7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

1/20

Emplhmhktftedk db fk JER-bd`ushi Vuflety

Emprdvhmhkt _rdcrfm Emprdvhs Mfthrkfl fkiKhwadrk Jhfltj Phrve`hs ek @dth iEvderh

P@ Pthkihr6, G Dufttfrf1, UC Gdufied0, R Httehckh-Yrfdr0, PG Gfkjdk0, J Jfrresdk9, J_rfd8, _H Bfssekdu2, FQ Yfkdj2, @ Kedalh1

65 Mfy 1?60

18tj Vufirhkkefl @dkcrhss

Ekthrkftedkfl @duk`el db Kurshs

6Njpehcd Pdutj Fbre`f, 1Njpehcd @dth iEvderh, 0_K_H@ @dth iEvderh, 9Njpehcd XPF, 8F@DKIF-RP

@dth iEvderh, 2HC_FB @dth iEvderh

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

2/20

@dllfadrftdrs

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

3/20

Af`gcrduki

Bukiekc brdm tjh @hkthrs bdr Ieshfsh @dktrdl fki_rhvhktedk tjrducj _rhseihkts Hmhrchk`y _lfk bdr

FEIP Qhlehb *_H_BFQ% Pek`h 1??2, Njpehcd jfs ahhk suppdrtekc tjh

cdvhrkmhkt db @dth iEvderh td rhiu`h mdraeiety fkimdrtflety iuh td JER$FEIP, td s`flh up quflety,ih`hktrflezhi, `dmprhjhksevh JER prhvhktedk, `frh

fki trhftmhkt shrve`hs

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

4/20

@dth iEvderh

5+3 melledk pdpulftedk 0+5( -- fiult JER prhvflhk`h

9+9 aertjs$wdmfk -- tdtfl bhrtelety rfth 60( -- `dktrf`hptevh prhvflhk`h :8( $ 98( -- fkthkftfl `frh `dvhrfch

*dkh$bdur vesets%

83( -- sgellhi ftthkifkt ft aertj 93? phr 6??,??? levh aertjs -- mfthrkfl mdrtflety rfted :2 phr 6,??? levh aertjs ekbfkt mdrtflety rfth

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

5/20

PAM-Q _rd`hss

PHY> @dkshksus fmdkc stfghjdlihrs dkhveihk`h-afshi phrbdrmfk`h stfkifris

EM_LHMHKY> Mekemum stfkifrisiesshmekfthi tjrducjdut jhfltj systhm

mfkfchmhkt

MHFPXQH> Qdutekh ekthrkfl fsshssmhktidkh ay ld`fl stfbb fki mfkfchmhkt '

phredie` hxthrkfl fsshssmhkts

QH@DCKE^H> Bf`elety f`jehvhmhkts frhbdrmflly rh`dckezhi wjhk mekemum

stfkifris mht

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

6/20

Mhtjdis

_rdcrfm $ hvfluftedk phredi 1??: 1?6? Yemh shrehs fkflyses db fijhrhk`h td stfkifris db

phrbdrmfk`h ek prhvhktedk db mdtjhr td `jelitrfksmessedk db JER *_MY@Y%

Fsshssmhkt fki dashrvftedk db jhfltj`frh prdveihrphrbdrmfk`h ek 18 bf`eletehs iurekc `leke`fl `dksultftedk ekfkthkftfl `frh, lfadr fki ihlevhry, fki pdst-pfrtum `frh 8 bf`eletehs suppdrthi ay F@DKIF-RP bdlldwhi bdr 1 yhfrs 1? bf`eletehs suppdrthi ay HC_FB bdlldwhi bdr 61 mdktjs

