Health Systems and Workforce | Strengthening Quality of Care | Global Guidelines and Local Adaptations | Focus: Private Sector Room: Nerina Oral Abstracts
May 10, 2023 09:10 - 10:25(Africa/Johannesburg)
20230510T0910 20230510T1025 Africa/Johannesburg Improving Intrapartum Care and Services

A Quality Improvement Collaborative to Enhance Maternal and Newborn Health (MNH) Care Delivery by Adopting Global Guidance within Local Contexts in Low-Resource Settings

In private hospitals in Southern India, the gap between current and ideal performance in labour room practices warranted a quality improvement (QI) initiative. The World Health Organization (WHO) Safe Childbirth Checklist (SCC) is a patient safety tool to improve adherence to 28 essential birth practices. A QI Collaborative was initiated with the Obstetric Clinical Society of Southern India (OGSSI) and Consortium of Accredited Healthcare Organisations (CAHO) to implement SCC in member hospitals and enhance childbirth care delivery. The objectives were to implement SCC in hospitals via low-cost innovations and to evaluate key metrics in resource-challenged settings using quality tools.

Implementing a Multifaceted Approach to Reduce Fresh Stillbirths in Mbarara District, Uganda 

The fresh stillbirth (FSB) rate in Uganda in 2019/2020 was 12 per 1,000 births; in Mbarara District, it was 7.3 per 1,000 births. These rates exceed the national target of less than 5 per 1,000 births. Research shows that 40% of the FSBs in Uganda can be prevented by improving the quality of service.

Assessing the Needs for Emergency Obstetric and Newborn Care (EmONC) Health Facilities in Burundi to Support Maternal and Newborn Health Service Delivery Redesign (MNH-Redesign) 

Despite Burundi having formed a network of 112 emergency obstetric and newborn care (EmONC) health facilities, the country continues to struggle with high rates of maternal and newborn deaths. This study generated evidence on the needs of EmONC health facilities to improve maternal and newborn survival.

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Room: Nerina International Maternal Newborn Health Conference 2023 information@imnhc.org
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A Quality Improvement Collaborative to Enhance Maternal and Newborn Health (MNH) Care Delivery by Adopting Global Guidance within Local Contexts in Low-Resource Settings

In private hospitals in Southern India, the gap between current and ideal performance in labour room practices warranted a quality improvement (QI) initiative. The World Health Organization (WHO) Safe Childbirth Checklist (SCC) is a patient safety tool to improve adherence to 28 essential birth practices. A QI Collaborative was initiated with the Obstetric Clinical Society of Southern India (OGSSI) and Consortium of Accredited Healthcare Organisations (CAHO) to implement SCC in member hospitals and enhance childbirth care delivery. The objectives were to implement SCC in hospitals via low-cost innovations and to evaluate key metrics in resource-challenged settings using quality tools.


Implementing a Multifaceted Approach to Reduce Fresh Stillbirths in Mbarara District, Uganda 

The fresh stillbirth (FSB) rate in Uganda in 2019/2020 was 12 per 1,000 births; in Mbarara District, it was 7.3 per 1,000 births. These rates exceed the national target of less than 5 per 1,000 births. Research shows that 40% of the FSBs in Uganda can be prevented by improving the quality of service.


Assessing the Needs for Emergency Obstetric and Newborn Care (EmONC) Health Facilities in Burundi to Support Maternal and Newborn Health Service Delivery Redesign (MNH-Redesign) 

Despite Burundi having formed a network of 112 emergency obstetric and newborn care (EmONC) health facilities, the country continues to struggle with high rates of maternal and newborn deaths. This study generated evidence on the needs of EmONC health facilities to improve maternal and newborn survival.


Feasibility of a Sustainable Emergency Obstetric Care Training System in Nigeria 

As part of a maternal mortality reduction strategy, emergency obstetric and newborn care (EmONC)-competent skilled health personnel (SHP) working within integrated teams to provide good quality care are required. Standard EmONC training approaches in Nigeria are the partner funding-dependent National Life Saving Skills (LSS) programme and the annual Nursing and Midwifery Council of Nigeria (NMCN) Mandatory Continuous Professional Development Programme (MCPDP) for practice license renewal. We designed and implemented a center of excellence (CoE) for EmONC approach embedded in the college of Nursing and Midwifery Kwara State, Nigeria. The CoE was equipped for competency-based EmONC training and linked to the MCPDP practice license renewal programme. We conducted a feasibility study on the CoE approach to train SHP in EmONC in Nigeria.

A Quality Improvement Collaborative to Enhance Maternal and Newborn Health (MNH) Care Delivery by Adopting Global Guidance within Local Contexts in Low-Resource Settings
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Private Sector
Strengthening Quality of Care
Global Guidelines and Local Adaptations
Presenters
Implementing a Multifaceted Approach to Reduce Fresh Stillbirths in Mbarara District, Uganda
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Strengthening Quality of Care
Presenters
AN
AGATHA NSHABOHURIRA
ASSISTANT DISTRICT HEALTH OFFICER MNCH/NURSING, MBARARA DISTRICT HEALTH OFFICER
Co-authors Beatrice Bainomugisha
Program Coordinator (The Challenge Initiative Project), Jhpiego 
Assessing the Needs for Emergency Obstetric and Newborn Care (EmONC) Health Facilities in Burundi to Support Maternal and Newborn Health Service Delivery Redesign (MNH-Redesign)
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
Health Systems and Workforce
Strengthening Quality of Care
Presenters Desire Habonimana
Lecturer And Researcher, University Of Burundi
Feasibility of a Sustainable Emergency Obstetric Care Training System in Nigeria
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/10 07:10:00 UTC - 2023/05/10 08:25:00 UTC
None
Health Systems and Workforce
Strengthening Quality of Care
Presenters Charles A Ameh
HoD International Public Health/ Professor , Liverpool School Of Tropical Medicine
Co-authors
EK
Eniola Kadir
Consultant OBGYN, University Of Ilorin Teaching Hospital, Kwara State. Nigeria
Country Director
,
Liverpool School of Tropical Medicine Nigeria office
Lecturer and Researcher
,
University of Burundi
ASSISTANT DISTRICT HEALTH OFFICER MNCH/NURSING
,
MBARARA DISTRICT HEALTH OFFICER
Executive Director
,
Sree Renga Hospital,Chengalpattu,Tamilnadu,India
Ms. Fatima Gohar
Maternal and Newborn Health Specialist
,
United Nations Children's Fund (UNICEF)
Ms. Hilma Shikwambi
Midwifery Specialist
,
United Nations Population Fund (UNFPA)
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Assessing the Needs for Emergency Obstetric and...
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A Quality Improvement Collaborative to Enhance ...
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Implementing a Multifaceted Approach to Reduce ...
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Feasibility of a Sustainable Emergency Obstetri...
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