News Letter January 2016

Quality Improvement Secretariat (QIS)
Ministry of Health & Family Welfare
14/2 Topkhana Road, Dhaka, Bangladesh
Email: [email protected]
Contact number: +88-02-9586820
Inside this issue:
Divisional Workshop on “Universal
health Coverage & Quality of Care”
1
Video documentation on „community 2
participation model‟ for quality of
care services
Issue: 13
January 2016
Divisional Workshop on “Universal health Coverage & Quality of Care” January 10,2016
Venue: Khulna Medical College Hospital
3
Pre-testing of TQM Operation
Module
National advocacy and sensitization
workshop on MBFFI
District advocacy and sensitization 4
workshop on MBFFI
Workshop on community participa- 5
tion model
Quality Improvement Secretariat has been organizing workshops at divisional levels on
quality of care for developing awareness on QI initiatives. For Khulna and Barisal divisions,
the workshop was held in Khulna Medical College with participation from both divisional and
district managers, consultants and principal from the tertiary Medical college hospitals
and representatives from local DPs and NGOs.
Divisional meeting with DP repreJoint monitoring visit in MBFFI sites
Workshop on clinical audit in BSMMU
Refresher training at Suhrawardy
Hospital
National committee meeting
MBFFI project
on
Advisor
Md. Ashadul Islam
Additional Secretary and Director
General
Health Economics Unit
Chief Editor
Dr. Aminul Hasan
Focal Person
Quality Improvement Secretariat
Editor
Dr. Shayema Khorshed
Consultant, QIS
Panel of contributor
Dr. Harun-Or-Rashid
Consultant, QIS
Medical Officer, QIS
Dr. Anawar Sadat
Dr. Nazmul Haque
Dr. Pranab Kumar Roy
Dr. Tonamy Chakma
Md Ashadul Islam, Additional Secretary and DG. HEU briefed on the recent initiatives of
MoHFW on Universal health coverage and related quality agenda. Dr Md Aminul Hasan, Deputy Director,HEU and focal person of Quality Improvement Secretariat gave an overview on
the formation and modalities of Quality Improvement committees at different levels as per
the National strategic planning. Participants discussed on challenges and opportunities of
committee formation and its activation at their local levels. The participants agreed on
sending the committee list to the secretariat within a month‟s time.
Page 2
Video documentation on „Community Participation‟ in improving quality of care
Date: January 09,2016
Venue: Jhenaidah District Hospital
Quality Improvement Secretariat is leading the process of developing a video documentary on the community participation model for improving facility service quality. UNICEF is providing support and technical assistance for this activity. A local agency has
been given the task for capturing the events.
The spot of the video documentation is Jhenaidah
District Hospital as it„s a role example of community
participation for improving the health care services
of health facility.
The QIS-UNICEF team jointly discussed and finalized a
set of questionnaire to be asked to different interviewees planned for the documentary. The team arranged a pre-briefing session and technical consultation meeting prior to the shooting event.
On the January 9th,2016 the video team conducted a
one day shooting on Jhenaidah District Hospital. The
objective was to capture the interviews of local
stakeholders, service providers and the community
elites. The team also captured hospital infrastructure and other related areas of improvement
At Jhenaidah district hospital the video team captured a joint meeting of the community elites and
the service providers and managers of the facility
thereby reflecting the role of the community involvement in th edocumentary.
Mr Farid Ahmed, Communication Specialist, UNICEF
provided technical directions to the video team during the process.
Dr Md Aminul Hasan, Focal Person, Quality Improvement Secretariat provided comprehensive guidance
for capturing the video in line with the objective of
the documentary. He provided on spot direction to
capture the appropriate objective related events.
The second part of the video shooting event in Dhaka
was completed by the same team after interviewing
the national level stakeholders. Md Ashadul Islam, DG
HEU provided his continuous support and guidance
for the documentary for accomplishment as per the
objective.
