1. 16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    This session started with Kumar's work in India using Standards Based Management and Recognition to address the growing need within health facilities due to an increased usage in maternal health services. The program had many successes including the ability for hospitals to self-motivate based on the self-assessment approach and how it provided a framework for supportive supervision and infrastructural/HR improvements. Akter's presentation focused on Bangladesh where they used a pay-for-performance approach to achieve pre-determined performance targets with a quality assurance system to measure performance. The pay-for-performance method produced fantastic results, including increased quality of care scores especially for MNCH. Tripathi explained the work revolving around P-QoC, Process Quality of Care in regards to labor and delivery quality of care. Her work included finding the key dimensions of labor and delivery care, the indicators of those dimensions, and finally a scale to measure QoC given these determinants. Once finalized this tool will be used within the clinic setting by managers and key stakeholders, as well as via rapid surveys and health services research. Chaturvedi presented on how to make sure the effectiveness of the referral system in providing successful EmOC in one district of Madhya Pradesh province in India. Results found that the referral systems were not working as expected in the area, despite the increase of actual EmOC patients. Murdock described the traditional birth attendants in 8 countries in Latin America and the Caribbean. Murdock's rapid assessment provided only select information on certain indicators, but suggested a number of ways forward including periodic testing of provider competency, update clinical guidelines, and provide better supervision for students.

    Moderator: Somesh Kumar, Jhpiego

    Strengthening the quality of maternal and newborn care by using standards based
    management and recognition approach
    Somesh Kumar, Jhpiego
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/e_Somesh%20QoC%20GMHC%20Jan%202013.pdf

    A quality assurance system to measure the institutional obstetric care performance in
    Bangladesh
    Farhana Akter, Population Council
    Presentation; meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/b_Presentation%20for%20GMHC_Farhana_popcouncil.pdf

    Process quality of facility-based labor and delivery care in sub-Saharan Africa: A proposed
    conceptual framework and measurement tool
    Vandana Tripathi, MCHIP, Johns Hopkins School of Public Health
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Tripathi%20496.pdf

    Too close to die: A study of the effectiveness of a referral system for emergency obstetric
    care using spatial analysis in Madhya Pradesh, India
    Sarika Chaturvedi, R D Gardi Medical College and Karolinska Institute
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Chaturvedi%20718.pdf
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/c_Ref%20system-GMHC-Sarika.pdf

    Rapid assessment of selected skilled birth attendants in eight Latin American and
    Caribbean countries
    Martha Murdock, Family Care International
    Presentation: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/a_Martha%20Murdock.pdf

    # vimeo.com/62176981 Uploaded 137 Plays 0 Comments
  2. Global Maternal Health Conference 2013

    Poor audio quality.

    Moderator: Brenda D’Mello, CCBRT

    The impacts of maternal death on living children in Rufiji, Tanzania
    Alicia Yamin, Harvard School of Public Health

    Postpartum maternal morbidity in Morocco: Self-reported against diagnosed morbidity
    Vincent De Brouwere, Institute of Tropical Medicine, Antwerp

    Suicide during pregnancy and postpartum: A missing opportunity in improving maternal care?
    Suneth Agampodi, Rajarata University of Sri Lanka
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Agampodi%201026.pdf

    Equitable access to quality maternal health care for people with disabilities
    Fredrick Msigallah, Comprehensive Community Based Rehabilitation in Tanzania

    Filmed in Arusha, Tanzania. Tuesday, 15 January 2013

    # vimeo.com/61620459 Uploaded 79 Plays 0 Comments
  3. 16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    (Poor audio quality)

    Moderator: Brenda D’Mello, CCBRT

    The impacts of maternal death on living children in Rufiji, Tanzania
    Alicia Yamin, Harvard School of Public Health

    Postpartum maternal morbidity in Morocco: Self-reported against diagnosed morbidity
    Vincent De Brouwere, Institute of Tropical Medicine, Antwerp

    Suicide during pregnancy and postpartum: A missing opportunity in improving maternal care?
    Suneth Agampodi, Rajarata University of Sri Lanka
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Agampodi%201026.pdf

    Equitable access to quality maternal health care for people with disabilities
    Fredrick Msigallah, Comprehensive Community Based Rehabilitation in Tanzania

