Online Program

Implementation strategies for adapting global tools, knowledge, and practices in local communities

Monday, November 4, 2013 : 9:30 a.m. - 9:50 a.m.

Kim Ethier Stover, MA, Quality and Perfomance Institute, University Research Co, LLC, Bethesda, MD
Solomon Tesfaye, MD, MPH, University Research Co., LLC, Addis Ababa, Ethiopia
Hajira Mohammed, Msc, MaNHEP, Addis Ababa, Ethiopia
Danika Barry, MPH, Emory University, MaNHEP, Atlanta, GA
Abebe Teshome, Degree in Nursing, MaNHEP, Addis Ababa, Ethiopia
Lynn Sibley, PhD, CNM, FACNM, FAAN, Nell Hodgson Woodruff School of Nursing, Lillian Carter Center for International Nursing, Emory University, Atlanta, GA
The Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) project employed integrated approaches to provide women and newborns with a package of evidence-based maternal and newborn health (MNH) care practices whose timely and consistent provision during birth and the early postnatal period was understood to improve MNH outcomes. Increased delivery of this package was accomplished by participatory community maternal and newborn health training for frontline health workers, women and families as well as a core quality improvement (QI) strategy. The improvement strategy sought to provide the necessary skills and a structure for providers and women, families, and community members to co-develop ways to ensure that MNH care reached women and their newborns “in time, every time”. Community members, health center and woreda (district) health office staff who served as QI team members and coaches were surveyed on perceptions of district culture and leadership for improvement activities before and after the project, motivation for participation in improvement work, and self-assessed capacity for improvement work, using 5-point likert scales, with 5 indicating greater capacity. Average scores were 3.7 out of 5 and above, reflecting the respondents' agreement that they have gained the necessary level of capacity in the improvement skills. Additionally, significant increases from before and after the MaNHEP project were documented. Based on the result from this study it is clear that MaNHEP was successful in creating lead woredas that will be able to continue improvements in maternal and newborn health within their woredas.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Demonstrate the methods by which and the extent to which MaNHEP was able to develop the capacity of the coaches and quality improvement (QI) Teams to support continuous improvement in maternal and newborn care.

Keyword(s): Community Collaboration, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the lead technical expert in the design and implementation of the quality improvement strategy and capacity building efforts for the Maternal and Newborn Health in Ethiopia project which is presented in this abstract. I have been working in the field of health care quality improvement for over 12 years in low and middle income counties on projects funded by the US government and other private foundations.
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.