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

7/20

Pph`ebe` Danh`tevhs db tjh _rdcrfm

6+ Ptrhkctjhk `fpf`ety db seths td dbbhr `dksesthkt quflety_MY@Y shrve`hs

1+ Hstfalesj f sustfekfalh prd`hss db phrbdrmfk`h emprdvhmhkt0+ Puppdrt tjh systhm db mdketdrekc fki suphrvesedk9+ Emprdvh phrbdrmfk`h db hf`j seths fttfekmhkt db stfkifris

ay ft lhfst 1?( brdm afshlekh

Fltjducj kdt ihlekhfthi ek tjh wdrgplfk, tjh jhfltj systhm bd`us db tjh

PAM-Q prd`hss `dkseihrs JER shrve`hs *_MY@Y% wetjek tjh `dkthxt db

ekthcrfthi mfthrkfl fki khdkftfl jhfltj *MKJ% shrve`hs fki emprdvhmhkt ek

MKJ `frh whrh tjus id`umhkthi

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

8/20

Idmfeks Fsshsshi

IdmfekKumahr db

Ptfkifris

6 Ekbdrmftedk, Hiu`ftedk fki @dmmuke`ftedk 8

1 Bd`ushi fkthkftfl `frh *BFK@% 660 _rdveiekc JER `dukshlekc fki thst rhsults 5

9 @dkiu`tekc rfpei thst bdr JER :

8 @frh iurekc lfadr fki ihlevhry *L"I% 10

2 _dstkftfl frh *_K@% 16

3 Jumfk fki mfthrefl rhsdur`hs 16

: Mfkfchmhkt systhms 68

Ydtfl 660

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

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Hxfmplh> BFK@ stfkifri #3 *db 66%

Idmfek 1> Bd`ushi Fkthkftfl @frh> afshlekh fsshssmhkt ek dkh prdnh`t seth

_hrbdrmfk`h Ptfkifri Rhrebe`ftedk @rethref U $ K $KF.

@dmmhkts

Yjh prdveihr hxplfeks tjh

rhsults db tjh `leke`flhxfm fki

`dmprhjhksevhly frhsbdr tjh wdmfk

Dashrvh iurekc twd shssedks eb tjh prdveihr>

Hxplfeks tjh prhvedus `leke`fl rhsults fki pjyse`fl hxfm bekiekcstd tjh wdmfk Fiveshs tjh wdmfk dk thtfkus fki fimekesthrs tjh vf``ekh eb

wfrrfkthi

Fiveshs tjh wdmfk dk tfgekc erdk, bdle` f`ei, fki multevetfmeksfki prdveihs prhs`reptedk

Puppdrts afse` prhvhktedk fki trhftmhkt db fkhmef fs khhihi>fiveshs tjh wdmfk td tfgh erdk sulbfth 0?? mc fki ?+18 mc bdle`f`ei ifely bdr 5? ifys

_rhs`reahs fpprdprefth ihwdrmekc trhftmhkt *brdm 1ki tremhsthr% Hxplfeks fki prhs`reahs ekthrmetthkt prhvhktevh tjhrfpy bdr

mflfref f``driekc td tjh kftedkfl cueihlekhs

Fiveshs dk ush fki prhs`reahs eksh`te`eih trhfthi khts

TTTT

TTTT

TTTT

TTTT

TTTT

TTTT

TTTT

.U = yhs, K = kd, KF = kdt fpple`falh

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

10/20

Pfmplh Yemhlekh db F`tevetehs

Ektrdiu`tdrywdrgsjdp

shttekcsstfkifris

Afshlekh

fsshssmhkts

VEthfmseihktebehi

Emplhmhktfted

k>

fiirhssmekdrcfps

_rd`hss

strhkctjhkekc

Emplhmhktfted

k>

fiirhssmfndrcfps

Ekthrkfl

hvfluftedk

Bdlldwupdbp

ddrly

phrbdrmekcseths

Sdrgsjdpdk

sustfekfaelety

Hxthrkflhvf

luftedk

Nuly 1??: Nuly 1?6?Mfy 1??5

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

11/20

_rd`hss db Emprdvekc _hrbdrmfk`h

Fsshss> veset bf`elety,ierh`tly dashrvhphrbdrmfk`h

Fkflyzh rhsults td ihthrmekh wjy stfkifris frhkdt ahekc mht fki wjy> prdveihr phrbdrmfk`h -gkdwlhich, sgells, fttetuih fki jhfltj systhms -mfkfchmhkt, hquepmhkt, supplehs

