Improving Quality of Care for Children Under Five and Pregnant Women Presenting with Fever in Malawi Facilitator Guide

The purpose of this guide is to help improvement advisors conduct trainings for district level malaria and/or quality improvement coordinators, health care providers and managers to improve quality of care for children under five years of age and pregnant women presenting with fever.

By the end of the training, participants will be able to:
1. Describe what is meant by quality health care.
2. Explain the fundamentals underlying the science of improvement.
3. Give examples of successful improvements from different technical areas and geographic contexts.
4. Explain how gender can be integrated in quality improvement (QI).
5. Develop the following skills:
    a. Define an improvement aim.
    b. Form improvement teams.
    c. Analyze processes of care.
    d. Develop indicators to measure improvement.
    e. Develop, test and implement changes to enable the implementation of everyday work.
    f. Monitor and evaluate results of tested change.

The course is designed around a case study about improving malaria care for febrile children under five years, and it takes the participants through exercises in an improvement journey. The fundamentals of improving health care, as well as the methods, are illustrated through a series of seven improvement modules.

ASSIST publication: 
ASSIST publication
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