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Series 2, episode 2 – In Ghana, a simple tool designed to engage communities helped increase the transparency, accountability and quality of care in health services



Emmanuel Ayire Adongo, from the World Health Organisation Country Office in Ghana explains how a simple tool – a scorecard, building on an existing policy and community engagement structures – has made it possible to engage communities in the planning, roll-out and assessment of health services. From community representatives touring facilities, to community members pitching in to improve the infrastructure, listen to the impact this tool had on the involvement of the community, the accountability of the health system, and, ultimately, the quality of care.

The Policy, Planning, Monitoring and Evaluation Division (PPME) of the Ghana Health Service is now planning to expand the roll-out of the scorecard country wide.


Series 2, episode 1- In Ebonyi and Kogi states, health workers learn quality improvement skills on top of clinical skills, and are improving quality of care on the day of birth



 

Over 90 health facilities in the Eboni and Kogi states of Nigeria have joined a quality improvement initiative to improve the quality of care for women and newborn on the day of birth.

In just two years, they have seen massive improvement in some of the key clinical practices such as managing post-partum haemorrhage, resuscitating a newborn or encouraging early breastfeeding. And the communities they are serving are seeing a difference in the care they receive.

Dr Ugo Okoli is the Deputy Chief of Party of the Maternal and Newborn Child Survival Programme (MCSP) in Nigeria, leading the quality improvement work in reproductive, maternal and newborn health in Ebonyi and Kogi States. She explains what are the success factors of this initiative, and some of the pitfalls to watch out for.