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Réduire les clivages entre les travailleurs de la santé et les décideurs en assurant un meilleur suivi de routine de la qualité des soins

Les progrès sont lents en matière de santé maternelle, néonatale et infantile dans les pays à faible revenu. En Tanzanie, les récentes données indiquent que, malgré un élargissement considérable de la couverture assurée par les services de santé essentiels, le manque de données sur la qualité des soins représente l’un des principaux obstacles à l’atteinte des objectifs relatifs à la santé des mères, des nouveau-nés et des enfants.

Grâce à ce projet, les chercheurs prendront en compte les connaissances acquises au cours de précédents travaux pour développer et valider un outil électronique novateur d’évaluation de la qualité des soins prodigués aux mères et aux nouveau-nés. Ils intégreront l’outil dans l’actuel système de gestion de l’information sur la santé de la Tanzanie, produiront des données sur la façon d’inclure les questions d’égalité des sexes dans l’évaluation de routine de la qualité des soins, et cerneront les principaux facteurs contribuant à une utilisation routinière de l’outil et à son adoption à une plus grande échelle.

Ce projet misera sur les partenariats existants entre l’Ifakara Health Institute (Tanzanie), le SickKids Centre for Global Health du Canada et le ministère de la Santé de la Tanzanie. Le projet proposé s’inscrit dans la lignée des multiples stratégies menées par le gouvernement tanzanien pour améliorer l’état de santé des mères, des nouveau-nés et des enfants, y compris l’initiative Big Results Now.

Ce projet est financé par l’initiative Innovation pour la santé des mères et des enfants d’Afrique. Cette initiative de 36 millions de CAD sur sept ans est financée conjointement par Affaires mondiales Canada, le CRDI et les Instituts de recherche en santé du Canada.

No projet
108546
État du projet
Terminé
Date de fin
Durée
36 months
Agent(e) responsable du crdi
Sana Naffa
Financement total
CA$ 478,920.00
Emplacement
Tanzanie
Pays de l’institution
Tanzania
Chargé(e) de projet
PhD Fatuma Manzi
Institution
The Registered Trustees of Ifakara Health Institute

Résultats

Routine capturing of quality of care data using electronic tool to synergy quality improvement for maternal and newborn health at district scale (QUADS2) - Mtwara Region Southern Tanzania

Routine capturing of quality of care data using electronic tool to synergy quality improvement for maternal and newborn health at district scale (QUADS2) - Mtwara Region Southern Tanzania

Article

The quality improvement for maternal and newborn health at district scale (QUADS2) intervention was carried out in four districts in southern Tanzania (2015-2020). The project was developed to increase data quality and use, promoting more active engagement of policy implementers. Using WHO Quality of Care indicators for maternal and newborn health (World Health Organization, 2019), an electronic tool was developed through which evaluation activities were conducted. Every month health workers uploaded data about their patients. This 2-page article reviews details of the project.

Auteur ou autrice(s) : Ahmad, Aziz, Mkumbo, Elibariki, kionga, Yusuph, Abdallah, Gumi, Mlaguzi, Mwanaidi, Manzi, Fatuma

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Langage : Anglais

Health workers were excited with the use of electronic tool for maternal and newborn health care data

Health workers were excited with the use of electronic tool for maternal and newborn health care data

Article

The article reviews and provides key findings related to the quality improvement for maternal and newborn health at district scale (QUADS2), an intervention carried out in four districts in Mtwara, Tanzania. It provides details of how data collected using an electronic tool resulted in the improvement of maternal and newborn care services. Although significant progress has been made in the availability of information on coverage of essential services in low and middle-income countries, there is inconsistent data available on the quality of care for maternal and newborn care.

Auteur ou autrice(s) : Kionga, Yusufu, Manzi, Fatuma, Ahmad, Aziz

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Langage : Anglais

Improved maternal and newborn health in developing countries : the role of quality improvement

Improved maternal and newborn health in developing countries : the role of quality improvement

Article

In southern Tanzania, uptake of health facility births is high at 80%. Paradoxically, maternal and newborn mortality also remain high. These mortality rates are attributed to the poor quality of maternal and newborn health services. This one-page brochure details the role of the quality improvement for maternal and newborn health at district scale (QUADS2) intervention in improving maternal and newborn care. QUADS has helped to improve the level of understanding of key maternal and newborn health issues in each study district.

Auteur ou autrice(s) : Manzi, Fatuma, Arafumin, Petro, Hanson, Claudia, Tancred, Tara

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Langage : Anglais

Increasing ANC utilization : a qualitative realistic evaluation on the role of health facility quality improvement in Southern districts of Tanzania

Increasing ANC utilization : a qualitative realistic evaluation on the role of health facility quality improvement in Southern districts of Tanzania

Report

The Quality Improvement (QI) approach is powerful for addressing gaps in provision of maternal health care at health facilities. Provision and uptake of Antenatal Care (ANC) during pregnancy is insufficient in Tanzania. The country has reported high maternal mortality rate (556 per 100,000 live births, 2015-2016) indicating the country is still far from achieving Sustainable Development Goal (SDG) Target 3: Reducing maternal mortality to 70 per 100,000 live births. Results of adopting QI approaches show it has made an important contribution in increasing the uptake of services like ANC utilization at health facilities.

Auteur ou autrice(s) : Gumi, Abdallah, Elibariki, Mkumbo, Yusuf, Kionga, Julius, Zamoyoni, Mwanaidi, Mlaguzi, Fatuma, Manzi

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Langage : Anglais

Improving maternal and newborn health : measuring quality data at primary facilities and communities in developing countries

Improving maternal and newborn health : measuring quality data at primary facilities and communities in developing countries

Report

The Quality Improvement (QI) process addresses gaps to ensure mothers receive the care they need. The presentation reviews the QI project, which enhances use of data in order to inform what works, to improve maternal and newborn survival in low-income settings. It provides steps in the process for increasing awareness towards better outcomes at the community level. Registration of birth, as well as other life course statistics are essential to building and improving health care delivery. Training, coaching, mentorship, and leadership skills-strengthening are also important factors.

Auteur ou autrice(s) : Manzi, Fatuma

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Langage : Anglais

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