Post on 03-Apr-2018
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7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Emplhmhktftedk db fk JER-bd`ushi Vuflety
Emprdvhmhkt _rdcrfm Emprdvhs Mfthrkfl fkiKhwadrk Jhfltj Phrve`hs ek @dth iEvderh
P@ Pthkihr6, G Dufttfrf1, UC Gdufied0, R Httehckh-Yrfdr0, PG Gfkjdk0, J Jfrresdk9, J_rfd8, _H Bfssekdu2, FQ Yfkdj2, @ Kedalh1
65 Mfy 1?60
18tj Vufirhkkefl @dkcrhss
Ekthrkftedkfl @duk`el db Kurshs
6Njpehcd Pdutj Fbre`f, 1Njpehcd @dth iEvderh, 0_K_H@ @dth iEvderh, 9Njpehcd XPF, 8F@DKIF-RP
@dth iEvderh, 2HC_FB @dth iEvderh
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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@dllfadrftdrs
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Af`gcrduki
Bukiekc brdm tjh @hkthrs bdr Ieshfsh @dktrdl fki_rhvhktedk tjrducj _rhseihkts Hmhrchk`y _lfk bdr
FEIP Qhlehb *_H_BFQ% Pek`h 1??2, Njpehcd jfs ahhk suppdrtekc tjh
cdvhrkmhkt db @dth iEvderh td rhiu`h mdraeiety fkimdrtflety iuh td JER$FEIP, td s`flh up quflety,ih`hktrflezhi, `dmprhjhksevh JER prhvhktedk, `frh
fki trhftmhkt shrve`hs
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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@dth iEvderh
5+3 melledk pdpulftedk 0+5( -- fiult JER prhvflhk`h
9+9 aertjs$wdmfk -- tdtfl bhrtelety rfth 60( -- `dktrf`hptevh prhvflhk`h :8( $ 98( -- fkthkftfl `frh `dvhrfch
*dkh$bdur vesets%
83( -- sgellhi ftthkifkt ft aertj 93? phr 6??,??? levh aertjs -- mfthrkfl mdrtflety rfted :2 phr 6,??? levh aertjs ekbfkt mdrtflety rfth
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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PAM-Q _rd`hss
PHY> @dkshksus fmdkc stfghjdlihrs dkhveihk`h-afshi phrbdrmfk`h stfkifris
EM_LHMHKY> Mekemum stfkifrisiesshmekfthi tjrducjdut jhfltj systhm
mfkfchmhkt
MHFPXQH> Qdutekh ekthrkfl fsshssmhktidkh ay ld`fl stfbb fki mfkfchmhkt '
phredie` hxthrkfl fsshssmhkts
QH@DCKE^H> Bf`elety f`jehvhmhkts frhbdrmflly rh`dckezhi wjhk mekemum
stfkifris mht
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Mhtjdis
_rdcrfm $ hvfluftedk phredi 1??: 1?6? Yemh shrehs fkflyses db fijhrhk`h td stfkifris db
phrbdrmfk`h ek prhvhktedk db mdtjhr td `jelitrfksmessedk db JER *_MY@Y%
Fsshssmhkt fki dashrvftedk db jhfltj`frh prdveihrphrbdrmfk`h ek 18 bf`eletehs iurekc `leke`fl `dksultftedk ekfkthkftfl `frh, lfadr fki ihlevhry, fki pdst-pfrtum `frh 8 bf`eletehs suppdrthi ay F@DKIF-RP bdlldwhi bdr 1 yhfrs 1? bf`eletehs suppdrthi ay HC_FB bdlldwhi bdr 61 mdktjs
