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Aklilu Yeshitla

Aklilu Yeshitla

IntraHealth International, Ethiopia & Yared Abera, Amref Health Africa -USAID, Ethiopia

Title: Health care quality improvement assessment in four developing regions of Ethiopia

Biography

Biography: Aklilu Yeshitla

Abstract

Background: Developing regions of Ethiopia (Afar, Benishangul-Gumuz, Gambella and Somali) have the country’s worst maternal health including family planning outcome. USAID-supported Transform: Health in Developing Regions (T-HDR) project, led by AMREF with sub partner of IntraHealth, is working with the Federal Ministry of Health to drive large-scale improvements in MNCH/FP clinical performance including access, utilization and quality of care.

 

Methods: A descriptive cross-sectional survey was employed from September- October 2018 using three data collection methods: 1) medical record review, 2) interviews with health workers and mothers, 3) observations through semi-structured questionnaires. Using simple random sampling, 580 medical records were reviewed to determine provision of care and use of national recommended standards.

 

Results: Only 37% of HCs are practicing BEmONC signals in four regions and 48% of HCs used partographs routinely. Routine infection prevention measures are practiced in 86% of facilities: 74% HCs, 98% hospitals. 48% of HCs lacked continuous water supply and 67% of HCs lacked access to electricity (including generators). Only 6% of HCs apply quality improvement processes, 17% of hospitals have functional quality improvement teams. Providers lack sufficient knowledge of postpartum hemorrhage, eclampsia management, and treatment of newborn sepsis, despite reporting they had this knowledge.

 

Conclusion & Recommendations: Regional health bureaus and hospitals need supportive supervision and catchment-based mentorship to improve knowledge and skills of providers and application of national protocols for service quality. Multi-stakeholder collaboration and commitment among bureaus and other government sectors is required for allocation of needed resources.