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Approach collaborative of improvement of quality

SYNTHESIS ON THE EXPERIMENTS OF COLLABORATIFS Of IMPROVEMENT OF THE QUALITY OF CARE PEDIATRIQUES AND NUTRITIONAL, OBSTETRICAL AND NEONATAUX BULKS IN NIGER 2003 - 2007. Approach collaborative of improvement of quality. Several hospitals / centers of health work together

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Approach collaborative of improvement of quality

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  1. SYNTHESIS ON THE EXPERIMENTS OF COLLABORATIFS Of IMPROVEMENT OF THE QUALITY OF CARE PEDIATRIQUES AND NUTRITIONAL, OBSTETRICAL AND NEONATAUX BULKS IN NIGER 2003 - 2007

  2. Approach collaborative of improvement of quality • Several hospitals / centers of health work together • With a purpose / common objective: reduce, ameliorate or augment. (by the improvement of quality by the real implementation and membership in norms / directives of taking care of x or y); • By bringing changes in local processes to implement norms • By using common indicators to measure progress in comparison with fixed objective • By sharing lessons of “ what walked ”

  3. What is it a model of care? • The key elements or essential elements of taking care of a case - type • Often illustrated graphically by one diagram of process

  4. OBSTINATE process Signes De priorité? ARRIVEE 1ou +eurs points TRIAGE NON Signes d’Urg? Eval de routine et TTT OUI OUI Traitement des Signes d’Urgence Transfert 1ère rangée (Eval prioritaire) Stabilisation Exam, DD, TTT, Lab, Prescriptions NON Patient à hospitaliser? OUI SORTIE Réévaluer et TTT

  5. Why to collaborate? • Learnt lessons shared between a network of teams of contractors (they do not reinvent the wheel) • Added value of a multitude of teams working on the same problem or domain (effectiveness)

  6. Who are the collaborators? • Teams of improvement of care within Health Training and between Health Trainings: doctors, nurses, technicians of laboratory, social helpers, other implicated personnel • The managers and leaders of structures of health • Equip Frame of Region • Members of the committees of health • Associations and ONG • Ministry of Health and other partners

  7. What experiments of implementation in Niger? • Collaboratif of improvement of the quality of care pédiatriques in the hospital PHI: 2003 - 2007 • Collaboratif of improvement of the quality of Obstetrical Care and Néonataux Essentiels (GATPA, SEN, PI and Contentment of the customers): 2005 - 2007; • Collaboratif of improvement of the quality of nutritional services in the hospital: 2006 - 2007;

  8. Application of GATPA and Reduction of the Hemorrhages of Post Partum in 3 3 motherhood of the collaboratif SOUNDED of January, 2006 has June, 2007

  9. 25 sites 33 sites Début Soins Essentiels 22 sites 18 sites 13 sites formés 6 sites formés

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