11. Coordinate with stakeholders

Stakeholder coordination is essential at many points along the way of incorporating CQI into a VMMC program and serves many purposes:

  • Achieving consensus about VMMC quality standards and tools
  • Ensuring all stakeholders understand how CQI supports VMMC and what support each stakeholder needs to support sites in improving VMMC quality
  • Resolve misunderstandings about who does what to support sites in CQI
  • Share good practices emerging from VMMC CQI teams

It is important to maintain the active engagement of all VMMC stakeholders in periodically meeting to review CQI results and experiences.  Quality is a never-ending journey, and engagement of stakeholders helps to ensure that VMMC programs continue to improve and set new aims for improvement once initial quality gaps are resolved.

In Uganda, quarterly VMMC stakeholder meetings are convened by the MOH under the leadership of the national VMMC Technical Working Group and Safety Team. In Tanzania, the national VMMC Technical Working Group convenes stakeholders under the leadership of the Ministry of Health. In South Africa, coordinating meetings are held nationally with the National Department of Health and at the provincial level, led by the Provincial Department of Health.

Why stakeholder coordination is important: Ongoing coordination with stakeholders provides a forum for implementing partners to share challenges and successes, as well as be recognized for efforts made to improve care.  In Uganda, ASSIST found that regular coordination meetings among all stakeholders were helpful to align efforts and make sure all partners benefited from good practices.  They also served to instill a sense of friendly competition among implementers which motivated them to encourage their sites, since each wanted to show how their supported sites were improving their performance.