported by URC/HCI Staff

  9. Coaches Preparing Action Plans for Visits to their Assigned Health Facilities

  10. Monthly Coaching Sessions of Maternal/Newborn Care Providers in Masaka & Luwero Districts

  11. Facility Improvement Collaborative Learning Session

  12. Assessment of Maternal/Newborn Care at Community Level • No VHTs trained in ENC • No job aids • No postpartum visits to mothers and newborns • Poor data collection • No quality improvement strategy for VHTs • No supportive supervision mechanism in place

  13. HCI Community Collaborative Improvement Interventions Training VHTs in Essential Newborn Care, Quality Improvement, and Data Collection

  14. Looking Ahead - Sustaining Gains and Scaling Up Uganda: • Demonstrated effectiveness of QI to improve MNH in Uganda • Harvest Meeting September 2012 • Dissemination Meeting September 2012 • CORE funded MNCH Project ends Sept. 2012 • Opportune time for scale-up

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