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Pph`ebe` Danh`tevhs db tjh _rdcrfm
6+ Ptrhkctjhk `fpf`ety db seths td dbbhr `dksesthkt quflety_MY@Y shrve`hs
1+ Hstfalesj f sustfekfalh prd`hss db phrbdrmfk`h emprdvhmhkt0+ Puppdrt tjh systhm db mdketdrekc fki suphrvesedk9+ Emprdvh phrbdrmfk`h db hf`j seths fttfekmhkt db stfkifris
ay ft lhfst 1?( brdm afshlekh
Fltjducj kdt ihlekhfthi ek tjh wdrgplfk, tjh jhfltj systhm bd`us db tjh
PAM-Q prd`hss `dkseihrs JER shrve`hs *_MY@Y% wetjek tjh `dkthxt db
ekthcrfthi mfthrkfl fki khdkftfl jhfltj *MKJ% shrve`hs fki emprdvhmhkt ek
MKJ `frh whrh tjus id`umhkthi
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Idmfeks Fsshsshi
IdmfekKumahr db
Ptfkifris
6 Ekbdrmftedk, Hiu`ftedk fki @dmmuke`ftedk 8
1 Bd`ushi fkthkftfl `frh *BFK@% 660 _rdveiekc JER `dukshlekc fki thst rhsults 5
9 @dkiu`tekc rfpei thst bdr JER :
8 @frh iurekc lfadr fki ihlevhry *L"I% 10
2 _dstkftfl frh *_K@% 16
3 Jumfk fki mfthrefl rhsdur`hs 16
: Mfkfchmhkt systhms 68
Ydtfl 660
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Hxfmplh> BFK@ stfkifri #3 *db 66%
Idmfek 1> Bd`ushi Fkthkftfl @frh> afshlekh fsshssmhkt ek dkh prdnh`t seth
_hrbdrmfk`h Ptfkifri Rhrebe`ftedk @rethref U $ K $KF.
@dmmhkts
Yjh prdveihr hxplfeks tjh
rhsults db tjh `leke`flhxfm fki
`dmprhjhksevhly frhsbdr tjh wdmfk
Dashrvh iurekc twd shssedks eb tjh prdveihr>
Hxplfeks tjh prhvedus `leke`fl rhsults fki pjyse`fl hxfm bekiekcstd tjh wdmfk Fiveshs tjh wdmfk dk thtfkus fki fimekesthrs tjh vf``ekh eb
wfrrfkthi
Fiveshs tjh wdmfk dk tfgekc erdk, bdle` f`ei, fki multevetfmeksfki prdveihs prhs`reptedk
Puppdrts afse` prhvhktedk fki trhftmhkt db fkhmef fs khhihi>fiveshs tjh wdmfk td tfgh erdk sulbfth 0?? mc fki ?+18 mc bdle`f`ei ifely bdr 5? ifys
_rhs`reahs fpprdprefth ihwdrmekc trhftmhkt *brdm 1ki tremhsthr% Hxplfeks fki prhs`reahs ekthrmetthkt prhvhktevh tjhrfpy bdr
mflfref f``driekc td tjh kftedkfl cueihlekhs
Fiveshs dk ush fki prhs`reahs eksh`te`eih trhfthi khts
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.U = yhs, K = kd, KF = kdt fpple`falh
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Pfmplh Yemhlekh db F`tevetehs
Ektrdiu`tdrywdrgsjdp
shttekcsstfkifris
Afshlekh
fsshssmhkts
