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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A quality improvement model for the rapid scale-up of a program to prevent mother-to-child HIV transmission in South Africa
International Journal for Quality in Health Care, Volume 25, No. 4, Year 2013
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Description
Quality problem and assessment: In South Africa (SA), non-governmental organizations (NGOs) have a major role in the provision of health services, but they often compete for funding and influence rather than collaborate. The National Department of Health (NDOH) sought to coordinate existing non-governmental organizations (NGOs) to optimize the prevention of motherto-child HIV transmission (PMTCT) at scale. Solution: We describe how a group of NGO and government partners were brought together to jointly develop the 'Accelerated Plan' (A-Plan) to improve PMTCT services at health-care facilities in SA. The A-Plan used four main principles of large-scale change to align the network of NGO partners and NDOH: setting targets and improving data, simplifying processes and facilitating local execution, building networks and enabling coordination. Implementation: In the first 6 months of the project, six NGO partners were engaged and the program reached 161 facilities. The program spontaneously spread from five planned subdistricts to nine subdistricts and produced a package of tested interventions to assist in scale-up of the PMTCT program elsewhere. Evaluation: Districts reported high levels of provider engagement in the initiative. In the 6-month project period, a total of 676 health-care workers and managers were trained in quality improvement methods and tools. Coverage of seven key processes in the PMTCT program was tracked on a monthly basis within each subdistrict. Lessons learned: We found that a network model for the A-plan could successfully recruit key stakeholders into a strong partnership leading to rapid scale-up of a life-saving public health intervention. © The Author 2013. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.
Authors & Co-Authors
Mate, Kedar S.
United States, New York
Weill Cornell Medical Center
United States, Boston
Institute for Healthcare Improvement
Ngubane, Gugu
South Africa, Pretoria
Department of Health, Pretoria
Barker, Pierre M.
United States, Boston
Institute for Healthcare Improvement
United States, Chapel Hill
Unc School of Medicine
Statistics
Citations: 43
Authors: 3
Affiliations: 4
Identifiers
Doi:
10.1093/intqhc/mzt039
ISSN:
13534505
e-ISSN:
14643677
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Study Locations
South Africa