The Integrated Maternal, Newborn & Paediatric quality of care assessment and improvement tool in hospitals allows use of a standard-based audit approach towards engaging hospitals in firstly assessing all key domains relevant to quality of health care for maternal, newborn & child health, secondly, in developing action plans for quality improvement at hospital and national levels which can be incorporated into the quality improvement cycle, so as to ensure replicability and comparability of results over time and across facilities.

The objectives of this webinar are:

• To share the lessons learned & best practices from field implementation of the quality of care assessment tool for maternal, newborn & paediatric care in 25 countries & 133 hospitals across 5 regions
• Encourage broad stakeholder discussions on quality of care assessment and improvement in hospitals for maternal, newborn & paediatric care, in the context of Universal Health Coverage
• Engage programme managers, partners, researchers and other players on quality of care for inputs & comments while the WHO team is finalizing the tool

Part 1: Presentations

• The Review of implementation features & observed gaps: Dr. Ornella Lincetto, WHO HQ/MCA
• Results of quality cycles and factors influencing change: Dr. Maurice Bucagu, WHO HQ/MCA
• Experience from Pakistan: Dr. Qudsia Uzma, WHO Pakistan
• Experience from Africa Region: Dr. Nancy Kidula, WHO AFRO Zimbabwe

Part 2: Questions and Answers

• Facilitation: Dr. Wilson Were, WHO HQ/MCA

This webinar was hosted by the WHO Department of Maternal, Newborn, Child and Adolescent Health, and Ageing and the Network for Improving Quality of Care for Maternal, Newborn and Child Health.

Tuesday 15 June 2021 at 8am EDT, 2pm CEST and CAT

Improving health worker performance in low- and middle-income countries (LMICs) remains a major challenge. This webinar looked at the global level sharing the findings from a systematic review of the effectiveness of more than 100 strategies in LMICs to improve the performance of health workers (hospital- and clinic-based health workers, CHWs, pharmacists, and drug vendors) in both the public and private sector. The Health Care Provider Performance Review (HCPPR) considers the effectiveness of interventions to improve health worker performance in low- and middle-income countries and was presented by Dr Alex Rowe. The Ministry of Health Malawi also shared country experience and learning to support improvement of health worker performance. The Ministry shared their experience in capacity building for QI which has been undertaken in learning sites and also share assessment tools have been developed to assess health worker performance.

This webinar is co-hosted by the Quality of Care Subgroup of the Child Health Task Force and the Network for Improving Quality of Care for Maternal, Newborn and Child Health.

Improving Quality of Pediatric Care: Key Principles & Approaches and Lessons Learned from Ghana and Kenya/Améliorer la qualité des soins pédiatriques: Les principes clés & approches

Webinar/Webinaire-Monday 22 March 2021/Lundi 22 Mars 2021, 9-10h30 am EDT, 2-3h30 CET

Co-hosted by the Quality of Care subgroup of the Child Health Task Force and the Network for Improving Quality of Care for Maternal, Newborn and Child Health/co-organisée par le sous-groupe pour la Qualité des Soins du Task Force sur la Santé de l'Enfant et le Réseau pour l'amélioration de la qualité des soins pour la santé maternelle, néonatale et infantile

This webinar examined key principles of improving quality of pediatric care and explored approaches and learning from two large scale quality improvement programs in Ghana and Kenya/Ce webinaire a examiné les principes clés de l'amélioration de la qualité des soins pédiatriques et a exploré les approches et les apprentissages de deux programmes d'amélioration de la qualité à grande échelle au Ghana et au Kenya.

The presenters spoke to the following topics:

1. An overview of principles, opportunities and challenges for improving quality of person-centered pediatric care at a large scale.
2. Approaches and key learning from a pediatric QI initiative implemented by the National Catholic Heath Service and the Institute for Health Care Improvement in collaboration with the Ghana Health Service in over 300 Health Posts, Health Centres and Hospitals in Ghana. 
3. An overview of the Kenyan Clinical Information Network (CIN), including the approach to data management and use to track quality of hospital pediatric care and provide regular feedback.
4. Thinking on the central role of focal persons within the CIN hospitals as local leaders to make positive changes.

Les présentateurs ont aborder les sujets suivants:

1. Un aperçu des principes, des opportunités et des défis pour améliorer la qualité des soins pédiatriques axés sur la personne à grande échelle.
2. Approches et enseignements clés d'une initiative d'Amélioration de la Qualité pédiatrique mise en œuvre par le Service national catholique de la santé et l'Institut pour l'amélioration des soins sanitaires en collaboration avec le Service de Santé du Ghana dans plus de 300 postes de santé, centres de santé et hôpitaux au Ghana.
3. Un aperçu sur le Réseau d'informations cliniques du Kenya et l'approche adoptée pour la gestion des données et son utilisation pour le suivi de la qualité des soins pédiatriques hospitaliers et fournir un retour régulier d'informations.
4. Réfléchir au rôle central des personnes focales au sein des hôpitaux CIN en tant que dirigeants locaux pour faire des changements positifs.

Presentations are in English with slides in both English and French/ Les présentations sont en anglais avec des diapositives en anglais et en français.

The Network for Improving Quality of Care for Maternal, Newborn and Health, just organized on 6 June a webinar on ‘What’s in a good birth? WHO recommendations on intrapartum care for a positive childbirth experience’.

Dr Olufemi Oladapo, presented the newly released WHO guideline on intrapartum care and explained why we may have to reconsider what we see as normal in the progression of labour.

He stressed that the increased medicalization of labour in the last two decades, motivated by the desire to improve outcomes for women and babies tends in fact to undermine the woman’s own capability to give birth and negatively impacts her childbirth experience. Dr Oladapo focused on the experience of care, as a critical aspect of ensuring high-quality labour and childbirth care and improved woman-centred outcomes, and not just complementary to provision of routine clinical practices.

This guideline focuses on the care of all healthy pregnant women and their babies during labour and childbirth in any health care setting. It covers essential care that should be provided throughout labour and childbirth, and interventions specific to the first,  second, and third stages of labour.

The guideline was based on a consultative process to understand what women want, need and value during childbirth - a positive childbirth experience that fulfils or exceeds their prior personal and sociocultural beliefs and expectations. It includes 56 recommendations, grouped and presented according to the timing of the practice ranging from labour onset through to the immediate postnatal period.

The presentation was followed by a Q&A session.

Resources:

• WHO recommendations on intrapartum care for a positive childbirth experience: full publication
• WHO recommendations on intrapartum care for a positive childbirth experience: executive summary
• Related infographics
• A “good birth” goes beyond having a healthy baby: commentary by Dr Princess Nothemba Simelela, WHO Assistant Director-General for Family, Women, Children and Adolescents

See the details on all previous Quality of Care Network’s webinars