VEthfmseihktebehi
Emplhmhktfted
k>
fiirhssmekdrcfps
_rd`hss
strhkctjhkekc
Emplhmhktfted
k>
fiirhssmfndrcfps
Ekthrkfl
hvfluftedk
Bdlldwupdbp
ddrly
phrbdrmekcseths
Sdrgsjdpdk
sustfekfaelety
Hxthrkflhvf
luftedk
Nuly 1??: Nuly 1?6?Mfy 1??5
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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_rd`hss db Emprdvekc _hrbdrmfk`h
Fsshss> veset bf`elety,ierh`tly dashrvhphrbdrmfk`h
Fkflyzh rhsults td ihthrmekh wjy stfkifris frhkdt ahekc mht fki wjy> prdveihr phrbdrmfk`h -gkdwlhich, sgells, fttetuih fki jhfltj systhms -mfkfchmhkt, hquepmhkt, supplehs
F`tedk plfkkekc fki emplhmhkt td fiirhsscfps> trfekekc, suphrvesedk, mhktdrsjep,th`jke`fl suppdrt, hquepmhkt, supplehs, irucs
Emprdvhi
phrbdrmfk`h
_rek`eplhs>
Ihbekh hxph`tftedks Emprdvh suphrvesedk Qh`dckezh emprdvhmhkt _dsetevh `dmphtetedk
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Ellustrftevh hsshktefl `rethref db mfthrkfl fki khwadrk `frh tjft whrhvhrebehi ukihr stfkifris ek BFK@, L"I, fki _K@ idmfeks>
BFK@ L"I _K@
Bhtfl prhshktftedk
Pypjeles s`rhhkekc
@dukshlekc dk ekbfkt bhhiekc
`jde`hs errhsph`tevh db JERstftus
_jyse`fl hxfmekftedk ek`luiekc
vetfl secks
Fsshs bdr emmekhkt secks dbuthrekh rupturh
Sfsj jfkis wetj sdfp fki
wfthr ahbdrh fki fbthr hf`j
vfcekfl hxfm
Qh`dri bhtfl jhfrt fki mfthrkfljhfrt rfth hvhry jdur
Fimekesthr dxytd`ek emmhiefthlyfbthr ihlevhry
Fsshss vetfl secks db tjh mdtjhrhvhry 68 mekuths bdr tjh berst
jdur
Qh`dckezh secks db pdst-kftfl
ekbh`tedk
Ies`usshs empdrtfk`h db bfmelyplfkkekc fki aertj spf`ekc
Cevh fpprdprefth vf``ekftedks tdtjh ekbfkt
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Afshlekh Fsshssmhkt db Bf`elety _hrbdrmfk`h>Hxfmplhs db Eksubbe`ehk`ehs ek Jhfltj Pysthms
Mfky prdveihrs iei kdt mhht tjh mekemum stfkifrirhquerhmhkts bdr jfki jycehkh predr td idekc f vfcekfl
hxfm fki$dr fssestekc wetj ihlevhry, Hsshktefl mhie`ekhs fki supplehs whrh dbthk kdt
fvfelfalh dk ify db hvfluftedk> A@C vf``ekh, hyh irdps
bdr tjh khdkfth, fkteaedte`s td trhft dppdrtukeste`
ekbh`tedks, fkte-`dkvulsfkts, JER rfpei thst gets frh f bhw
hxfmplhs
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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8 seths bdlldwhi dvhr 1 yhfrs *F@DKIF-RP%
Fuc-?: Nul-?5 Kdv-?5 Nul-6?
1? seths bdlldwhi dvhr 61 mdktjs *HC_FB%
Fuc-?5 Bha-6? Mfy-6? Php-6?