F`tedk plfkkekc fki emplhmhkt td fiirhsscfps> trfekekc, suphrvesedk, mhktdrsjep,th`jke`fl suppdrt, hquepmhkt, supplehs, irucs

Emprdvhi

phrbdrmfk`h

_rek`eplhs>

Ihbekh hxph`tftedks Emprdvh suphrvesedk Qh`dckezh emprdvhmhkt _dsetevh `dmphtetedk

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

12/20

Ellustrftevh hsshktefl `rethref db mfthrkfl fki khwadrk `frh tjft whrhvhrebehi ukihr stfkifris ek BFK@, L"I, fki _K@ idmfeks>

BFK@ L"I _K@

Bhtfl prhshktftedk

Pypjeles s`rhhkekc

@dukshlekc dk ekbfkt bhhiekc

`jde`hs errhsph`tevh db JERstftus

_jyse`fl hxfmekftedk ek`luiekc

vetfl secks

Fsshs bdr emmekhkt secks dbuthrekh rupturh

Sfsj jfkis wetj sdfp fki

wfthr ahbdrh fki fbthr hf`j

vfcekfl hxfm

Qh`dri bhtfl jhfrt fki mfthrkfljhfrt rfth hvhry jdur

Fimekesthr dxytd`ek emmhiefthlyfbthr ihlevhry

Fsshss vetfl secks db tjh mdtjhrhvhry 68 mekuths bdr tjh berst

jdur

Qh`dckezh secks db pdst-kftfl

ekbh`tedk

Ies`usshs empdrtfk`h db bfmelyplfkkekc fki aertj spf`ekc

Cevh fpprdprefth vf``ekftedks tdtjh ekbfkt

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

13/20

Afshlekh Fsshssmhkt db Bf`elety _hrbdrmfk`h>Hxfmplhs db Eksubbe`ehk`ehs ek Jhfltj Pysthms

Mfky prdveihrs iei kdt mhht tjh mekemum stfkifrirhquerhmhkts bdr jfki jycehkh predr td idekc f vfcekfl

hxfm fki$dr fssestekc wetj ihlevhry, Hsshktefl mhie`ekhs fki supplehs whrh dbthk kdt

fvfelfalh dk ify db hvfluftedk> A@C vf``ekh, hyh irdps

bdr tjh khdkfth, fkteaedte`s td trhft dppdrtukeste`

ekbh`tedks, fkte-`dkvulsfkts, JER rfpei thst gets frh f bhw

hxfmplhs

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

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8 seths bdlldwhi dvhr 1 yhfrs *F@DKIF-RP%

Fuc-?: Nul-?5 Kdv-?5 Nul-6?

1? seths bdlldwhi dvhr 61 mdktjs *HC_FB%

Fuc-?5 Bha-6? Mfy-6? Php-6?

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afshlekh bdlldw-up bdlldw-up stkflvhrest`fdk_hr`hktdbYdtf

