Data analysis and quality improvement initiative proposal

Document Type:Thesis

Subject Area:Nursing

Document 1

Consequently, the population in need of such health services raises some concern about the quality because of the health care standards and absence of the quality assessment systems. In most of the rural-based health facilities, there is lack of current medical technology (Ngabo, et al. Consumer participation in the provision of MCH and patient safety are not adequate. Therefore, it is of major concern about the insufficiency and poor quality of the MCH services because of the lately experienced maternal and newborn mortality similarly with the perinatal deaths. Many health facilities have put more effort towards the achievement of goals associated with the reduction of the infant mortality rate. The reports and data also show that infant nutrition is a major concern, as only few children are breastfed in the first hour of their birth (Spector, et al.

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The media piece also shows that few resources are allotted to some health facilities and this prevents access to quality child and maternal health care. Furthermore, the health specialists are not proportionally distributed and the aspect of being located in the rural areas hinders the professional development opportunities. The quality of the data in the particular reports is efficient although it requires some improvement on how to use the advanced technology in the provision of maternal and child health care. The processes applied in relation to this QI initiative are stable in that international bodies such as USAID have offered their financial support with the focus on the goal of enhancing the health status indicators at all levels. The “national strategy on mother and child health care” quality improvement initiatives have made the biggest difference in improving the health of the mother and children (Necochea, et al.

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Through this QI initiative, many rural-based health facilities have managed to reduce infant mortality and maternal mortality rate at a significant way. Additionally, the data in the media piece is important in guiding the health facilities on how to improve the access to maternal health care and the involvement of mothers in the management of their maternal based medical records. The trends, result measures and data needed in the calculation of specific maternal and child mortality rates are; the number of pregnant women registered within one year or five years, the changes of the level of postpartum hemorrhage among the pregnant women within a specified period of time, and the percentage of the children who are able to breastfeed within the first one hour after their birth (Renfrew, et al. The metrics showing prospects for quality improvement are that the chief doctor of the maternity identifies the need for the provision of education to pregnant women.

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It is also important to modify processes such as how pregnant women are educated during and after pregnancy. Education can be performed through the distribution of leaflets with information about maternal and child care. Pregnant women would also require being directed towards the online resources where they can learn more about personal care and how to take care of their newborn. The local NGOs advocate for the increased number of healthcare providers in the maternity. Moreover, the NGOs emphasize on the implementation of projects focusing on enhancing maternal and newborn health with the involvement of the pregnant women in the decision-making process(Necochea, et al, 2015). The team’s engagement in the QI initiative is through the professional’s commitment in playing the necessary roles (Singh, et al. For instance, the chief doctors are mandated in ensuring that the models of care followed in the health facilities in the provision of maternal and child care areadequate and well communicated among all the midwives.

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In addition, they focus on improving the practices conducted towards the sharing of electronic information between the healthcare providers and patients. Midwives and child health nurses engage in duties such as regular assessment of the pregnant women during their visits and developing relationships with them for effective ANC and retaining efficient records concerning the service delivery(Mate, Ngubane, & Barker, 2013). In the integration of maternal and child health services, the midwives and nurses monitor the progress of the practices performed for the reduction of the mortality rates among the pregnant mothers and their children. For the promotion of quality improvement of interprofessional care the necessary communication strategies needed are; writing of the proposal and addressing it to the nterprofessional team. In addition, it would be necessary to involve the particular team in the proposed changes to identify its concern in having success in the implementation of the QI initiative.

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All the concerns coming up in relation to the QI initiative would need to be addressed swiftly to all the health care providers in the health facilities(Mate, Ngubane, & Barker, 2013). It is also important to assess and realize how the health professionals would react towards the information communicated about the initiative. Therefore, regular meetings with the team members to address all their concerns and challenges are important. Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis. Cochrane Database Syst Rev, 10(10). Graham, W. J. McCaw-Binns, A. Necochea, E. Tripathi, V. Kim, Y. M. Akram, N. Wilson, D. R. Binagwaho, A. Designing and Implementing an Innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda.

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The Pan African Medical Journal, 13. Academic pediatrics, 13(6), S23-S30. Renfrew, M. J. McFadden, A. Bastos, M. Speizer, I. Handa, S. Boadu, R. O. Atinbire, S. Lipsitz, S. Lashoher, A. Dziekan, G. Gawande, A. Improving quality of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist program. The Lancet, 384(9949), 1226-1235.

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