{"id":62615,"date":"2024-07-18T13:04:40","date_gmt":"2024-07-18T17:04:40","guid":{"rendered":"https:\/\/www.psi.org\/?p=62615"},"modified":"2024-07-18T16:28:07","modified_gmt":"2024-07-18T20:28:07","slug":"in-burundi-local-partners-lead-the-way-for-quality-of-care","status":"publish","type":"post","link":"https:\/\/www.psi.org\/pt\/2024\/07\/in-burundi-local-partners-lead-the-way-for-quality-of-care\/","title":{"rendered":"In Burundi, Local Partners Lead the Way for Quality of Care"},"content":{"rendered":"\n

This piece originally ran on usaidmomentum.org<\/a><\/p>\n\n\n\n

By Lydia Gahimbare, Tharcissie Aim\u00e9e Maniraguha, Fabrice Kakunze, and L\u00e9on Ndayizeye, MOMENTUM Private Healthcare Delivery, Burundi; with contributions from Erin Files Dumas and Mariela Rodr\u00edguez, MOMENTUM Private Healthcare Delivery<\/em><\/p>\n\n\n\n

In Burundi, the private and faith-based healthcare sector has the potential to help improve key health indicators through increasing quality coverage of health services and reducing delays in obtaining care. Burundi\u2019s most recent Demographic and Health Survey (DHS) demonstrated that 16% of women who used a modern contraceptive method obtained it from a private source. The DHS also indicates that of the 84% of births attended by providers in health facilities, an average 14% of those births occurred in private health facilities.1<\/sup> With its important role within Burundi\u2019s healthcare system, it is paramount that the private sector offer high quality services to its clients. It is within this context that MOMENTUM Private Healthcare Delivery in Burundi focuses on strengthening family planning (FP), reproductive health (RH) malaria, and maternal, newborn, child (MNCH) services in the private sector.<\/p>\n\n\n\n

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Standards of Quality of Care<\/h5>\n\n\n\n

Part of MOMENTUM\u2019s approach to service delivery includes training, supervision, coaching, and periodic assessment of private sector health providers in quality of care standards. As the prime implementing partner, Population Services International (PSI) leverages its Quality of Care Framework (Box 1), which is adapted from the globally recognized Bruce-Jain Quality Framework, as the guiding principles for quality service delivery. Project supervisors continually coach and supervise newly trained providers to ensure their adherence to five quality of care domains. As part of efforts to monitor the quality of FP\/RH\/MNCH services, the project conducts annual quality of care assessments in a sample of supported health facilities to objectively review if services are people-centered and delivered safely, equitably, and efficiently. The assessments are led by either external evaluators (with evaluators from other PSI countries) or by internal evaluators (made up of the MOMENTUM team in-country).<\/p>\n\n\n\n

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PSI QUALITY OF CARE FRAMEWORK<\/h5>\n\n\n\n

Quality of Care evaluations are based on PSI\u2019s framework of five domains (below). The evaluation assesses the effectiveness of supervisory approaches, the availability of administrative documents at the project office and at health facilities, observation of provider skills, and includes interviews with clients, facility and program staff to assess the extent to which the program meets their specific needs.<\/p>\n\n\n\n

Five Domains<\/p>\n\n\n\n

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  1. Technical Competency<\/li>\n\n\n\n
  2. Client Safety<\/li>\n\n\n\n
  3. Information Exchange<\/li>\n\n\n\n
  4. Interpersonal Connection & Choice<\/li>\n\n\n\n
  5. Continuity of Care<\/li>\n<\/ol>\n\n\n\n
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    Collaborating with Local Partners to Conduct the 2023 Quality of Care Assessment<\/h5>\n\n\n\n

    MOMENTUM works with two local partners: Association Nationale des Franchise Sociale<\/a> (ANFS) and Reseau des Confessions Religieuses pour la Promotion de la Sante et le Bien \u00catre Integral de la Famille<\/a> (RCBIF). The project uses a \u2018learning by doing\u2019 approach to strengthen the technical capacity of these organizations.  The partnership aims to build the organizational capacity of both local organizations as they ready themselves to independently manage donor funds in the future. In November 2023, MOMENTUM in Burundi modified the PSI-led assessment approach to include the participation and leadership of local partners within the evaluation team. ANFS and RCBIF\u2019s participation in the assessment served as an important milestone in their progress toward strengthened technical capacity.<\/p>\n\n\n\n

    The assessment included two four-person teams of evaluators from MOMENTUM, ANFS, RCBIF, and Burundi\u2019s Ministry of Health. Each team assessed and scored six health facilities, for a total sample of twelve facilities. While ANFS and RCBIF regularly conduct routine supportive supervision, the 2023 assessment was the first time these local partners participated as lead members on the MOMENTUM project\u2019s annual quality of care assessment. For both partners, this presented an opportunity to identify the sample of sites, utilize the assessment tools, analyze and interpret the results, and objectively score the sample based on the assessment criteria.<\/p>\n\n\n\n

    Thirty-three quality of care standards were evaluated in the sample sites\u2014resulting in an average score of 82\/100 for the assessment. While these results are positive for the quality of services at MOMENTUM-supported facilities, the knowledge and skills obtained through this activity also have meaningful implications and outcomes for localization and the leadership of MOMENTUM\u2019s local partners:<\/p>\n\n\n\n