Improvement intervention topic* | Inducem*ent | Intervention contents |
Neonatal mortality (2/8) | High neonatal mortality rates | Root cause analysis, auditing of all perinatal deaths, a creation of a separate newborn unit, minor renovations and improving of IPC practices |
Completeness of partograph (4/6) | Low percentages of sampled partographs correctly filled | Conduction of Continuing Medical Education for staff and the institution of monitoring |
Waiting times (2/8) | Longer than promised to clients waiting times | Introduction of a customer desk, the sensitisation of all departments and units and an overall introduction of customer flow systems |
IPC (5/5) | IPC not meeting the required standards | Training and implementation of 5S, training on root cause analysis, improvement in IPC practices and a carrying out of regular assessments |
Shortages of staffing and transportation in remote areas (2/8) | Transferring out of staff and a poor public transport system | Improvement on the referral system, establishment of a good communication with coordination of ambulances, attendance to all emergency cases within 45 min and the possibility of referral |
*In brackets: number of facilities with a particular improvement intervention (intervention group) / without that particular intervention (focusing therefore on their chosen interventions) (non-intervention group) of the total 10 facilities.
IPC, infection prevention control.