Please add your responses below | Veuillez ajouter vos réponses ci-dessous by TechChange https://padlet.com/techchange/ib7gerzf45z78qiz List some critical actions health systems must adopt to ensure essential, quality maternal and newborn health services continue in the face of crises. || Citez quelques actions essentielles que les systèmes de santé doivent adopter pour garantir la continuité des services de santé essentiels et de qualité pour les mères et les nouveau-nés en cas de crise. en-us 2022-03-24 17:36:40 UTC 2022-04-07 21:42:01 UTC hello@padlet.com https://padlet-uploads.storage.googleapis.com/1155856366/b6ab9b536d19b7326f1daac3da147ec4/alignmnh_logo.jpg https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132414834 nous formons les prestataires en santé maternelle et néonatale sur les soins maternels et néonatale autour du jour de la naissance selon l'approche PDHF couplée à l'amélioration de la qualité

]]> 2022-04-06 11:10:24 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132414834 notre responsabilité est d'intégrer la formation sur les interventions à haut impact de la santé de la mère et du NN et les soins post grossesse et planification familiale en post partum par le biais de renforcement de capacité des prestataires et introduction du processus d'amélioration de la qualité pour résoudre leurs propres problèmes https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132418011 2022-04-06 11:13:35 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132418011 Community Engagement https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132421770 2022-04-06 11:16:49 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132421770 Quality improvement initiatives including maternal and perinatal death surveillance and response (MPDSR) https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132422604 2022-04-06 11:17:40 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132422604 adequate supervision and support for frontline providers https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132435533 2022-04-06 11:30:06 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132435533 Flexible capacity building approaches that can be in-person, remote or hybrid. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132438507 2022-04-06 11:32:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132438507 working with leadership as leaders of the changes in Health Syste strengthening is essential https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132438964 2022-04-06 11:33:22 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132438964 Prioritizing adequate and fairly compensated human resources https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439059 2022-04-06 11:33:27 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439059 Make sure newborn care is included in pre-service training in adequate depth https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439097 2022-04-06 11:33:29 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439097 collective vision across teams https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439253 2022-04-06 11:33:36 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439253 Continuing Education https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439284 2022-04-06 11:33:38 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439284 Listen to the patients https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439394 2022-04-06 11:33:44 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439394 Leadership must be supported to develop the competencies necessary to lead QI at various levels, including supporting competencies such as project management etc. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439516 2022-04-06 11:33:52 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439516 leadership is needed at all levels of the health system https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439597 2022-04-06 11:33:57 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439597 Community decision making https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439687 Facilitate opportunties for communities not just to hear and receive health education but to influence decision making with regard to QOC- how can community voices be included on improving service delivery models]]> 2022-04-06 11:34:03 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439687 Case study and hands on practical training https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439772 2022-04-06 11:34:05 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132439772 Have specialised cadres. e.g. midwife instead of nurse/midwife; neonatal nurse, neonatologist https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440029 2022-04-06 11:34:20 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440029 supportive supervision https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440090 2022-04-06 11:34:24 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440090 Comply to standards of care every time https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440302 2022-04-06 11:34:37 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440302 Quality Leadership informed by all levels starting at community level https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440352 2022-04-06 11:34:39 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440352 Give clear guidelines. Good communication between leaders and service delivery https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440449 2022-04-06 11:34:46 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440449 RMC as discussed yesterday should be emphasized across the board with emhasis on patients care as well as suppot to Health Care workers https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440471 2022-04-06 11:34:47 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440471 Leadership https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440572 2022-04-06 11:34:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440572 Development and implementation of health security, emergencies and resilience plans that better address MNCH https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440621 2022-04-06 11:34:57 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440621 The Health care providers supported for ongoing training and maintaining of key knowledge, skill and comptency https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440806 2022-04-06 11:35:10 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440806 peer-peer and collaborative learning is important to practice QI https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440819 2022-04-06 11:35:11 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132440819 determinants of health https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441186 Advocate for action on the broader determinants of health -- economic, social, environmental and beyond -- to improve the baseline health status of all.]]