Strengthening the policy, implementation, and accountability environment for quality care: experiences from quality of care network countries.

Autor:	Maliqi B; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Cocoman O; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Dohlsten M; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Dussey S; Quality Management Unit, Ministry of Health, Accra, Ghana., Hinton R; Independent Consultant, Geneva, Switzerland., Mannah MT; National Quality Management Programme, Ministry of Health and Sanitation, Freetown, Sierra Leone., Muzigaba M; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Rammal T; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Sabiiti J; Department of Reproductive and Child Health, Ministry of Health, Kampala, Uganda., Yaqub N; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland., Banerjee A; Department of Maternal, Newborn, Child, Adolescent Health and Aging, World Health Organization, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	Frontiers in health services [Front Health Serv] 2024 Jan 16; Vol. 3, pp. 1292510. Date of Electronic Publication: 2024 Jan 16 (Print Publication: 2023).
DOI:	10.3389/frhs.2023.1292510
Abstrakt:	Despite global commitment to universal health coverage with quality, poor quality of care (QOC) continues to impact health outcomes for mothers and newborns, especially in low-and-middle income countries. Although there is much experience from small-scale projects, without a long-term perspective it is unclear how to implement quality of care effectively and consistently for impact. In 2017, ten countries together with the WHO and a coalition of partners established the Network for Improving Quality of Care for Maternal, Newborn and Child Health (the Network). The Network agreed to pursue four strategic objectives-Leadership, Action, Learning and Accountability (LALA) for QOC. This paper describes, analyses and reflects on what has worked and some of the challenges faced in implementation of the LALA framework. The implementation of the LALA framework has served as a catalyst to develop an enabling environment for QOC in the Network countries through strengthening the policy, implementation, accountability and community engagement for quality care. Developing an enabling health system environment takes time, but it is possible and shows results. The implementation shows that health systems continue to face persistent challenges such as capacities to quickly scale up changes across subnational levels, limited workforce capability to implement quality improvement consistently and gaps in quality of relevant data. The implementation has also highlighted the need to develop new mechanisms for community engagement and learning systems that inform scaling up of good QOC practices across programmes and levels of care. Moving forward, the Network countries will build on the experiences and lessons learned and continue to strengthen the implementation of LALA strategic objectives for impact. We hope the Network experience will encourage other countries and partners to adopt the Network implementation model to enable delivery of quality care for everyone, everywhere, and actively collaborate and contribute to the QOC global learning network. Competing Interests: BM, OC, MD, MM, TR, NY and AB are part of the WHO Network Secretariat. SD, MTM and JS are the Co-Chairs of the Network Leadership Group. RH is an associate editor for the BMJ. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Maliqi, Cocoman, Dohlsten, Dussey, Hinton, Mannah, Muzigaba, Rammal, Sabiiti, Yaqub and Banerjee.)
Databáze:	MEDLINE
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