{"id":54,"date":"2018-07-31T04:32:18","date_gmt":"2018-07-31T03:32:18","guid":{"rendered":"https:\/\/amref.org\/ke\/uncategorised\/improving-quality-health-services-towards-universal-health-coverage\/"},"modified":"2018-08-08T08:56:57","modified_gmt":"2018-08-08T07:56:57","slug":"improving-quality-health-services-towards-universal-health-coverage","status":"publish","type":"post","link":"https:\/\/amref.org\/kenya\/improving-quality-health-services-towards-universal-health-coverage\/","title":{"rendered":"Improving the Quality of Health Services towards Universal Health Coverage"},"content":{"rendered":"<p style=\"text-align: justify;\">Universal Health Coverage (UHC). That is presently THE buzzword across Kenya\u2019s health system.<\/p>\n<p style=\"text-align: justify;\">While there has been much focus and discussion on the role of the National Health Insurance Fund (NHIF) in providing financial protection for Kenyans so as to reduce out of pocket spending for health, a lot less is being said about the quality of health care services, and how this contributes towards the realisation of UHC.<\/p>\n<p style=\"text-align: justify;\">The World Health Organisation (WHO) defines quality health care as services that are:<\/p>\n<ul>\n<li>Safe\u00a0\u2013 avoiding injuries to people for whom the care is intended<\/li>\n<li>Effective\u00a0\u2013 providing evidence-based health care services to those who need them<\/li>\n<li>People-centred\u00a0\u2013 providing care that responds to individual preferences, needs and values; and<\/li>\n<li>Timely\u00a0\u2013 reducing waiting times and sometimes harmful delays.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">The Kenya Quality Model for Health (KQMH) was developed by the Ministry of Health to ensure quality health services are provided to all Kenyans, contributing to the attainment of the highest standards of health service delivery as envisaged in Kenya\u2019s Constitution.<\/p>\n<p style=\"text-align: justify;\">Through a consultancy funded by the German government through the Deutsche Gesellschaft f\u0178r Internationale Zusammenarbeit (GIZ), Amref Health Africa in Kenya is supporting the rollout of KQMH across 39 facilities in four counties that include Kisumu County. In Kisumu, Amref Health Africa is supporting a total of 12 facilities &#8211; eight public health facilities, two faith-based and two private health facilities.<\/p>\n<p style=\"text-align: justify;\">Kisumu County is one of the four counties identified by the national government to roll out its UHC programme, part of President Uhuru Kenyatta\u2019s &#8216;Big Four&#8217; agenda. Other counties include Nyeri, Isiolo and Machakos.<\/p>\n<p style=\"text-align: justify;\">A visit to Kisumu County Hospital, one of the 12 facilities supported by Amref Health Africa to rollout KQMH, showed progress and initiative on the part of the facility to improve the quality of services offered.<\/p>\n<p style=\"text-align: justify;\">In January 2018, a baseline assessment of the 12 facilities was carried out to identify how the facilities were fairing on quality of health services so as to inform quality improvement. A total of 30 county and health facility staff were trained as Quality Improvement Master Trainers, four of whom were from Kisumu County Hospital. Since then, a total of 100 health care workers of different cadres drawn from all the departments at the facility have been trained on quality improvement through a cascade process.<\/p>\n<p style=\"text-align: justify;\">Through the support from Amref Health Africa in Kenya quality improvement mentors, the facility can now conduct and is equipped with tools for self-assessment with\u00a0a quality improvement team in place to guide quality improvement measures.<\/p>\n<div id=\"attachment_5213\" style=\"width: 615px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-5213\" class=\"size-full wp-image-5213\" src=\"https:\/\/i0.wp.com\/amref.org\/wp-content\/uploads\/2018\/07\/KQMH.png?resize=605%2C386&#038;ssl=1\" alt=\"The quality improvement process\" width=\"605\" height=\"386\" \/><p id=\"caption-attachment-5213\" class=\"wp-caption-text\">The quality improvement process<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>One area of quality improvement identified at the facility\u2019s Maternity Unit was the quality of care provided to clients. Due to the high number of clients seeking delivery services at the unit and a very low nurse: patient ratio, the quality of services offered was wanting. To address this, the quality improvement strategy identified was prioritised care where attention is given first to expectant mothers in need of urgent care. To ensure that emergency supplies are readily and easily accessible when needed, measures to improve the storage, labelling and access of emergency kits e.g. the Emergency Postpartum Haemorrhage (PPH) box, have been put in place.