In close collaboration with the Federal Ministry of Health (FMoH), Regional Health Bureaus (RHB), Zonal Health Departments (ZHD) and Woreda Health Offices (WorHO), the Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) has worked for three-and-a-half years to implement a community care package for mothers and babies around the time of birth in 51 kebeles of Amhara and Oromia regions.This document represents a summary of the ideas and changes that have been shown to improve access to care at the community level.
With support from the United States Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, a team of health care workers from 47 health facilities and one hospital in 40 districts (48 sites) in Uganda used quality improvement methods to improve retention of HIV-positive children under age 14 on antiretroviral therapy (ART). Dramatic improvements were noted, from 30% of children under age 14 retained on ART in March 2013 before the start of intervention activities to 94% by end of January 2014.
This coming September at the Third Global Symposium on Health Systems Research in Cape Town, Frances Day-Stirk, President of the International Confederation of Midwives, and I will be co-chairing a working group on the role of standards, quality improvement, and regulation for improving health worker productivity and performance in the context of universal health coverage (UHC). We will be part of a satellite session on emerging findings and priorities for human resources for health (HRH) post 2015 and one of seven working groups contributing to this effort. During the working group we will present a strategic paper and framework that we are developing together with global experts on this topic.