The Uganda Ministry of Health (MoH) Quality Improvement Strategy Meeting was convened in Kampala, Uganda, on March 21–22, 2011. The meeting provided a forum for various departments within the MoH, selected partners, and international improvement experts to share experiences, clarify the role of Government partners, and discuss lessons learned from implementing health care quality improvement initiatives at national and local levels. The MoH Quality Assurance Department (QAD) together with the United States Agency for International Development Health Care Improvement Project (HCI) organized and supported this meeting.
Dr. Henry Mwebesa, Commissioner of QAD, chaired the meeting. Dr. M. Rashad Massoud, Director of HCI and Senior Vice President of the Quality & Performance Institute, University Research Co., LLC, designed and facilitated for the meeting.
Throughout the two days, participants shared their experiences with quality improvement (QI) efforts across multiple levels of the health sector, identified challenges and interventions while implementing QI, and made recommendations for harmonizing and sustaining QI efforts in Uganda. Examples discussed were from Uganda, Afghanistan, Sweden, Niger, South Africa, Ethiopia, Russia, and Palestine.
This report summarizes the key discussions during the meeting.
The USAID Health Care Improvement Project was asked by USAID in 2007 to assist the Tanzanian Ministry of Health and Social Work (MoHSW), regional and district level stakeholders, and implementing partners to set up a national Quality Improvement (QI) program for ART/PMTCT services in line with the Tanzania National Quality Improvement Framework. The QI program soon became known as the Partnership for Quality Improvement (PQI). The main aims of the PQI were to: 1) Build capacity for a harmonized QI approach among the many implementing partner organizations working this area, thereby accelerating the speed of and increasing the resource pool for QI in Tanzania; 2) Strengthen capacity for QI at national, regional, district and health facility levels (particularly in light of recent health care reforms to decentralize health services); and 3) Demonstrate the effectiveness of QI collaborative methods in improving patient outcomes in a limited number of regions (a prototype prior to spreading to additional regions).
HCI worked with the National AIDS Control Program (NACP) and the Dutch NGO PharmAccess to develop and implement the PQI. PQI was first launched in Tanga in May 2008 in partnership with AIDS Relief; the second region, Morogoro was included in February 2009, with Family Health International (FHI); and the third region, Mtwara, was added in June 2009 with The Clinton Health Access Initiative (CHAI) and Elizabeth Glaser Pediatric AIDS Foundation (EGPAF). CHAI and EGPAF also committed their own funding and began to replicate PQI in late 2009 to the Lindi region.
The evaluation study examined how well the PQI has worked in the three first regions (Tanga, Morogoro, and Mtwara) and identified how the approach could be further strengthened or modified for spread to other regions in Tanzania in the future.
This web portal was developed by the Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of the Russian Federation, in partnership with the USAID Health Care Improvement Project. It includes a library of over 400 Russian language documents and links on application of improvement methods to maternal and child health and other clinical topics. The site also features a distance learning course on improvement methods and reports on applications of quality improvement methodology in the Russian Federation.