Quality improvement for maternal and newborn health in Mtwara Region Tanzania (IMCHA) "Quality Improvement for Maternal and Newborn Health At District-level Scale(QUADS)"

This project uses the approach of collaborative quality improvement (QI), which is a bottom-up problem solving method that can be used to strengthen health systems. When applied to maternal and newborn health, it can be used to improve both the quality of and the demand for maternal and newborn health services.

To achieve measurable improvements we are integrating the quality improvement strategy at District level health system and regional level. Ultimately, we aim to achieve higher quality of maternal and newborn health care services, better care seeking, and improved maternal and newborn healthcare outcomes.

Quality improvement teams are formed at the council health management team (CHMT), health facilities and community levels. There are series of learning sessions where teams develop change strategies to address various change topics related to MNH complemented with follow-up mentorship and coaching visits as well as sharing experiences implementing QI in subsequent learning sessions. Run charts are used to track progress throughout.

Using a phased implementation we are targeting Tandahimba and Newala district health facilities followed by Masasi town council and Masasi district council.#

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Study Reports and  Other Outputs

1. Paper accepted and in press. Harnessing the health systems strengthening potential of quality improvement using realist evaluation: an example from southern Tanzania.

Authors: Manzi F, Marchant T, Hanson C, Schellenberg J, Mkumbo E, Mlaguzi M, Tancred T

https://ihi.pythonanywhere.com/media/Harnessing_the_health_systems_strengthening_potential_of_quality_improvement_6es4PC0.pdf

2. Report. Quality Improvement at District Scale (QUADS) project - Community Intervention: Implementation and process monitoring (July, 2020).

Authors: Elibariki Mkumbo, Gumi Abdallah, Dr. Fatuma Manzi

https://ihi.pythonanywhere.com/media/Community_intervention_QUADS_Implementation_and_monitoring1.pdf

3. Report. Quality Improvement at District Scale (QUADS) project – Health Facility Intervention Implementation (July 2020).

Authors: Dr. Mwanaidi Mlaguzi, Gumi Abdallah, Dr. Fatuma Manzi

https://ihi.pythonanywhere.com/media/Health_facility_Implementation_-_Report1.pdf

4. Report. Strengthening Quality Improvement at district level - Qualitative evaluation – health provision. July, 2020.

Authors: Dr. Mwanaidi Mlaguzi, Gumi Abdallah, Dr. Fatuma Manzi

https://ihi.pythonanywhere.com/media/Strengthening_QI_activities_QUADS___qualitative_evaluation2019.pdf

5. Manual. MWONGOZO WA MAFUNZO YA VINARA WA MABORESHO ENDELEVU KWA VITENDO KUPITIA MKAKATI WA QUADS (Quality improvement training – simplified_version_Swahili

Authors: Abdallah, G., Mkumbo, E., Zamoyoni, J., Mlaguzi,M., and Manzi, F.

https://ihi.pythonanywhere.com/media/QUADS_CHAMPIONS_GUIDE_SAYANSI_YA_MABORESHO_Swahili.pdf

6. Presentation. Dissemination and policy meeting. Meeting with Ministry of Health Community Development Gender Elderly and Children and President Office Regional Administration and Local Government. Dodoma. August, 2020. Innovating for Maternal and Child Health in Africa. Meeting 19-20 August, 2020.

Author: Fatuma Manzi

https://ihi.pythonanywhere.com/media/QUADS_National_Dissemination18Aug2020final.pptx

7. Presentation.  IMPROVING MATERNAL AND NEWBORN HEALTH:  Measuring quality data at primary facilities and communities in developing countries. Canadian Conference on Global Health 29-31Oct2017

Authors: Fatuma Manzi, Claudia Hanson, Tara Tancred, Petro Arafumin, Elibariki Mkumbo, Gumi Abdallah, Zulfiqal Bhutta

https://ihi.pythonanywhere.com/media/MNCH_QUADS_CANADIAN_summit_2017.pdf

8. Poster. Improved maternal and newborn health in developing countries: the role of quality improvement. Tanzania Health summit. 2017

Author: Dr Fatuma Manzi, Dr Petro Arafumin, Dr Claudia Hanson, Dr Tara Tancred

https://ihi.pythonanywhere.com/media/QUADS_THS_Tanzania_Health_summit.pdf

9. Abstract Accepted. Increasing ANC utilization – a qualitative realistic evaluation on the role of health facility Quality Improvement in Southern Tanzania. 2020. Sixth Global Symposium on Health Systems Research. Paper Number 2639

Author: Gumi Abdallah, Fatuma Manzi

https://ihi.pythonanywhere.com/media/Increasing_ANC_utilization_Gumi_HSG2020_final.pdf

10.  Leaflet. START ANC EARLY, PREVENT SPINAL BEFIDA. June, 2019.

Author: Elibariki Mkumbo and Dr Fatuma Manzi

https://ihi.pythonanywhere.com/media/FEFO_Early_ANC_visit__Leaflet_EnglishSwahili.pdf