Quality in FP

7/28/2019 Quality in FP

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DR HANAN ABBBAS Assistant professor of family medicine


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Excellence is never and accident. It is always theresult of high intention, determined effort and

skilled execution. Chinese Proverb


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Reducing the population growth rateImproving the geographical distribution of the

populationUpgrading population characteristicsReducing the demographic, social, and economicgapsamong population groups and different geographic


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1. Family Planning and Reproductive Health2. Child Health and Child Survival3. Education and Illiteracy Elimination4. Women Empowerment5. Adolescent and Youth6. Family Support and Protection7. Information, Education and Communication8. Environment Protection

9. Redistribution of Population10. Decrease social and economic gaps11. Information and Research Support


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Application of quality improvement program ateach of MOHP health unit so that services aredelivered in

accordance with standards of practice. This inaddition to quarterly evaluation throughsupervisory teams at the governorate and districtlevels.


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Quality of health care consists of proper performanceaccording to standards of interventions that are safe,affordable to society and have the ability to produceimpact on mortality, morbidity and disability .


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Technical quality of careNon technical quality aspect of service

1. client waiting time

2. Provider attitude3. Programmatic elements : policies, management, access

,infrastructure .


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Safety and effectivenessQuality attract revenueClient satisfaction and longer continuation

Wider use of services Job satisfaction for providersBetter program reputation and competitivenessExpand access to services

Raising clients expectations Behavior modeling


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Providers think they know better for clients because they have more education, higher social class.

They doubt clients ability to make wise choices thereforethey control counseling sessionAsk question, giving directions and not encouraging

client to participate


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Providers dont learn enough about client situation toadvice them wellClient may not learn enough to make informed decisionsand may simply agree to whatever the provider suggest.Good quality of service reduce clients fears, increaseconfidence in care, and generate loyalty to clinic.


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Quality design :a planning process ,to defineorganizations mission (client, service), allocatesresources, set standardsQuality control :monitoring, supervision, andevaluation.Every worker, every work unit meets these standards.Quality improvement : increase quality and raisestandards by solving problems and improving processes.


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2-Define problem

boundaries

4-Selectsteps tostudy

5-Collect andanalyze data

3-Establishdesired

outcome

6-Takecorrective

action

7-Monitor results

1-Identifyareafor improvement


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1-Client feedback : exit interviews, focus groupdiscussions, satisfaction surveys, and suggestion boxes.

2- Clinical audits: Are a long-standing approach to ensuring quality of medical care.

They are conducted by staff members. These audits critically review medical records.


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3-Inspection and accreditation visits:accreditation and monitoring systems generally rely onsupervisors or inspection teams who visit a service siteand check an extensive list of indicators, they review

the entire operation of a facility.Outside experts may not fully understand the localSituation or be able to gain the trust of staff, thus staff members may conceal problems from inspectors and

reject their recommendations.


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4-Peer review and individual self assessment:These techniques have proved to be both accurate

measures of provider performance and effective formsof feedback that can substitute for outside supervision.

5- Situation Analysis and the Rapid evaluation Method


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What are we trying to Accomplish?How will we know that a changeis an improvement?

What changes can we make thatwill result in improvement?


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Catch the bad apple Improve a persons performance Selected departments and elements of

quality Shaped by accreditation requirements


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CQI focuses on making an entire system'soutcomes better by constantly adjusting andimproving the system itself, instead of searching out getting rid of "bad apples".


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Prevention not inspection Improve system or process Meet regulations and customer

expectations Organization -wide


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What team will accomplish Teams mission

Team membership Team meetings


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Provides a baseline - Where are we? Answers the question - Which changesresult in improvements? Facilitates communication with other teams and leadership Reinforces the work of the team

Builds senior leadership support Prepares the organization for spread


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>> Choice of method;>> Information given to clients;>> Technical competence;

>> Client/provider interaction;>> Mechanism to promote continuation of services;

>> Appropriateness and acceptability of services;

>> Access.


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Number of contraceptive methods available at aspecific Service Delivery PointsPercentage of counseling sessions with newacceptors in which provider discusses all methodsPercentage of client visits during which provider

demonstrates skill at clinical procedures, includingasepsisPercentage of clients reporting sufficient timewith providerPercentage of clients informed of timing andsources for resupply/revisitPercentage of clients who perceive that hours/daysare convenient


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Work as a complete team Dont try to accomplish too much in one

cycle Tackle a basic process before the complex

ones Keep process changes simple and easy to

implement

.


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Quality in FP

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