Cost-Effectiveness of Collaborative Improvement for Essential Obstetric Care | Niger

This study presents results of a costing and cost-effectiveness analysis conducted retrospectively of a 2006-2008 intervention implemented in 33 facilities in Niger to improve maternal and newborn care outcomes by increasing compliance with evidence-based care standards. This study used outcome data from routine program monitoring and costs from a number of sources including USAID Health Care Improvement Project accounting records and surveys of clinical managers.

HWD Frequently Asked Questions, Activity Descriptions, and Common Definitions

For more information about the work of URC's health workforce development unit at URC, please reference the resource entitled "Frequently Asked Questions, Activity Descriptions, and Common Definitions".

Dissémination du Niger au Mali du collaborative d’amélioration des soins obstétricaux et néonataux essentiels et des meilleures pratiques du collaboratifs

Au Mali, le collaboratif des soins obstétricaux et néonataux essentiels (SONNE) a débuté en fin 2009 et est basé sur les procédures et acquis du collaboratif SONNE du Niger mis en oeuvre par le projet d’amélioration des soins de l’USAID (...

Applying Quality Improvement Methods to HR Performance Management

Maina A. Boucar

Quality Improvement Advisor, USAID ASSIST Project/URC

This post originally appeared on the K4Health Blog.

Dr. Karimou Sani, former USAID-HCI Advisor Tahoua, Niger; Dr Ekoye Saidou, Director General MOH Niger; Mr. Sabou Djibrina, UASID – HCI Niger; and Lauren Crigler, USAID HCI Bethesda, USA contributed to this blog post.

Faced by a severe shortage of health care professionals throughout Niger, the country’s Ministry of Public Health requested assistance from USAID’s Health Care Improvement Project (HCI) in 2009 to implement a program to address the health workforce crisis within the country.  In response, my team and I recognized this has an exceptional opportunity to implement a program to improve the management of human resources in selected facilities and management offices within the Tahoua Region.

As a part of the collaborative approach we adopted, quality improvement (QI) teams tested and implemented changes within their own facilities, while simultaneously monitoring performance with QI advisors and coaches from both HCI and the Ministry of Public Health. 

Applying improvement methods to HR performance management

Applying quality improvement methods to HR performance management

As Quality Improvement Advisors, we recognized the importance of supporting the facility teams in strengthening their ability to recognize where they needed to improve their performance and helping them to have confidence in managing the quality of that service within their team. In order to address areas that were in need of improvement, we determined the variables that were adversely impacting health worker performance, engagement, and productivity.  The steps we undertook to address these areas are displayed in the diagram to the right. We began by aligning and clarifying tasks, and we measured progress in performance by tracking clinical indicators. 

The Human Resources Collaborative:Improving Maternal and Child Care in Niger. Final Report.

Amid a worldwide health workforce crisis, health providers carry a burdensome workload, are inadequately paid, and often work in environments that preclude quality care giving. They become disengaged while the demand for health services...

Innovating for Impact: HCI approaches that strengthen human resources for health

Health worker gaps have been demonstrated by the USAID Health Care Improvement Project (HCI) to be effectively addressed through the combined application of human performance technology and quality improvement (QI) methods. Through this...

Assessment of the Human Resources System in Niger

Throughout Africa, a human resources crisis in the public health system has become one of the biggest challenges in the battle against HIV/AIDS, the improvement of maternal and child health and the management of chronic diseases. Health...

Evaluation of the Spread from Niger to Mali of better care practices for essential obstetric and neonatal care and the implementation of collaborative improvement

T he USAID Health Care Improvement has demonstrated the efficiency of the dissemination of improved care practices to new regions within a country or health care system. However, while the spread within a country has been studied, there is...

Aligning and Clarifying Health Worker Tasks to Improve Maternal Care in Niger

Throughout Africa, the human resources crisis in the public health system has become one of the biggest challenges in attaining the Millennium Development Goals (MDGs). In the face of difficult working environments and inadequate support,...