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ProFam Uganda: Quality Assessment tools. PACE QA model. Is in line with PSI Global QA protocols But also incorporates MoH guidelines QA is decentralized to all departments not just RH alone Follows 5 QA standards
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PACE QA model • Is in line with PSI Global QA protocols • But also incorporates MoH guidelines • QA is decentralized to all departments not just RH alone • Follows 5 QA standards • Conducts internal Quality Audits once every year in all regions to update QA in the regions • External QA audit done every 2 years • PACE RH staff are regularly trained in areas where weaknesses are identified for example management of adverse events, infection control procedure, medical detailing
5 Quality Assurance Standards 1. Technical Competence 2. Client Safety 3. Informed Choice 4. Privacy and Confidentiality 5. Continuity of Care
What has worked well • Trained RH staff with medical background providing technical assistance to ProFam clinic providers • Providers given on site job training and supervision after recruitment • Quarterly stakeholder meetings-Award ceremonies have been a good way to share new learning between clinics
What has been a challenge • Data entry and flow from clinics to HQs has been difficult and doesn’t feed into MoH HMIS • Annual licenses for providers and clinics are a bottleneck • Adherence of providers to PSI protocols such as infection control procedures • Intensive support supervision needed to maintain quality • Record keeping especially at the facilities is not yet adequate
Addressing Challenges • Adherence to QA -Tools • Continuous QA improvements