Issue: 13
Pre-testing of TQM Operation Module
Date: January 17-19,2016
QIS has facilitated the process of developing a
TQM operational module in Bangla targeted for
training the providers at all levels especially focusing the resource pool members and the Quality Improvement Committees (QICs). The module
will focus on the thematic relevant areas (such as
motivation, leadership, communications etc) of
TQM along with the technical aspect of it. In this
regards, QIS formed a working group consisting
of different stakeholders with expertise and experience. The working group came up with a draft
module through successive working group meetings.
QIS organized a pre-testing of the draft module
in Tangail involving participants from the district
hospital as well as 3 upazila health complexes
from the SSK piloting facilities. The pretesting
event was of 3 days duration as planned for the
original training drafted.
The inauguration ceremony was held on the January 17th,2016 in presence of the Civil surgeon of
Tangail as a chief guest and the District Hospital
Superintendent ,Dr Nur Mohammad as special
guest. Dr Md Aminul Hasan briefed on the objective of the training and the TQM concept.
The 3 day pretesting was very much interactive
and participatory. External consultant and trainer Md Lutfor Rahman and Shuraiya Farzana facilitated the training session focusing on the conceptual part using different interactive ways in the
process. QIS team memebrs Dr Harun-Or-Rashid
and Dr Shayema Khorshed briefed on the 5s concept and related linkage with the quality issues.
Page 3
Venue: Tangail Bourae
Page 4
National advocacy and sensitization workshop on Mother Baby Friendly Facility Initiatives
Date: Jan 25,2016
Venue: CIRDAP Conference room
Quality Improvement Secretariat (QIS) is leading GoB-BMGF-UNICEF partnership initiative of 'Mother-baby
friendly facility initiatives (MBFFI)' for quality Improvement of MNH services. Through this intervention, a comprehensive QI model will be piloted in targeted heath facilities (in Kurigram district).
QIS organized a National Advocacy and Sensitization Workshop to share the project outline with the key
stakeholders. The workshop was held at the CIRDAP Conference Room, Dhaka. The Additional Secretary, Hospital and Nursing, MoHFW Mr Foyez Ahmed was present as the Chief Guest of the event. Mr. Md. Asadul Islam,
Director General (Additional Secretary) of HEU briefed the objectives of the workshop. The global background
of the initiative was elaborated by Dr Ziaul Matin, Health Specialist UNICEF. Mayang Sari, Nutrition Specialist,
UNICEF highlighted on the nutritional component of this initiative.
Dr. Aminul Hasan, Deputy Director HEU and Focal Person of QIS in his presentation gave an overview on the
comprehensive QI model to be tested as a part of this initives including a timeline. He discussed on the specific QI components including the EMEN standards, 5s –CQI-TQM etc and its linkage with the recent QI initiatives
of the government. Dr. Shayema Khorshed, Consultant QIS discussed on the EMEN standards and the selected
core criteria adapted for Bangladesh context by a working group formed and facilitated by QIS. The participants shared their experiences and comments related to this quality initiatives.
In the concluding session, special guests and chief guest of the event gave speeches.
Page 5
District Advocacy and Sensitization workshop on Mother Baby Friendly Facility Initiatives
Date: Jan 30,2016
Venue: Kurigram District Hospital
Quality Improvement Secretariat (QIS) is leading GoBBMGF-UNICEF partnership initiative of 'Mother-baby
friendly facility initiatives (MBFFI)' for quality Improvement of MNH services. Through this intervention, a comprehensive QI model will be piloted in targeted heath
facilities (in Kurigram district).
Following the National Advocacy Workshop, QIS organized a district Advocacy and Sensitization Workshop in
Kurigram to share the MBFFI project outline with the
local stakeholders and providers. The workshop was
held at the Kurigram District Hospital Conference Room.
