1. SYNTHESIS ON THE EXPERIMENTS OF COLLABORATIFS Of IMPROVEMENT OF THE QUALITY OF CARE PEDIATRIQUES AND NUTRITIONAL, OBSTETRICAL AND NEONATAUX BULKS IN NIGER 2003 - 2007

2. Approach collaborative of improvement of quality Several hospitals / centers of health work together With a purpose / common objective: reduce, ameliorate or augment. (by the improvement of quality by the real implementation and membership in norms / directives of taking care of x or y); By bringing changes in local processes to implement norms By using common indicators to measure progress in comparison with fixed objective By sharing lessons of “ what walked ”

3. The key elements or essential elements of taking care of a case - type Often illustrated graphically by one diagram of process What is it a model of care?

4. OBSTINATE process ARRIVEE 1ou +eurs points TRIAGE Signes De priorité? Transfert 1ère rangée (Eval prioritaire) SORTIE Stabilisation Exam, DD, TTT, Lab, Traitement des Signes d’Urgence Réévaluer et TTT Signes d’Urg? Patient à hospitaliser? OUI NON Eval de routine et TTT OUI Prescriptions NON OUI

5. Why to collaborate? Learnt lessons shared between a network of teams of contractors (they do not reinvent the wheel) Added value of a multitude of teams working on the same problem or domain (effectiveness )

6. Who are the collaborators? Teams of improvement of care within Health Training and between Health Trainings: doctors, nurses, technicians of laboratory, social helpers, other implicated personnel The managers and leaders of structures of health Equip Frame of Region Members of the committees of health Associations and ONG Ministry of Health and other partners

7. What experiments of implementation in Niger? Collaboratif of improvement of the quality of care pédiatriques in the hospital PHI: 2003 - 2007 Collaboratif of improvement of the quality of Obstetrical Care and Néonataux Essentiels (GATPA, SEN, PI and Contentment of the customers): 2005 - 2007; Collaboratif of improvement of the quality of nutritional services in the hospital: 2006 - 2007;

9. Application of GATPA and Reduction of the Hemorrhages of Post Partum in 3 3 motherhood of the collaboratif SOUNDED of January, 2006 has June, 2007

10. 6 sites formés 13 sites formés 18 sites 22 sites 25 sites33 sites Début Soins Essentiels