lPtfkifris

FOfek

hi

_hrbdrmfk`hEmprdvhmhktF`rdss:Idmfeksek18PethsYjrducjdutPAM-Q_rd`hss*Fvhrfch%

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

15/20

Pysthms @jfllhkchs " Pdlutedks

@jfllhkchs hk`dukthrhi

Ihlfys iuh streghs rhsultekcek stfbb susphksedk fkiekthrruptedk db wdrg

Lf`g db lhfihrsjep fki`dmmetmhkt

Ldw stfbb mdrflh iuh tdpddr wdrgekc `dkietedks

Ekthrvhktedks td dvhr`dmh`jfllhkchs

Dphk `dmmuke`ftedk wetjmfkfchrs fki qufletyemprdvhmhkt thfms

Hk`durfch hx`jfkch dbhxphrehk`hs ahtwhhk seths

Qdutekh mdketdrekc fki`fpf`ety aueliekc

Fiietedkfl bukiekc datfekhitd `dmplhth `y`lh

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

16/20

F`tedk plfkkekc hxfmplh

Pfmplh db prdalhmseihktebehiIdmfek 8> Lfadr " Ihlevhry6+ @lehkts frh kdt crhhthi wetj rhsph`t1+ @lehkts frh kdt whll ekbdrmhi rhcfriekc tjher

jhfltj *dbbhrekc JER thst, `dukshllekc fbthrihlevhry%

0+ @lehkts fki prdveihrs frh ft resg db JERhxpdsurh fki dtjhr kdsd`dmefl ekbh`tedks

9+ _jyse`fl hxfms db `lehkts frh kdt idkhf``driekc td stfkifris *pfrtdcrfm%

Idmfek 2> _dstkftfl @frh6+ @frh ek tjh emmhiefth pdstpfrtum phredi es

kdt idkh f``driekc td stfkifris1+ @lehkts frh kdt `dmplhthly ekbdrmhi0+ Yjh khwadrk es kdt fpprdprefthly hxfmekhi

Khxt Pthps ihbekhi ayhvfluftdrs

Hstfalesj f quflety emprdvhmhktthfm fki hk`durfch thfmwdrg

Sdrg ek thfms td rhsdlvh semplhcfps

@dkiu`t ekthrkfl fsshssmhkts fkisuphrvesedk td mhfsurh prdcrhss

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

17/20

Emprdvhmhkt ek MKJ Phrve`hs

?(1?(9?(2?(:?(6??(

_hr`hktPtfkifrisF`jehvhi

Idmfek

Fvhrfch_hrbdrmfk`h

EmprdvhmhktekMKJPhrve`hs

F`rdss1?Pethsdvhr61mdktjs

Afshlekh>Fuc1??5 Ftdkhyhfr>Php1?6?

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Fkthkftfl

@frh

Lfadrfki

Ihlevhry

_dstkftfl

@frh

Fll:

Idmfeks

_hr`hktPtfkifrisF`jehvhi

Idmfek

Fvhrfch_hrbdrmfk`h

EmprdvhmhktekMKJPhrve`hs

F`rdss8Pethsdvhr1yhfrs

Afshlekh>Fuc1??: Ftdkhyhfr>Nul1??5

Fttwdyhfrs>Nul1?6?

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

18/20

Qh`dcketedk db F`jehvhmhkt db Vuflety

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

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@dk`lusedk

Emplhmhktekc f @VE fpprdf`j *PAM-Q% bdr _MY@Y

tjft fiirhsshi fll hsshktefl jhfltj systhms lhi td

seckebe`fkt ahkhbets f`rdss tjh sph`trum db MKJ> hkjfk`hi prdvesedk db prhvhktftevh shrve`hs ek BFK@ emprdvhi ekbh`tedk prhvhktedk prf`te`hs ek lfadr fki

ihlevhry

ek`rhfshi fimekestrftedk db vf``ekhs td khwadrks

7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire

20/20

Ahst _rf`te`hs$Lhssdks Lhfrkhi

Khhi f`tevh ekvdlvhmhkt ay `leke`efks fki mfkfchrs ek VEfpprdf`j

Khhi `dk`hrthi hbbdrt td ihvhldp fki emplhmhkt f`tedks plfks @dmmdk afrrehrs td mhhtekc phrbdrmfk`h ek mfky bf`eletehs -

lf`g db fpprdprefth ekbrfstru`turh, kdk buk`tedkekc rhbhrrfl

systhms, ekfihqufth supply db hsshktefl mhie`ekhs

Hksurh f bdrum bdr hx`jfkch db ahst prf`te`hs ahtwhhk bf`eletehs