The event was chaired by the District Hospital Superintendent Dr Ajay Kumar was the chairperson of the
event . Among the guests of honour there were participants from DGHS,QIS from different units. Dr Joynal
Abedin, the Civil Surgeon of Kurigram district and the
Director, Rangpur Medical College Hospital , Dr Barkat
ullah were also present as distinguished guests .
Dr Ziaul Matin, Health Specialist, UNICEF shared the
global background of the initiative and Mayang Sari, Nutrition Specialist, UNICEF highlighted on the nutritional
component of this initiative. Dr. Aminul Hasan, Deputy
Director HEU and Focal Person of QIS in his presentation gave an overview on the comprehensive QI model to
be tested as a part of this initives including proposed
timeline for implementation. He discussed on the specific QI components including the EMEN standards, 5s –CQI
-TQM etc and its linkage with the recent QI initiatives of
the government. Dr. Shayema Khorshed, Consultant QIS
discussed on the EMEN standards and the selected core
criteria adapted for Bangladesh context by a working
group formed and facilitated by QIS.
Page 6
Workshop on community participation model
Date:
January 09,2016
Venue: Jhenaidah District Hospital
Developing a Community Participation Model for Quality of Care is one of the important initiative of Quality Improvement Secretariat. With the aim to achieve the objective ,a workshop was held in Jhenaidah district hospital with the service providers of the
hospital and the community leaders. The event was divided into two sessions. The first session was on Universal Health Coverage. Md Ashadul Islam, DG HEU presented on „Universal Health Coverage‟. The objective of the second session was to share the
experience of community stakeholders. These are those stakeholders who are taking active part in community mobilization for
the improvement of Jhenadah hospital service delivery. Dr Emdadul Haque, the committed leader and pioneer of community participation briefed on community participation in Jhenaidah perspective and his relevant initiatives. Dr Md Aminul Hasan, Deputy
Director HEU and focal person of QIS presented on a model of community participation in Bangladesh perspective. Participants
took active participation in the meeting and there was positive and supportive comments from different level community participants.. The main objective of the session was to develop a structured community participation model for Jhenaidah, which might
be scale up countrywide.
LAMB Hospital Visitation
Date: January 29,2016
QIS team visited LAMB hospital on its 40th Anniversary Celebration on January,29,2016. LAMB hospital has been in place with wide reputation as a model health delivery facility especially targeting the
rural poor in Bangladesh.
Dr Md Aminul Hasan,focal person Quality Improvement Secretariat visited the hospital facility and
met Dr. Antje, Hospital Medical Director, and Mrs.
Keiko Butterworth, LAMB Board Member. There was
in-depth discussion on areas to improve responsive
health services and quality of care in this hospital.
On 29th January,2016 he also participated in a rally
organized . In the main event, Dr Aminul Hasan was
the special guest and gave his speech on how this
modest work can be strengthen in future.
Venue: LAMB, Parbatipur
Page 7
Newsletter Title
Workshop on clinical audit
Date: January 07,2016
Venue: BSMMU auditorium
To Introduce Clinical Audit is one of the core objectives of the approved strategic planning on Quality of Care for public, autonomous & private health care facilities. As a part of the action plan, a workshop on “ Introduction of Clinical audit in BSMMU” was held on Dr Milton hall in
BSMMU. Prof Dr Md Kamrul Hasan, Vice chancellor, BSMMU presided over the session. ProVC, Prof Dr Sharfuddin Ahmed, Prof Dr Shahidullah
Sikder and Secretary General of Bangladesh Medical Association Prof Dr Iqbal Arsalan were the special guests in the occasion. Md Ashadul
Islam DG, HEU welcomed the participants and briefed on the mandate of Quality Improvement Secretariat . Dr Md Aminul Hasan, Focal person of Quality Improvement Secretariat, presented on “ Clinical audit” . He specially focused on the concept , steps and process of introduction of clinical audit.
Refreshers training for Work Improvement Teams of ShSMCH
QIS is implementing a QI program in Shaheed Suhrawardy Medical college Hospital since July, 2015. Total 43 Work Improvement Teams ( WITs) have been formed for this purpose. After 6 months of implementation, QIS arranged a refreshers training for the teams with the aim to revitalize their efforts and refreshing 5S concepts and work modalities.
