Prepared health systems provide quality care at all times

Maliqi, Blerta; Hinton, Rachael; Chowdury, Minara; Roder‐DeWan, Sanam; Eluwa, Achama; Kassa, Munir

doi:10.1136/bmj-2022-072698

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…High-level turnover of leadership and staff at the different levels of the health system disrupted the commitment and expertise for QOC implementation ( 32 ). Capacity and resource gaps were further exacerbated during Covid-19 leading to disruptions in the availability and quality of essential health services, and ultimately poorer health outcomes ( 20 ). Countries are now looking to expand the experience developed in improving QOC beyond MNH to other areas such as child health, HIV, nutrition, etc ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

“…As part of these efforts, they are considering ways to further strengthen the QOC capacities of the workforce beyond MNH by introducing for example capacity building on QI in in-service and pre-service trainings ( 35 ). Such capacity will also be central to maintaining coverage of good quality essential health services during public health emergencies ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…For example, most countries relied on partners' support to orient and train health care workers in QI or other QOC related interventions ( 13 – 16 ). Implementation at the district and facility levels slowed down during the COVID-19 pandemic but picked up once countries made essential health services an integral part of their response ( 17 – 20 ). The pandemic contributed to disruptions in implementation of MNH QOC plans and activities and the shifting of priorities which lead to the redeployment of resources to support the COVID-19 specific responses.…”

Section: Reflections From Implementationmentioning

confidence: 99%

See 2 more Smart Citations

Strengthening the policy, implementation, and accountability environment for quality care: experiences from quality of care network countries

Maliqi,

Cocoman,

Dohlsten

et al. 2024

Front. Health Serv.

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Despite global commitment to universal health coverage with quality, poor quality of care (QOC) continues to impact health outcomes for mothers and newborns, especially in low-and-middle income countries. Although there is much experience from small-scale projects, without a long-term perspective it is unclear how to implement quality of care effectively and consistently for impact. In 2017, ten countries together with the WHO and a coalition of partners established the Network for Improving Quality of Care for Maternal, Newborn and Child Health (the Network). The Network agreed to pursue four strategic objectives—Leadership, Action, Learning and Accountability (LALA) for QOC. This paper describes, analyses and reflects on what has worked and some of the challenges faced in implementation of the LALA framework. The implementation of the LALA framework has served as a catalyst to develop an enabling environment for QOC in the Network countries through strengthening the policy, implementation, accountability and community engagement for quality care. Developing an enabling health system environment takes time, but it is possible and shows results. The implementation shows that health systems continue to face persistent challenges such as capacities to quickly scale up changes across subnational levels, limited workforce capability to implement quality improvement consistently and gaps in quality of relevant data. The implementation has also highlighted the need to develop new mechanisms for community engagement and learning systems that inform scaling up of good QOC practices across programmes and levels of care. Moving forward, the Network countries will build on the experiences and lessons learned and continue to strengthen the implementation of LALA strategic objectives for impact. We hope the Network experience will encourage other countries and partners to adopt the Network implementation model to enable delivery of quality care for everyone, everywhere, and actively collaborate and contribute to the QOC global learning network.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Reflections From Implementationmentioning

confidence: 99%

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Strengthening the policy, implementation, and accountability environment for quality care: experiences from quality of care network countries

Maliqi,

Cocoman,

Dohlsten

et al. 2024

Front. Health Serv.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Despite widespread recognition of the importance of quality health services, improvement efforts continue to struggle against persistent gaps in financing, workforce, and healthcare infrastructure, alongside the overlapping global challenges from pandemics, conflicts, and climate change 23. As the covid-19 pandemic showed, quality matters even more for population health during a crisis 4…”

mentioning

confidence: 99%

“… 2 3 As the covid-19 pandemic showed, quality matters even more for population health during a crisis. 4 …”

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confidence: 99%

Enable, engage, and innovate for quality

Chiponda,

Tadesse,

Dussey

et al. 2023

BMJ

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Health systems and environmental sustainability: updating frameworks for a new era

Padget,

Peters,

Brunn

et al. 2024

BMJ

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Prepared health systems provide quality care at all times

Abstract: Quality of CarePrepared health systems provide quality care at all times Blerta Maliqi and colleagues argue that capacity of a health system to provide good quality care even during health crises can save lives and is a strong indication of its resilience Policy, Strategy, and Programmes

Cited by 9 publications

References 20 publications

Strengthening the policy, implementation, and accountability environment for quality care: experiences from quality of care network countries

Strengthening the policy, implementation, and accountability environment for quality care: experiences from quality of care network countries

Enable, engage, and innovate for quality

Health systems and environmental sustainability: updating frameworks for a new era

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