Improvement intervention topic | Inducement | N° relevant indicators (with performed analysis) | Intervention contents |
---|---|---|---|
Neonatal mortality | High neonatal mortality rates | 72 (27) | 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 | Low percentages of sampled partographs correctly filled | 11 (4) | Conduction of CME (Continuing Medical Education) for staff and the institution of monitoring |
Waiting times | Longer than promised to clients waiting times | 12 (11) | Introduction of a customer desk, the sensitization of all departments and units and an overall introduction of customer flow systems |
IPC | IPC not meeting the required standards | 24 (20) | 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 | Transferring out of staff and a poor public transport system | 15 (12) | 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 |