199598 Continuous Quality Improvement (CQI) strategy increases adherence to child nutrition guidelines

Monday, November 9, 2009: 3:15 PM

Rosmery Chavez, CQI Technician , John Snow Inc. Bolivia, La Paz, Bolivia
Jenny Romero, CQI Manager , John Snow Inc. Bolivia, La Paz, Bolivia
Often, health system guidelines are not applied at the operational level. In Bolivia, as part of the government policy to reduce malnutrition, health providers have been trained in IMCI interventions. However, it was noted that after training adherence to the guidelines was low. John Snow Inc., via the USAID-funded ¨Management and Quality in Health Project, ¨ implemented a CQI strategy using a collaborative model.

72 health facilities in four Departments participated. Quality control teams were composed of health staff that, together, developed managerial skills to monitor child nutrition standards based on policy guidelines. Additionally, the groups applied rapid improvement cycles that included identifying process deficiencies and generating ideas for change in established IMCI implementation guidelines.

The strategy was evaluated comparing preliminary results and those after 8 months of the intervention. Among relevant data, the following were noted: proper application of anthropometric techniques increased from 12% to 78%; follow up of malnourished children from 2% to 37%; and the proportion of care takers that identify key practices for complementary nutrition, from 35% to 68%.

The CQI strategy, using a collaborative model, achieved a 76% adherence rate to IMCI guidelines after 8 months.

Learning Objectives:
To demonstrate the CQI methodology using a collaborative model to increase the adherence of IMCI guidelines over a short time span.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Registered Nurse / Degree in Psychology Masters Degree in Public Health with major in Services Management. Specialist in Human Resources Management. Expert in the implementation of Continuous Quality Improvement processes for health services. Skilled in adult training methodologies and the production of educational materials.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.