The training held from 04 January to 07 January, 2016 at the ShSMCH conference room. Dr Harun Or Rashid, consultant
QIS and the Medical officers of the QIS team conducted the training.
National committee meeting for Mother Baby Friendly Facility initiatives
Quality Improvement Secretariat (QIS) is leading GoB-BMGF-UNICEF partnership initiative of 'Motherbaby friendly facility initiatives (MBFFI)' for quality Improvement of MNH services. In this regard, a comprehensive QI model will be piloted in targeted heath facilities (in Kurigram district) as a part of this initiative. To achieve the target outcome, QIS formed a national level committee for effective planning of this
initiative.
QIS organized a committee meeting which was presided over by Dr Md Aminul Hasan, DD HEU and Focal
Person, QIS. There was discussion on the the project planning and the follow up activities. The participants by areas discussed on their planned activities in relation to previously shared work plan. Mayang
Sari, Nutrition specialist UNICEF discussed on the nutritional component of this initiative.
Volume 1, Issue 1
Joint monitoring visit on (GoB-UNICEF) in MBFFI project implementation site
Quality Improvement Secretariat (QIS) is leading GoBBMGF-UNICEF partnership initiative of 'Mother-baby
friendly facility initiatives (MBFFI)' for quality Improvement of MNH services. Through this intervention, a
comprehensive QI model will be piloted in targeted
heath facilities (in Kurigram district).
QIS and UNICEF team jointly participated in a monitoring visit with the local GoB team from January 31February 02,2016,
The team was lead by the Civil surgeon,Kurigram and
the Kurigram District Hospital Superintendent . There
were different mode of transportation to reach different UHCs that included the hard to access areas. The
team visited community clinics to watch the nutritional
services provided from there and the MIS related activities,
The team visited jointly the Kurigram district hospital
as well as all 4 selected Upazila Health Complexes of
MBFFI project implementation site . The focus was to
observe existing available services for specific maternal, newborn services and nutritional component. In
all UHCs and the DH, the maternal newborn areas, IMCI
corber, ANC PNC corner were specifically visited.
There was discussing on exiting HRs ar different facilities ad the train needs of the providers
Page 8
Page 9
Newsletter Title
Divisional Meeting with DP/ NGO representatives for Quality Mapping
QIS planned to coordinate with the DPs and the NGOs
for facilitation of the QI activities nation wide. In this
regards, the team conducted a mapping exercise to
chalk out the DPs and NGOs supported areas. Through
one to one advocacy at national level, QIS facilitated
the co-ordination process. In the next phase, the
team planned to start the dialogues with the local DP/
NGO representatives to understand opportunities and
challenges of the process.
QIS conducted two divisional meetings with the DP/
NGOs in Khulna and in Rangpur division.
In the Khulna meeting, DG HEU Md Ashadul Islam was
present. Dr Md Ziaul Matin, UNICEF Health Specialist
and Mayang Sari, Nutrition Specialist were also present in Rangpur divisional meeting.
Both the meetings followed same modalities. The
meeting started with brief introduction of the representatives from different organizations. The participants shared their work areas and major programme
activities especially related to quality of care. Dr
Aminul Hasan briefed on the meeting objectives. He
shared the background of formation of the Quality
Improvement Secretariat and development of the National Strategic Planning.
He said that the prime activity of the DP/NGO representative will be to facilitate the regular conduction
of these meeting including the documentation and
necessary follow up. Dr Aminul Hasan mentioned that
the DP/NGO representatives will be co-opted as
members of the committees though a „Government
Order‟ with detailed indication of their activities so
that they will be empowered and entitled to facilitate
the required support for the QI committees. Dr
Aminul Hasan also informed that there will be a divisional meeting soon where the detailed planning will
be finalized.