> 2022-04-06 11:35:35 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441186 Overall better management https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441277 Strengthening leadership and management overall (not specific but inclusive of MNH) at facility and subnational levels to enable a healthy organizational culture conducive to learning, innovation and accountability ]]> 2022-04-06 11:35:40 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441277 Whole site capacity building on quality https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441317 2022-04-06 11:35:42 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441317 Competency based training is essential along with mentoring and coaching https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441472 2022-04-06 11:35:51 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441472 Ensure care according to needs of sub-populations https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441547 Ensure that the system serves different sub-populations affected by crises adequately. Not clumping all mothers and newborns as one homogenous group, but understanding how crises exarcebate vulnerabilities for subpopulations of this group, necessitating an equity lens that is also intersectional lens. ]]> 2022-04-06 11:35:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132441547 Clients should have the power to seek accountability https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132442117 2022-04-06 11:36:25 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132442117 Local solutions from local communities https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443016 2022-04-06 11:37:19 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443016 Leadership https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443279 Il faut inclure une ligne budgetaire pour la qualité de la des soins]]> 2022-04-06 11:37:33 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443279 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443512 Clear national and district level leadership trainings for ministry of health managers in how to plan and resourcing MNH services ]]> 2022-04-06 11:37:45 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443512 Innovate on self care and community based care https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443562 Systems to explore and adapt to self-care and community based care where possible to expand care and maintain quality even as facility services are disrupted by crises]]> 2022-04-06 11:37:48 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443562 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443920 increasing community/patient voices in MPDSR particularly in unpacking the 3rd delay and how the 3rd delay contributes to mortality. 
How can MPDSR harness the voices of the affected communities to improve QOC]]> 2022-04-06 11:38:06 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132443920 Engaging communities in accountability for quality https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444399 2022-04-06 11:38:30 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444399 Document actions and report back https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444760 Tracking what is done and reporting back to teams on actions motivates and encourages more action]]> 2022-04-06 11:38:52 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444760 Bring all relevant parties together to join hands and plan (+ prioritize + leverage resources), implement, monitor/evaluate) together. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444788 2022-04-06 11:38:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132444788 Develop and avail SOPs https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445286 2022-04-06 11:39:20 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445286 Leadership makes all the difference, one good leader can change the services, management and the quality of care. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445720 2022-04-06 11:39:45 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445720 Blame versus accountability https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445756 while health systems require a blame free environment to work, it is critical that there are opportunities to hold individuals and institutions accountability for failures and negligence- how can this work i.e. hold people accountable while maintaining a no-blame culture]]> 2022-04-06 11:39:47 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445756 Implement participatory research to learn from the community before engaging them https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445971 2022-04-06 11:39:59 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132445971 Integrate IR /development monitoring/evaluation to inform programming. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446162 2022-04-06 11:40:10 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446162 On-going and supportive mentorship- blamefree, constructive and respectful learning environment for frontline workers https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446246 2022-04-06 11:40:15 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446246 Better facility structures welcoming to mothers https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446267 2022-04-06 11:40:15 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446267 Embedded systems learning approaches https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446386 Embedding research at primary care level for learning, testing and refining of solutions that are contextually relevant and suitable. An embedded approach means learning is continual and applied to health systems strengthening problems for that context. ]]> 2022-04-06 11:40:22 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446386 Hybrid, blend of directed and self-directed learning, respecting adult learners https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446457 2022-04-06 11:40:27 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446457 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446540 Include women and those who are impacted by decisions, in the decision-making. Ensure that women are listened to and inform decisions.]]> 2022-04-06 11:40:31 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446540 Mentors, leaders and health providers all need to know their responsibilities and should be accountable- but equally important is the culture of nurture and appreciation https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446638 2022-04-06 11:40:36 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446638 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446865 Develop quality guidance, checklists, auditing tools in areas related to IPC, triage system, referral system, documentation and reporting, clinical management standards, infrastructure , etc and how supportive supervision supporting the implementation of these tools ]]> 2022-04-06 11:40:45 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446865 Educate prenatal moms - what to expect when expecting and delivering https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446916 2022-04-06 11:40:47 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132446916 Ensure midwifery students are educated by midwifery academics and clinicians to ensure they are taught within a midwifery model of woman centred care. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132447718 2022-04-06 11:41:25 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132447718 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132447830 Develop a clear learning process to examine the effectiveness of new interventions.]]> 2022-04-06 11:41:31 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132447830 Clarity of vision https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448237 Clearly defined goals and targets,  clearly marked timeline, with assured funding, and popular support for the activity
