Improving the quality of child health services: participatory action by providers.

@article{Bradley2005ImprovingTQ,
  title={Improving the quality of child health services: participatory action by providers.},
  author={Janet E. Bradley and Susan Igras},
  journal={International journal for quality in health care : journal of the International Society for Quality in Health Care},
  year={2005},
  volume={17 5},
  pages={
          391-9
        }
}
  • J. Bradley, S. Igras
  • Published 1 October 2005
  • Medicine
  • International journal for quality in health care : journal of the International Society for Quality in Health Care
OBJECTIVE To test a quality improvement approach called COPE (Client-Oriented, Provider-Efficient services), for use in strengthening health systems and supporting Integrated Management of Child Health (IMCI) efforts. DESIGN Pre- and post-intervention observations of client/provider interactions, facility audits, staff and client surveys, and focus groups to evaluate differences between eight COPE intervention and eight matched non-intervention facilities after a 15-month intervention in 2001… 
The impact of a quality-improvement package on reproductive health services delivered by private providers in Uganda.
  • S. Agha
  • Medicine
    Studies in family planning
  • 2010
TLDR
Among clinics in which midwives received training in the use of the self-assessment tool and in developing action plans, structural and process attributes of quality improved only among those clinic in which the midwives' supervisors received training on finding solutions to the problems identified through self-ASSessments.
Quality of nutrition services in primary health care facilities: Implications for integrating nutrition into the health system in Bangladesh
TLDR
Strengthening the provision of equipment and increasing the coverage of training are imperative to improve nutrition services in primary health care, especially high caseloads during the management of sick under-five children.
Towards improved health service quality in Tanzania: contribution of a supportive supervision approach to increased quality of primary healthcare
TLDR
The new approach was able to improve and maintain crucial primary healthcare quality standards across different health facility level and owner categories in various contexts and can be considered a suitable option to make routine supportive supervision more effective and adequate.
Embedding systematic quality assessments in supportive supervision at primary healthcare level: application of an electronic Tool to Improve Quality of Healthcare in Tanzania
TLDR
Given its comprehensiveness, convenient handling and automated statistical reports, e-TIQH enables council health staff to conduct systematic quality assessments and may not only contribute to objectively identifying quality gaps, but also to more evidence-based supervision.
Nurse Mentors to Advance Quality Improvement in Primary Health Centers: Lessons From a Pilot Program in Northern Karnataka, India
TLDR
A nurse mentoring program was implemented in northern Karnataka, India, to improve quality of services at primary health centers (PHCs), the lowest level in the public health system that offers basic obstetric care, with successes including development of rapport and trust between mentors and PHC staff, introduction of team-based quality improvement processes, correct and consistent use of a new case sheet to ensure adherence to clinical guidelines, and increases in staff nurses’ knowledge and skills.
Effect of Integrated Supportive Supervision on the Quality of Health-Care Service Delivery in Katsina State, Northwest Nigeria
TLDR
The study shows the positive effect of the ISS on infrastructure, human resources for health, essential drugs, and the number of pregnant women screened for HIV (P < .05) and integrated supportive supervision need to be embedded into the 3 levels of health-care service delivery.
Developing a hospital quality improvement initiative in Lesotho.
TLDR
It was found that early successes helped to fuel further QI gains and the authors believe that the work building sustainable QI skill sets within hospital staff could be useful in the future when attempting to tackle larger national-level quality of care indicators.
Do Strategies to Improve Quality of Maternal and Child Health Care in Lower and Middle Income Countries Lead to Improved Outcomes? A Review of the Evidence
TLDR
Existing evidence linking quality improvement strategies to improved MNCH outcomes is extremely limited and future research would benefit from the inclusion of more appropriate indicators and additional focus on non-facility determinants of health service quality.
Uptake of best-practice recommendations for management of acutely ill children admitted in Kenyatta National Hospital : a longitudinal study employing participatory action research in a complex environment
TLDR
What factors influence the uptake of the best-practice recommendations in a university teaching hospital is explored, using a mixed methods research approach that utilized a before and after design and participatory action research.
Effect of Quality Improvement Approaches on Prevention of Mother to Child Transmission Services Coverage in Nairobi County
TLDR
The study found out that quality improvement is an integral part of PMTCT service delivery and relies heavily on systems being in place and on teamwork between the HCWs and clients as they access treatment services at the health facilities.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 13 REFERENCES
Integrated management of the sick child.
TLDR
Since management of the sick child is a cost-effective health intervention, which has been estimated to have a large impact on the global burden of disease in developing countries, the completion of these materials and their wide implementation should have a substantial impact on child mortality.
Integrated management of childhood illness: a summary of first experiences.
TLDR
The experience of the first countries to adopt and implement the IMCI interventions, the clinical guidelines dealing with the major causes of morbidity and mortality in children, and the training package on these guidelines for health workers in first-level health facilities are described.
The integrated management of childhood illness in western Uganda.
TLDR
It is concluded that the IMCI algorithm was an important advance in the primary care of sick children in developing countries and was tested in the outpatient department of a rural district hospital in western Uganda.
Steps of empowerment evaluation: From California to Cape Town
These basic steps are designed to help program participants internalize evaluation as part of their program planning and management. Each step is illustrated by case examples drawn from work
Participatory Evaluation of Development Assistance
This article addresses two issues: the theoretical strengthening of the participatory evaluation concept, and the strengths and weaknesses in practice of this approach. It demonstrates how
Evaluation of an algorithm for integrated management of childhood illness in an area of Kenya with high malaria transmission.
TLDR
This study provides important technical validation of the IMCI algorithm, but the performance of health workers should be monitored during the early part of their IMCI training.
Malaria diagnosis and treatment under the strategy of the integrated management of childhood illness (IMCI): relevance of laboratory support from the rapid immunochromatographic tests of ICT Malaria P.f/P.v and OptiMal.
TLDR
In holo-endemic areas, use of RIT or microscopical examination of bloodsmears may only be relevant when malaria needs to be excluded as a cause of illness, or during malaria epidemics, and treatment based on clinical diagnosis alone should prove cost-saving in health facilities without microscopy.
COPE for Child Health: A Process for Improving the Quality of Child Health Services
  • New York: AVSC International,
  • 1999
...
1
2
...