Promotion of Mother-Child Health in Tajikistan - Quality Improvement

Country: 
Tajikistan
Region: 
Area of competence: 
Health Policy and Financing
Donor organization: 
GIZ (German Agency for International Cooperation)
Start of Project: 
01/2018
End of Project: 
11/2021
Staff-month: 
72
Value of service: 
€ 1,170,182
Partner Organisations: 
evaplan
Description of Project: 

The MCH Programme is one element of support to the Tajik Ministry of Health and Social Protection's (MoHSP) endeavours in implementing the National Health Strategy (NHS) 2010 - 2020. It is responding to all three priority areas of the NHS 2010 - 2020: i) health system reform, ii) improving the accessibility, quality and efficiency of health services, and iii) developing the resources for the health system, including improvement of human resources.

The consortium’s assignment will contribute to a) strengthen the Tajik Medical Accreditation Centre (MAC) organisationally and in its efforts to develop and implement a national accreditation plan for all health facilities in Tajikistan, and b) develop and implement an approach to improving the quality of health services for women and new-borns in general at selected facilities in the Khatlon region.

Description of Services: 

The consortium has organised its activities in the context of result area 2 of the GIZ Mother and Child Health Programme aiming at improving quality assurance of health care services for mother and child health  (perinatal care services) in Khatlon, in three work packages (WP):

WP 1: Development of the standards for accreditation of the multipurpose hospitals to the Tajik aiming at improvement of the quality management processes:

Adaption of standards for, facilitating the standard approval process, and preparing and monitoring the implementation of the national accreditation plan; capacity building for already existing structures of MAC, making use of lessons learnt of MAC's involvement in the internal hospital assessments conducted in the context of the KfW MCH Project, and encouraging the continuation of the partnership with MAC Kyrgyzstan for information exchange and knowledge transfer; Introduction of the excel-based accreditation scoring tool (developed, testing and implemented for both full accreditation of the health facilities) and rapid assessment  scoring tool; Introduction and implementation/ support in conducting the Rapid Assessments. This speeds up the time needed for inputting the findings and calculating the final accreditation/rapid assessment grade.

WP 2: Support to Medical Accreditation Committee: 

Define the financial needs for different scenarios of entrepreneurial development and then develop and explore options for revenue generation; Support MAC to critically assess the financial framework conditions and introduction of the business planning concept (includes recommendations for organizational development, human resources/ continuous capacity building, financial constraints); Support in developing communication and information campaign to raise awareness on the activities and importance of the MAC.

WP 3: Support to MoHSP in the development and implementation of hospital QI plans:

Development of the hospital QI plans based on critically assessed and the lessons learnt are incorporated into the proposed GAIN quality approach (Global Accreditation & Quality Initiative); The system of MCH Supportive Supervision has been established and developed. This was carried out by working in close collaboration with the Tajikistan Scientific Research Institute of Obstetrics, Gynaecology and Perinatology, and also with the JICA MCH project. Working closely with KfW MCH Project, the QIHS Project is responsible for supervision visits to 5 of the 8 project hospitals (Dangara, Kulob, Temurmalik, Vose and Sh. Shokhin); Development and implementation of the 10 Infection Prevention Guidelines including design and printing of the posters to implement the Guidelines for 8 Multifunctional hospitals (approved by Order of MoH 1119); Infection Prevention training had been provided and organized in all participating hospitals; Organization and provision of the neonatal resuscitation intensive hands-on training at each site, teaching  practical skills on how to handle neonatal resuscitation and how to setup and use the CPAP machines, attaching the tubing and masks in the right way, and interpreting clinical signs and physiological measurements (e.g. SpO2).

Project Volume: 
€ 1,671,688