    # vimeo.com/61610473 Uploaded 34 Plays 0 Comments
  4. 16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    This session focused on the infrastructure needed for quality maternal health care. Bizimana began the session by describing work in one hospital in Uganda around facility readiness. Findings included that staff and personnel were not prepared for the work they needed to do, and infrastructure of the hospital itself (including waste disposal and electricity) were not taken care of. With a 4 month intervention, key issues were resolved leading to better maternal health outcomes. Villegas described her work focused on Mexico state within the country of Mexico. Looking at this large hospital system, they used a systematic approach using key steps made a difference to address problems at the hospitals. Results of the intervention included increased quality of care indicators and reduced maternal mortality. Keyes described research on EmONC facility needs. The team focused on 6 countries, and took note of facility's infrastructure, infection prevention, services offered, guidelines, human resources, HMIS, laboratory, drugs, and equipment and supplies. The score of the facility is related to each country's MMR rates, to show the relationship of how facility capabilities ties directly to MMR rates. Saronga described the cost effectiveness of rural health posts in Tanzania. Their study found that different costs were found for different clinics, causing variability in not only cost, but services provided/available, leading them to realize the need to better streamline quality and cost of care. (Carvalho presentation missing.)

    Moderator: Emily Keyes, FHI 360/AMDD

    Measuring facility readiness to deliver EmONC
    Emily Keyes, FHI 360/AMDD
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Keyes%20947.pdf

    The quality of delivery and newborn care in public hospitals in Uganda: A case study of Mityana hospital
    Abel Bizimana, Mildmay Uganda

    Maternal health cost and efficiency of services in selected health facilities in Lindi and Mtwara rural districts in Tanzania
    Happiness Saronga, Muhimbili University Tanzania and Heidelberg University Germany
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Saronga%201006.pdf

    Measuring and mapping the quality of maternal care in Indian public health facilities
    Natalie Carvalho, University of Melbourne School of Population Health

    State strategy: United hospitals working toward decreasing maternal mortality
    Martha Villegas, ISEM
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Villegas%201287.pdf

    # vimeo.com/61545904 Uploaded 38 Plays 0 Comments
  5. 16 January 2013 | Global Maternal Health Conference 2013, Arusha, Tanzania

    This session focused on the infrastructure needed for quality maternal health care. Bizimana began the session by describing work in one hospital in Uganda around facility readiness. Findings included that staff and personnel were not prepared for the work they needed to do, and infrastructure of the hospital itself (including waste disposal and electricity) were not taken care of. With a 4 month intervention, key issues were resolved leading to better maternal health outcomes. Villegas described her work focused on Mexico state within the country of Mexico. Looking at this large hospital system, they used a systematic approach using key steps made a difference to address problems at the hospitals. Results of the intervention included increased quality of care indicators and reduced maternal mortality. Keyes described research on EmONC facility needs. The team focused on 6 countries, and took note of facility's infrastructure, infection prevention, services offered, guidelines, human resources, HMIS, laboratory, drugs, and equipment and supplies. The score of the facility is related to each country's MMR rates, to show the relationship of how facility capabilities ties directly to MMR rates. Saronga described the cost effectiveness of rural health posts in Tanzania. Their study found that different costs were found for different clinics, causing variability in not only cost, but services provided/available, leading them to realize the need to better streamline quality and cost of care. (Carvalho presentation missing.)

    Moderator: Emily Keyes, FHI 360/AMDD

    Measuring facility readiness to deliver EmONC
    Emily Keyes, FHI 360/AMDD
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Keyes%20947.pdf

    The quality of delivery and newborn care in public hospitals in Uganda: A case study of Mityana hospital
    Abel Bizimana, Mildmay Uganda

    Maternal health cost and efficiency of services in selected health facilities in Lindi and Mtwara rural districts in Tanzania
    Happiness Saronga, Muhimbili University Tanzania and Heidelberg University Germany
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Saronga%201006.pdf

    Measuring and mapping the quality of maternal care in Indian public health facilities
    Natalie Carvalho, University of Melbourne School of Population Health

    State strategy: United hospitals working toward decreasing maternal mortality
    Martha Villegas, ISEM
    Abstract: meeting.tfigroup.com/TFI/media/uploaded/EVTFI/event_743/Villegas%201287.pdf

    # vimeo.com/61617676 Uploaded 45 Plays 0 Comments

Global Maternal Health Conference 2013: Improving quality of care

Maternal Health Task Force PRO

GMHC2013 was a technical conference for scientists, researchers, and policy-makers to network, share knowledge, and build on progress toward eradicating preventable maternal mortality and morbidity by improving quality of care.

The conference was co-sponsored…


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GMHC2013 was a technical conference for scientists, researchers, and policy-makers to network, share knowledge, and build on progress toward eradicating preventable maternal mortality and morbidity by improving quality of care.

The conference was co-sponsored by Management and Development for Health, Dar es Salaam, Tanzania, and the Maternal Health Task Force at the Harvard School of Public Health, Boston, USA.

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