 ]]> 2022-04-06 11:41:51 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448237 https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448928 Roles and responsibilities for each level and demarcation between different roles ]]> 2022-04-06 11:42:22 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448928 Be present as a leader, establish quality benchmarks https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448973 2022-04-06 11:42:24 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132448973 Accountability and responsibility is key to any program or day to day activity. If a healthcare provider is accountable/ responsible he/she will do the best. At the same time community also needs to be responsible. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132449555 2022-04-06 11:42:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132449555 Strategic decision making with quality as a priority to align resources https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132449988 2022-04-06 11:43:14 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132449988 Ensure resources are available for personnel to conduct their job https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132450790 2022-04-06 11:43:48 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132450790 A Chief Midwifery officer for every country. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132450958 2022-04-06 11:43:57 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132450958 Breaking the barrier between healthcare professions https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132451953 The existing barrier between the different cadre of healthcare professionals should be removed, promoting teamwork and synergy in provision of MN care]]> 2022-04-06 11:44:45 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132451953 Establish an iterative process of inquiry/curiosity without being penalized so health care providers are willing to understand what went wrong, what went right, and how to improve those aspects that were not working. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132452530 2022-04-06 11:45:13 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132452530 put in quality lenses on what they approve plan, report and budgust https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132452683 2022-04-06 11:45:22 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132452683 audit service regularly https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132453721 2022-04-06 11:46:11 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132453721 Establish dashboards that could be populated by staff and shared with the QI Teams to make decisions https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132453828 2022-04-06 11:46:16 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132453828 Leadership integrity and decision making transparency https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132455723 2022-04-06 11:47:53 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132455723 Promoting Research Driven Policy and Practice https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132456904 Involving the academic will promote research driven policy and practice. RMNCH programmes should welcome and include research outcomes in program implementations]]> 2022-04-06 11:48:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132456904 Leadership at facility level can already start with point of care QI practices while health system is getting its act together - start with what you have and build upon, rather than waiting endlessly for health system to become fully functional. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132459542 2022-04-06 11:50:53 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132459542 make use of data to inform action https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132459678 2022-04-06 11:51:01 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132459678 advocacy for collecting less data, less detail. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132467818 2022-04-06 11:57:50 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132467818 checklists, process SOPs tracking tools should be clear with follow up and feedback with action taken https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132479538 2022-04-06 12:06:48 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132479538 Accountability to patient experiences. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132486173 2022-04-06 12:10:44 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132486173 Parents as partners https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132486184 We need to find ways to respectfully and intentionally parents as partners in all aspect of MNH - including care but also policy development, research and accountability mechanisms. Notably affected parent groups eg preterm, stillbirth]]> 2022-04-06 12:10:44 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132486184 Health professionals must include accountability in their performance reviews. this will help them to assess their own work and do self-checks to enhance improvements https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132497439 2022-04-06 12:19:04 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132497439 data use should be part of leadership training so that data can be used for decision making, policies and ensure accountability https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132499525 2022-04-06 12:20:34 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132499525 Share with staff, communities, politicians etc the outcome/impact of quality of care https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132503720 2022-04-06 12:23:13 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132503720 Commitment and support for quality of care activities. https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132505386 2022-04-06 12:24:19 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2132505386 Data should not just be collected for use above facility level https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2133322651 Too many times, health workers are asked to collect data and fill out forms, but they do not get the benefit of using this data. Systems should be developed to help health workers use these data; EMRs with built in decision support can support this]]> 2022-04-06 19:43:49 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2133322651 community leaders https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2134239857 Involving community leaders more closely in the interventions.

Georges Bonabe
+237697055606
bonabe7@gmail.com]]> 2022-04-07 08:56:54 UTC https://padlet.com/techchange/ib7gerzf45z78qiz/wish/2134239857