Interventions implemented in facilities within the three countries implementing EMEN-QI
Targeted intervention | Priority interventions implemented in EMEN-QI | Country(ies) |
Development of infrastructure to support the provision of quality care for mothers and newborns | 1. Construction of new facilities and renovation of existing ones | TZ |
2. Upgrading of existing facilities to provide added functions, for example, theatres in health centres for Comprehensive Emergency Obstetric Care (CEmOC) services and/or increasing bed capacity | BD, TZ | |
3. Construction of toilet and bathing facilities in health centres | GH | |
4. Construction of mechanised boreholes for water supply | GH | |
5. Establishment of special care newborn units in existing facilities | All countries | |
6. Establishment of newborn stabilisation unit in existing facilities | BD | |
7. Establishment of Kangaroo mother care (KMC) units | All countries | |
8. Procurement of motorbikes to support outreach and postnatal home visits | GH | |
9. Procurement of equipment, drugs and supplies | All countries | |
Establishment and institutionalisation of QI processes | 10. Formation and improving functionality of QI teams | All countries |
11. Support for training and placement of human resources for health to facilitate QI | BD, TZ | |
12. Training, mentorship and coaching support (on site) | All countries | |
13. Introduction and strengthening maternal and newborn health (and breastfeeding) counselling | All countries | |
14. Death review and response (maternal and perinatal) | All countries | |
15. Periodic external supervision by (sub)national team | All countries | |
16. Strengthening Health Management Information System to incorporate quality indicators as per EMEN and creation of Dashboards in the District Health Information System V.2 | All countries | |
17. Strengthening national level oversight | All countries | |
Implementation of QI interventions around the provision and experience of care | 18. Infection prevention and control | All countries |
19. Water, sanitation and hygiene in health facilities | All countries | |
20. Adaptation, adoption and use of QI protocols for caregiving | All countries | |
21. Working-area organisation to facilitate care provision including the sort, set in order, shine, standardise, sustain | All countries | |
22. Effective triaging in maternity care | All countries | |
23. Ensuring privacy in caregiving | All countries | |
24. Effective labour monitoring using partographs | All countries | |
25. Postnatal care and counselling | All countries | |
26. Newborn care: resuscitation, breastfeeding promotion, treatment of infections, warm chain (including KMC), sick newborn care | All countries | |
27. Timely referral for appropriate care | All countries | |
28.Community engagement for demand-side perspectives and experience of care, including breastfeeding counselling | GH, TZ |
BD, Bangladesh; EMEN-QI, Every Mother Every Newborn Quality Improvement; GH, Ghana; TZ, Tanzania.