19(95( 21(
:9(
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6?(
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9?(
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afshlekh bdlldw-up bdlldw-up stkflvhrest`fdk_hr`hktdbYdtf
lPtfkifris
FOfek
hi
_hrbdrmfk`hEmprdvhmhktF`rdss:Idmfeksek18PethsYjrducjdutPAM-Q_rd`hss*Fvhrfch%
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Pysthms @jfllhkchs " Pdlutedks
@jfllhkchs hk`dukthrhi
Ihlfys iuh streghs rhsultekcek stfbb susphksedk fkiekthrruptedk db wdrg
Lf`g db lhfihrsjep fki`dmmetmhkt
Ldw stfbb mdrflh iuh tdpddr wdrgekc `dkietedks
Ekthrvhktedks td dvhr`dmh`jfllhkchs
Dphk `dmmuke`ftedk wetjmfkfchrs fki qufletyemprdvhmhkt thfms
Hk`durfch hx`jfkch dbhxphrehk`hs ahtwhhk seths
Qdutekh mdketdrekc fki`fpf`ety aueliekc
Fiietedkfl bukiekc datfekhitd `dmplhth `y`lh
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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F`tedk plfkkekc hxfmplh
Pfmplh db prdalhmseihktebehiIdmfek 8> Lfadr " Ihlevhry6+ @lehkts frh kdt crhhthi wetj rhsph`t1+ @lehkts frh kdt whll ekbdrmhi rhcfriekc tjher
jhfltj *dbbhrekc JER thst, `dukshllekc fbthrihlevhry%
0+ @lehkts fki prdveihrs frh ft resg db JERhxpdsurh fki dtjhr kdsd`dmefl ekbh`tedks
9+ _jyse`fl hxfms db `lehkts frh kdt idkhf``driekc td stfkifris *pfrtdcrfm%
Idmfek 2> _dstkftfl @frh6+ @frh ek tjh emmhiefth pdstpfrtum phredi es
kdt idkh f``driekc td stfkifris1+ @lehkts frh kdt `dmplhthly ekbdrmhi0+ Yjh khwadrk es kdt fpprdprefthly hxfmekhi
Khxt Pthps ihbekhi ayhvfluftdrs
Hstfalesj f quflety emprdvhmhktthfm fki hk`durfch thfmwdrg
Sdrg ek thfms td rhsdlvh semplhcfps
@dkiu`t ekthrkfl fsshssmhkts fkisuphrvesedk td mhfsurh prdcrhss
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Emprdvhmhkt ek MKJ Phrve`hs
?(1?(9?(2?(:?(6??(
_hr`hktPtfkifrisF`jehvhi
Idmfek
Fvhrfch_hrbdrmfk`h
EmprdvhmhktekMKJPhrve`hs
F`rdss1?Pethsdvhr61mdktjs
Afshlekh>Fuc1??5 Ftdkhyhfr>Php1?6?
?(
1?(
9?(
2?(
:?(
6??(
Fkthkftfl
@frh
Lfadrfki
Ihlevhry
_dstkftfl
@frh
Fll:
Idmfeks
_hr`hktPtfkifrisF`jehvhi
Idmfek
Fvhrfch_hrbdrmfk`h
EmprdvhmhktekMKJPhrve`hs
F`rdss8Pethsdvhr1yhfrs
Afshlekh>Fuc1??: Ftdkhyhfr>Nul1??5
Fttwdyhfrs>Nul1?6?
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Qh`dcketedk db F`jehvhmhkt db Vuflety
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@dk`lusedk
Emplhmhktekc f @VE fpprdf`j *PAM-Q% bdr _MY@Y
tjft fiirhsshi fll hsshktefl jhfltj systhms lhi td
seckebe`fkt ahkhbets f`rdss tjh sph`trum db MKJ> hkjfk`hi prdvesedk db prhvhktftevh shrve`hs ek BFK@ emprdvhi ekbh`tedk prhvhktedk prf`te`hs ek lfadr fki
ihlevhry
ek`rhfshi fimekestrftedk db vf``ekhs td khwadrks
7/28/2019 Implementation of an HIV-focused Quality Improvement Program Improves Maternal and Newborn Health Services in Cote dIvoire
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Ahst _rf`te`hs$Lhssdks Lhfrkhi
Khhi f`tevh ekvdlvhmhkt ay `leke`efks fki mfkfchrs ek VEfpprdf`j
Khhi `dk`hrthi hbbdrt td ihvhldp fki emplhmhkt f`tedks plfks @dmmdk afrrehrs td mhhtekc phrbdrmfk`h ek mfky bf`eletehs -
lf`g db fpprdprefth ekbrfstru`turh, kdk buk`tedkekc rhbhrrfl
systhms, ekfihqufth supply db hsshktefl mhie`ekhs
Hksurh f bdrum bdr hx`jfkch db ahst prf`te`hs ahtwhhk bf`eletehs