247562 Improving Infection Prevention in Maternal Child Health Services

Wednesday, November 2, 2011: 9:24 AM

Polita Avalos, MD , National Facilitator, Campo Verde Health Center, Campo Verde, Ucayali, Peru
Jorge Linares, BS , Waste Department, Campo Verde Health Center, Campo Verde, Ucayali, Peru
Hipolito Lopez, Midwife , Resources Management, Campo Verde, Campo Verde, Ucayali, Peru
Guillermo Frias, MD, MPH , Regional Operations Manager, Quality Healthcare Project, Lima, Peru
Rosa Maria Valle, RN, MPH , Quality Healthcare Project, San Borja, Peru
In October 2009, the Campo Verde decentralized health team in Ucayali, Peru, completed a process of measuring performance improvement in maternal child health services. Based on their analysis, infection prevention was identified as a critical area for improvement with a range of 0-33% compliance with best practices. This is due in large part to inadequate hand washing, poor decontamination and disinfection procedures, inadequate waste disposal mechanisms, and an overall lack of motivation for compliance among personnel. To address these compliance issues and improve services, the team implemented a quality improvement plan that included developing competencies in infection prevention and bio safety measures, with technical assistance from USAID Peru's Quality Healthcare project.

Eight months later, sixty health providers comply with bio safety standards applying a user-friendly performance improvement methodology and show a positive attitude towards infection prevention. Now clinic users benefit from services that are cleaner, safer, more organized, and have proper signage. Since the quality improvement plan was introduced, compliance with best practices has increased 70%.

Steps are now being taken to make this process sustainable and replicable and the Regional Health Directorate has modified its logistics product list guaranteeing the provision of materials and supplies for clinics. The Directorate is committed to extending this experience to other decentralized health teams counting on the competent, empowered and motivated facilitators who are now trained. Campo Verde has become a national referral site in infection prevention and is providing technical assistance to other regional directorates.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Explain how a performance improvement approach can increase compliance with bio safety standards. Discuss steps to making improvements in infection prevention sustainable.

Keywords: Maternal and Child Health, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I work on the project that is implementing this activity
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.