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Expanded Quality management Using Information Power for Maternal and Newborn Health in Africa

Objectif

Maternal and new-born MDGs 4 and 5 will likely not be met in Africa despite the availability of evidence-based, affordable and appropriate technical interventions. Obstacles persist on both the demand side (low utilization) and supply side (low quality and lack of services), across the continuum of care from pregnancy to postnatal care. Priority must now be given to finding the mechanisms to bridge the “know-do gap”. Potential solutions include quality management and community involvement, where both approaches benefit from continuous, locally available, high-quality health information.

We propose an innovative intervention in Tanzania and Uganda to improve maternal and new-born health with an expanded health system quality management approach that links communities and facilities using locally generated data. We will use Plan-Do-Study-Act cycles at community, health facility and district level powered by information from continuous multipurpose community and health facility surveys, with results presented in audience-specific report cards. In each country, we will use a plausibility design to evaluate health and quality outcomes in intervention and control districts, each covering 20–30 health facilities and their catchment populations in Tanzania and Uganda. Cost and community effectiveness of this intervention will be estimated with population and facility level indicators. Changes in contextual factors will be carefully documented to enhance our understanding of how health improvements were achieved. The impact on mortality will be modelled using the Lives Saved Tool. Policymakers will be involved throughout the project.
Results will contribute to reaching the MDGs 4&5 in Africa. Furthermore, the intervention could serve as a more general model for scaling-up quality management of other health interventions in low-resource settings.

Appel à propositions

FP7-AFRICA-2010
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Régime de financement

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinateur

KAROLINSKA INSTITUTET
Adresse
Nobels Vag 5
17177 Stockholm
Suède
Type d’activité
Higher or Secondary Education Establishments
Contribution de l’UE
€ 811 446
Contact administratif
Anna-Britta Karlsson (Ms.)

Participants (4)

MAKERERE UNIVERSITY
Ouganda
Contribution de l’UE
€ 891 800
Adresse
Main Campus
256 Kampala
Type d’activité
Higher or Secondary Education Establishments
Contact administratif
Elizabeth Nambi Nsobya (Ms.)
IFAKARA HEALTH INSTITUTE TRUST
Tanzanie
Contribution de l’UE
€ 890 000
Adresse
Kiko Avenue Off Old Bagamoyo Road Plot 463
Dar Es Salaam
Type d’activité
Research Organisations
Contact administratif
Barnabas Lugendo (Mr.)
LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE ROYAL CHARTER
United Kingdom
Contribution de l’UE
€ 340 160
Adresse
Keppel Street
WC1E 7HT London
Type d’activité
Higher or Secondary Education Establishments
Contact administratif
Jana Sabinovska (Ms.)
EVAPLAN GmbH AM UNIVERSITATSKLINIKUM HEIDELBERG
Allemagne
Contribution de l’UE
€ 65 000
Adresse
Hans-buntestrasse 8-10
69123 Heidelberg
Type d’activité
Private for-profit entities (excluding Higher or Secondary Education Establishments)
Contact administratif
Ulrike Finck (Ms.)