1. Sandy Kubaj – evaplan Irene Omogi – GIZ Kenya
Integrated Quality Management System (IQMS) for Maternal, Neonatal & Reproductive Health Care
Sandy Kubaj – evaplan
Irene Omogi – GIZ Kenya

2. Challenges in the Kenyan context
Low awareness of QI policies
Insufficient harmonization of multitude of QI initiatives and approaches
Performance in quality of services not objectively measured
Lack of HR in health facilities
Insufficient standards and SOPs in health facilities
17/01/2019
SNHeSP Accra 2014

3. What is IQMS?
Participatory multi-perspective, indicator based Integrated Quality Management System
Indicators derived from national standards and guidelines and validated by national panel (modified RAND/UCLA)
Methodology adopted from the European Practice Assessment (EPA) with proven scientific methods and instruments
Design open for integration of different QM systems and approaches
Supported by visualization and benchmarking software (VISOTOOL ®)
Uses coaching and mentoring to improve quality of service delivery
17/01/2019
SNHeSP Accra 2014

4. 4 5 1 3 2 Check-list Team-session & feed-back Inter-view w/ FMT
Health Facility visit by Quality Facilitator
Self-assess-ment 1
Staff - survey 3
Patient -
survey 2
People
Interface
In/Out Patient
Quality & Safety
Management
Clinical Care
Bench
marking
Contin. Quality improve-ment

5. Achieved Results
Implementation of IQMS in 10 facilities (with first assessments)
Institutionalization of quality improvement teams in all 10 facilities
Implementation of QI measures in the facilities:
Development of SOPs for key processes
Improved documentation of ANC and PNC records
Health workers more tuned to the voice of the customer
Improved privacy in delivery room by installing curtains
Accurate documentation of Partographs
Implementation of 5S and designation of 5S days
Increased partner understanding, acceptance and support
17/01/2019
SNHeSP Accra 2014

6. Strenghts of the approach
Precise measurement leads to little variation in assessment results
Detailed results provide focus for QI measures (development of QI plans)
Objective and repeatable assessments generate transparency
Uses already existing measuring and information systems, is flexible, non-competitive and avoids duplications
Works with local partners to assure ownership and sustainability
Low resource – high impact
Allows for monitoring of each facility’s progress over time – as well as benchmarking
Incorporates all essential preconditions for accreditation
17/01/2019
SNHeSP Accra 2014