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Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia

Improving the quality of maternal and child healthcare (MCH) is a mandatory step on the path to reaching the Sustainable Development Goals and Universal Health Coverage. Quality improvement (QI) in MCH is a strong focus of the bilateral development cooperation provided by Germany to help strengthen...

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Autores principales: Goyet, Sophie, Broch-Alvarez, Valerie, Becker, Cornelia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747907/
https://www.ncbi.nlm.nih.gov/pubmed/31565404
http://dx.doi.org/10.1136/bmjgh-2019-001562
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author Goyet, Sophie
Broch-Alvarez, Valerie
Becker, Cornelia
author_facet Goyet, Sophie
Broch-Alvarez, Valerie
Becker, Cornelia
author_sort Goyet, Sophie
collection PubMed
description Improving the quality of maternal and child healthcare (MCH) is a mandatory step on the path to reaching the Sustainable Development Goals and Universal Health Coverage. Quality improvement (QI) in MCH is a strong focus of the bilateral development cooperation provided by Germany to help strengthen the health systems of countries with high maternal and child mortality rates and/or with high unmet needs for family planning. In this article, we report on the findings of an analysis commissioned by a community of practice on MCH, of Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ). The objectives were to review the QI interventions implemented through programmes which have received technical assistance from GIZ on behalf of the German Federal Ministry for Economic Cooperation and Development in 14 Asian and African countries, to identify and describe the existing approaches and their results, and finally to draw lessons learnt from their implementation. Our analysis of the information contained in programme documents and reports identified five main methodologies used to improve the quality of care: capacity-building and supervision, governance and regulation, systemic QI at facility level, support to infrastructures, and community support. It is difficult to attribute the observed progresses in maternal and neonatal health to a particular agency, programme or intervention. We acknowledge that systemic implementation research embedded within the programmes would facilitate an understanding of the determinants of successful QI interventions, would better assess their effectiveness, and therefore better guide future bilateral aid programmatic decisions.
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spelling pubmed-67479072019-09-27 Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia Goyet, Sophie Broch-Alvarez, Valerie Becker, Cornelia BMJ Glob Health Practice Improving the quality of maternal and child healthcare (MCH) is a mandatory step on the path to reaching the Sustainable Development Goals and Universal Health Coverage. Quality improvement (QI) in MCH is a strong focus of the bilateral development cooperation provided by Germany to help strengthen the health systems of countries with high maternal and child mortality rates and/or with high unmet needs for family planning. In this article, we report on the findings of an analysis commissioned by a community of practice on MCH, of Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ). The objectives were to review the QI interventions implemented through programmes which have received technical assistance from GIZ on behalf of the German Federal Ministry for Economic Cooperation and Development in 14 Asian and African countries, to identify and describe the existing approaches and their results, and finally to draw lessons learnt from their implementation. Our analysis of the information contained in programme documents and reports identified five main methodologies used to improve the quality of care: capacity-building and supervision, governance and regulation, systemic QI at facility level, support to infrastructures, and community support. It is difficult to attribute the observed progresses in maternal and neonatal health to a particular agency, programme or intervention. We acknowledge that systemic implementation research embedded within the programmes would facilitate an understanding of the determinants of successful QI interventions, would better assess their effectiveness, and therefore better guide future bilateral aid programmatic decisions. BMJ Publishing Group 2019-09-06 /pmc/articles/PMC6747907/ /pubmed/31565404 http://dx.doi.org/10.1136/bmjgh-2019-001562 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Practice
Goyet, Sophie
Broch-Alvarez, Valerie
Becker, Cornelia
Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title_full Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title_fullStr Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title_full_unstemmed Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title_short Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia
title_sort quality improvement in maternal and newborn healthcare: lessons from programmes supported by the german development organisation in africa and asia
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747907/
https://www.ncbi.nlm.nih.gov/pubmed/31565404
http://dx.doi.org/10.1136/bmjgh-2019-001562
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