<\/p>\n<div id=\"attachment_5214\" style=\"width: 810px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" decoding=\"async\" aria-describedby=\"caption-attachment-5214\" class=\"wp-image-5214 size-full\" src=\"https:\/\/i0.wp.com\/amref.org\/wp-content\/uploads\/2018\/07\/Clearly-labelled-emergency-kits-e1533007855142.jpg?resize=800%2C532&#038;ssl=1\" alt=\"\" width=\"800\" height=\"532\" \/><p id=\"caption-attachment-5214\" class=\"wp-caption-text\">Emergency supplies are clearly labelled and stored in an easily accessible area for use during emergencies<\/p><\/div>\n<p>Speaking of the support received from Amref Health Africa towards improving the quality of services, Nurse in Charge of the Maternity Unit Ms Lilian Otieno, said, \u201cGoing through the quality improvement process with Amref has been great because of the support and mentorship we have received from the Amref mentors as they work closely with us to facilitate quality improvement.\u201d<\/p>\n<p>Speaking during a courtesy visit to the Kisumu County Department of Health by a team from Amref Health Africa in Kenya led by Country Director Dr Meshack Ndirangu, Acting Chief Officer of Health Dr Dickens Onyango said, \u201cThe County is willing to put in resources for quality improvement but will need additional support from partners to do more and cover all the health facilities across the county.\u201d Dr Onyango added that the County has a strong quality improvement technical working group in place that is made up of partners in health as well as representation from civil society.<\/p>\n<div id=\"attachment_5212\" style=\"width: 810px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" decoding=\"async\" aria-describedby=\"caption-attachment-5212\" class=\"wp-image-5212 size-full\" src=\"https:\/\/i0.wp.com\/amref.org\/wp-content\/uploads\/2018\/07\/Amref-Delegation-to-Kisumu-Health-Department-e1533008314251.jpg?resize=800%2C531&#038;ssl=1\" alt=\"\" width=\"800\" height=\"531\" \/><p id=\"caption-attachment-5212\" class=\"wp-caption-text\">The Amref Health Africa team during a courtesy call to the Kisumu County Department of Health<\/p><\/div>\n<p>As part of the national pilot of UHC, Kisumu County will benefit from additional equipment to health facilities as well as support to increase the County\u2019s health workforce.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Universal Health Coverage (UHC). That is presently THE buzzword across Kenya\u2019s health system. While there has been much focus and discussion on the role of the National Health Insurance Fund [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":57,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[23],"tags":[27,28,29,30,31],"yst_prominent_words":[33,34,35,36,37,38,39,40,41,211,42,43,44,45,46,47,48,49,50,51],"class_list":["post-54","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-kqmh","tag-nhif","tag-uhc","tag-universal-health-coverage","tag-who","country-kenya"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/amref.org\/kenya\/wp-content\/uploads\/sites\/2\/2018\/08\/Amref-Delegation-to-Kisumu-Health-Department-e1533008314251.jpg?fit=800%2C531&ssl=1","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v14.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"robots\" content=\"index, follow\" \/>\n<meta name=\"googlebot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta name=\"bingbot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/amref.org\/kenya\/improving-quality-health-services-towards-universal-health-coverage\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving the Quality of Health Services towards Universal Health Coverage - Amref Health Africa in Kenya\" \/>\n<meta property=\"og:description\" content=\"Universal Health Coverage (UHC). 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