Principal Investigator: Michelle Hynes, Centers for Disease Control and Prevention
The research evaluated whether a participatory quality improvement (QI) intervention would improve the delivery of maternal and newborn health components of the MISP (Minimum Initial Service Package). The study was conducted in 12 health facilities in a protracted conflict in North Kivu, DRC; one of the first times that this QI approach had been used in a humanitarian setting.
The QI intervention consisted of training health staff members, with supportive coaching, to identify and test small changes within their facilities to improve the quality of maternal and newborn care. All facilities received clinical training at the start of the study period, with half the study facilities receiving the QI intervention during the study period, and the rest of the facilities receiving QI training after the study was completed. The research aimed to investigate the value added to a participatory QI process beyond the improvements seen after clinical training.
A longitudinal quasi-experimental mixed method was used with data collection methods including patient exit interviews, data extraction from maternity registers and partographs, patient care observations, and focus group discussions. Baseline and end line data were collected to assess the availability, utilisation, and quality of services.
IMC expects to use research findings to influence future Quality Improvement programming in DRC and other countries.
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