key findings from reachout work in mozambique
TRANSCRIPT
QUALITY IMPROVEMENT INTERVENTIONS FOR A RESILIENT AND RESPONSIVE
COMMUNITY HEALTH WORKER PROGRAMME IN MOZAMBIQUE
The REACHOUT project is funded by the European Union
M Sidat, C Give & S NdimaFaculty of Medicine
University Eduardo Mondlane
ABOUT MOZAMBIQUE:
SUPERVISION(training on supportive
supervision)
REFERRAL SYSTEM(slip use and referral
tracking)
CHWs MOTIVATION(before-after change)
QI CYCLE 1 INTERVENTIONS(based on context analysis):
• Supervision of CHWs:– Improvements in frequency
and quality of supervision (supportive)
– Group supervision adopted as viable option for regularity of supervision and peer-support
– Record keeping of supervisory activities still problematic
QI CYCLE 1 FINDINGS:
• Referral system:– Still problematic (poor
record keeping makes tracking problematic)
• Motivations of CHWs:– Fragile improvements
(prone to contingencies – timely subsidy payment, kit supply, work load, etc.)
QI CYCLE 1 FINDINGS:
CHALLENGES TO RESILIENT AND RESPONSIVE HEALTH SYSTEM
(ANY HS LEVEL):
QI CYCLE 2:INTERVENTIONS PLANNED
• Strengthen supportive supervision:– Embeding practice of record keeping and monitoring and
evaluation
• Strenghten the referral system (CHW programme):– Training on QI;– Embeding QI practice;– Embeding practice of record keeping and monitoring and
evaluation
QI CYCLE 2 INTERVENTIONS(based on persistent challenges):
MANY THANKS
FOR YOUR ATTENTION
!
MANY THANKSFOR YOUR ATTENTION!