QUALITY IMPROVEMENT INTERVENTIONS FOR A RESILIENT AND RESPONSIVE

COMMUNITY HEALTH WORKER PROGRAMME IN MOZAMBIQUE

The REACHOUT project is funded by the European Union

M Sidat, C Give & S NdimaFaculty of Medicine

University Eduardo Mondlane

ABOUT MOZAMBIQUE:

SUPERVISION(training on supportive

supervision)

REFERRAL SYSTEM(slip use and referral

tracking)

CHWs MOTIVATION(before-after change)

QI CYCLE 1 INTERVENTIONS(based on context analysis):

• Supervision of CHWs:– Improvements in frequency

and quality of supervision (supportive)

– Group supervision adopted as viable option for regularity of supervision and peer-support

– Record keeping of supervisory activities still problematic

QI CYCLE 1 FINDINGS:

• Referral system:– Still problematic (poor

record keeping makes tracking problematic)

• Motivations of CHWs:– Fragile improvements

(prone to contingencies – timely subsidy payment, kit supply, work load, etc.)

QI CYCLE 1 FINDINGS:

CHALLENGES TO RESILIENT AND RESPONSIVE HEALTH SYSTEM

(ANY HS LEVEL):

QI CYCLE 2:INTERVENTIONS PLANNED

• Strengthen supportive supervision:– Embeding practice of record keeping and monitoring and

evaluation

• Strenghten the referral system (CHW programme):– Training on QI;– Embeding QI practice;– Embeding practice of record keeping and monitoring and

evaluation

QI CYCLE 2 INTERVENTIONS(based on persistent challenges):

MANY THANKS

FOR YOUR ATTENTION

!

MANY THANKSFOR YOUR ATTENTION!