1. Quality Improvement Collaboratives GH Mini University October 27, 2006 James Heiby Medical Officer GH/HIDN/HS

11. How do we change the system? The Model for Improvement What are we trying to accomplish? What change can we make that will result in an improvement? How will we know that a change is an improvement? 1. 2. 3. PLAN DO STUDY ACT

12. Standards for Neonatal Resuscitation will be Applied at Each Delivery

13. Mpumalanga TB Data: Case finding per quarter (Data from 30 clinics: 10 per district) QI started

15. Result: Decreased Re-attendant Malaria Patients % re-attendant malaria pat DOT implemented

19. Collaborative Improvement Model as Adapted by QAP Country and Province Selection Orientation of Country Leader Teams Baseline Assessment Identify Country Team CQI Teams Finalize Technical Content/ Change Package Conclusion of Collaborative Ongoing exchange of experiences: -- Website/Extranet -- Coaching visits -- Periodic meetings of teams -- Telephone calls Expert Meeting LEARNING SESSION 2 LEARNING SESSION 3 LEARNING SESSION 4 LEARNING SESSION 1 Preparatory Stage at local level 18-24 months Monthly reporting on indicators A D P S A D P S A D P S

24. RWANDA MALARIA COLLABORATIVE: IMPROVEMENTS IN CARE-SEEKING BY MOTHERS (19 HEALTH CENTERS)

26. RWANDA MALARIA COLLABORATIVE: IMPROVEMENTS IN CASE MANAGEMENT OF CHILDREN < 5 YEARS (19 HEALTH CENTERS)

28. Niger Pediatric Hospital Improvement Collaborative

29. Equipe de PMTCT de Kicukiro

30. KICUKIRO Health Facility: Percentage of partners tested Changes tested: -Home visits and meetings by couples involved in the PMTCT program -Home visits by health providers -IEC on responsible paternity LS1 LS2

31. Gihundwe Health Facility: % of partners tested Send invitation letters to partners Reinforce counselling

32. Rwanda PMTCT—Data Exported from Extranet Percentage of partners of prenatal care women who were tested for HIV

34. Successful Collaboration-Identify and Make Use of the “Early Adopters” Late Majority Early Majority Early Adopters Tradition-alists Innovators 2% 13% 35% 35% 15%

35. Active Management of the Third Stage of Labor