• Login
    • Login
    Advanced Search
    View Item 
    •   AMREF IR Home
    • Research Papers
    • General - GEN
    • General - GEN
    • View Item
    •   AMREF IR Home
    • Research Papers
    • General - GEN
    • General - GEN
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Adaptive Scenarios in Quality Improvement (QI): a Case Study of an International Health Development and Research Organization Embracing Change.

    Thumbnail
    View/Open
    Research article (554.7Kb)
    Adaptive Scenarios in Quality Improvement (QI)_a Case Study of an International Health Development and Rese.pdf (550.8Kb)
    Publication Date
    2015-11
    Authors
    Majigo, Mtebe
    Oruko, Happiness
    Kinagwi, Koki
    Peter, Memiah
    Gabriel, Mahasi
    Fransesca, Odhiambo
    Margaret, Mungai
    Peter, Ofware
    George, Kimathi
    Janepher, Rugutt
    Mwita, Nzomo
    Meshack, Ndirangu
    Lennie, Kyomuhangi
    Samuel, Muhula
    Show More
    (14 total)
    Type
    Article, Journal
    Item Usage Stats
    15
    views
    8
    downloads
    Metadata
    Show full item record
    Citation

    Peter M, Samuel M, Happiness O et al. Adaptive scenarios in quality improvement (QI): a case study of an international health development and research organization embracing change. Int J Health Sci Res. 2015; 5(11):285-291.

    Abstract/Overview

    Background: Health care organizations are under immense pressure to improve the efficiency and effectiveness of care delivery. To date little research into how health organizations in resource-limited settings take up, support, and embed these changes is available on which other services can draw to inform implementation. In this paper, we examine the processes and practices in the organizational context, and showcase how Continuous Quality Improvement (CQI) is embraced in a large health care program. Methods: Amref Health Africa engaged consultants to support implementation of CQI in all its programs and support services. A total of 35 Trainer of Trainers (TOTs) were drawn from different programs and trained on a learning approach focusing on specific knowledge needed to systematically identify and solve problems through case-based reasoning and root cause analysis. Developed action plans were used to provide continuous mentorship and peer-to-peer exchange. The TOTs cascaded the training to the entire organization. CQI teams were formed and quality of service standard indicators were developed for monitoring Results: CQI teams at different service levels were formed and able to follow through the stages of growth and successfully complete a full improvement cycles in 3-9 months. Proportion of TB/HIV co infected clients on HAART increased by 78%. Active HIV female patients screening for cervical increased by 141%. Proportion of MPesa payment increased by 102% and 82% for 1st and 2ndMPesapayments approved within time respectively. Use of partograph improved from 8% to 30% and lost to follow up rates reduced from 56% to 24%. Linkage of HIV positive to care improved by 45% Recommendations: Adopting CQI involved engaging diverse teams in new relationships that could support services to construct shared meaning and purpose, operationalize key concepts and tools, and develop and embed new practices into service systems and routines. Promoting CQI requires a systemic approach and organization-wide commitment in order to improve processes within an institution.

    Subject/Keywords
    Quality Improvement; Training Models; Health Care Providers.
    Further Details

    International Journal of Health Sciences & Research (www.ijhsr.org) Vol.5; Issue: 11; November 2015

    Publisher
    International Journal of Health Sciences and Research - Research Gate
    ISSN
    2249-9571
    Permalink
    https://repository.amref.ac.ke/handle/123456789/499
    Collections
    • General - GEN [355]

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback

     

     

    Quick Links
    Amref International UniversityAmref Health AfricaKLISC

    Browse

    All of AMREF IRCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsTypeThis CollectionBy Issue DateAuthorsTitlesSubjectsType

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback