Global Maternal Health Conference 2013

This session began with Sacks describing the work her organization does in Zambia and how their study showed that there were hardships of both the staff and the mothers in delivering quality care. Both access and quality of care were two major standouts that were impeding the ability to provide quality maternal health care. Ghosh then described a program in India which used State and District Quality Assurance Committees to ensure quality of care. The program helped identify key areas on which to concentrate where quality of care was most identified, including: emergency and essential obstetric care, quality antenatal services especially during VHND, regular maternal death review, infection management and biomedical waste management. Onyemelukwe then spoke on the work in Nigeria focused on fixing systems to increase the quality of care. These systems included: improved infrastructure including renovations and upgrade of facilities, improved commodities supply managed using the SDRF, enhanced human resources capacity using competence based trainings; health management information system focused on collation and use of data, monitoring and evaluation, supporting risk pooling mechanism, community participation through the ward health committees and informing citizen focused on the creating awareness on 9 danger signs of pregnancy through facility community outreaches. By using their concentric model, they were able to better streamline their work on the facility level, as well as improve the quality of care for maternal services. Aboda described work in Northern Nigeria in which there is a lack of quality facilities, supplies and workers, in addition to some of the largest morbidity and mortality for maternal health in the country. He noted that by working on tracking components, better quality of care indicators were able to be reviewed, which can result in changes in the future. Chamberlain wrapped up the session with her work in Sierra Leone whereby increasing the support to the clinical staff, they viewed an increase in the ability of that staff to handle their work with more solutions and innovative approaches. Work is ongoing to learn what patient's reception of these changes are and if they have improved their quality of care indicators.

Moderator: Emma Sacks, Medical Institute at Macha

System level factors affecting quality of care in maternal health at hospitals vs. clinics in rural Zambia
Emma Sacks, Medical Institute at Macha

Institutionalizing quality of care initiative in Madhya Pradesh through strengthening quality assurance committees at district level
Sebanti Ghosh, IPE Global

Improving the quality of maternal health care in Lagos State using the concentric model
Akaoma Onyemelukwe, Partnership for Transforming Health Systems in Nigeria

Improving the quality of maternal and newborn health in northern Nigeria
Anthony Aboda, PRRINN–MNCH

Approaches to quality improvement in provider/client relations as an entry point for improved MNCH care and services
Amelia Chamberlain, Concern Worldwide

Filmed in Arusha, Tanzania. Wednesday, 16 January 2013

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