Good morning .This is Senait

Ghadeer Tarazi, UNICEF USA

Hello, Blerta Maliqi WHO Geneva

Helen Counihan, Malaria Consortium - hello all!

Elizabeth Streat Independent consultant

Benedicte Walter, Network for Improving Quality of Care for Maternal, Newborn and Child Health

Leonardo Shamamba, IRC, New York

Denis Tindyebwa from ANECCA

Debra Prosnitz, ICF

Good Morning Momodou Kalleh MoH Gambia

Audrey Battu, CHAI

Ciro Franco, consultant

Hello all, Peter Winskill, Imperial College London.

Good Morning, Cara Endyke-Doran, MSH

Please can you speak a bit louder. i can't hear you

Tejshri (Tish) Shah, Australian National University, Evelina London Children’s Hospital, Paediatrician with MSF experience. Hello!

Good morning, Michel Pacqué - JSI and for one more day Child Health Team lead at MCSP

Good morning, Lisa Nichols, RMNCH lead, Regional Manager with Achieving Sustainability through Local Health Systems (ASLHS) project, Abt Associates

Hi! This is Eric Swedberg - Senior Director of Child Health at Save the Children US.

Good morning

For Blerta - nice presentation, love your enthousiasm. The stated goals (copied from website) of the QED-Network are to halve maternal and newborn deaths and stillbirths in health facilities by 2022 and to improve patients’ experience of care in participating health facilities in Network countries. Isn’t it time to expand the goals so they include child health (and the community)?

Thank you Michel! That is exactly the kind of input and action we hope to bring with the subgroup - in coordination/collaboration with the network

Belay Haffa of World vison Ethiopia ,Really wonderful presentations thank you for update

I hope you will share this presentation after this session. Very interesting!

Thank you so much for this great presentation, Blerta. I would love to hear your thoughts on nutrition services and the extent to which they are considered in these plans and indicators. (Sascha Lamstein of USAID Advancing Nutrition project)

thank you very much

Thanks for the update. One of the bottlenecks with IMCI implementation was the length of the initial required training and the difficulties in financing supervision. How have we learned from this experience to develop innovation in training and supervision for QoC in the network countries.

A word on the target

All, please think about what would you want to see this group to do, what experience can you bring, what opportunities do you see?

This is a great initiative. I am wondering, since there are a number of other groups doing similar initiatives on QOC (SRH, for example). Should this group reach out to other working groups to see if there are ways to align activities, goals, etc.?

Apologies everyone - my phone signal is poor today. Please do share your knowledge of related networks and how this subgroup can fill the gaps in child health QoC.

I agree it is important to set indicators for quality of care but what will be the mecanisms for improving qulaity like supportive supervision and mentoring of health workers as well as oreservice and in service training

In Myanmar we have introduced a qulaity of care tool for supervision of an iCCM programme

Prudence, this is interesting -are you willing to share?

Excellent presentations. I applaud the CH TF for forming this subgroup, which has been discussed for some time. Beyond moving forward with the quality standards in government facilities, I'm wondering if there are discussions at global level on improving quality of care in the private sector? In the case of the child, with so many families seeking care from both formal and informal providers in the private sector, we would miss a huge segment of sick children if we were to restrict discussions to only public sector health facilities and, as already mentioned, without including a strong community focus.

Agree - a repository of tested tools would be helpful

We are evaluating it at the moment Suervisors complain it take too long a time to administer

yes Tish, that's one of the activities for this group

Thank for you these great presentations! Expressing excitement and appreciation of the intended outcomes of this group. USAID nutrition colleagues look forward to engaging in this sub-group as nutrition services are critical to child health and currently included in the QoC standards. We look forward to sharing and learning, and also how this can be a central theme in the nutrition sub-group as well. (Jeniece Alvey, USAID Nutrition Advisor)

agreed!

excellent point - a short video explaining the pros/cons of a mechanism of QI could accompany a tool upload.

When it comes to tools for QoC: we are specifically trying to compile those on the QoC Network knowledge library: qualityofcarenetwork.org

if there is a chance, I can summarise the steps that you may want to go through in developing the CH of QOC starategy in a country

and its implementation

We need also to be careful that the standards we set are achievable in differnt contexts for example in nutrition the absence of OTP and Scs might prevent children actually accessing care at all if the standards set are too high

We are currently undertaking a review of the QOC network materials (and other relevant materials) … to see the extent to which nutrition is addressed/considered and guide our future efforts. Please let me know if others have already done this! If I don't hear from you, I will assume note and will be happy to share our findings.

not*, not "note"

Question re the WHO standards: is it just facility based or does it include community based standards too?

Thanks, Lily. This is an important point for child health - the pediatric care standards are for facility-based care; as you know, so much child health service delivery happens at the community level and, so, we see an opportunity to expand the QoC agenda to community service delivery.

current pediatric standards are at facility level. If resources are available, they need to be developed

In addition to community care,I would like to include nurturing care as well

Yes, that is what I tried to say earlier - many of the discssions around operationalizing Nurturing care are already around Quality

As part if USAID Advancing Nutrition Project, we have identified a need for strengthening quality of nutrition assessment and counselling within child health services both well and sick child and integrating nurturing care and breastfeeding/infant feeding.

How to we make services more comprehensive, what are basic health care worker skills (counselling, Interpersonal communication etc) to delivery with quality and understand the aspects of 'responsiveness/nurturing'

I can reshare the TOR also with the recording of the meeting and presentations

that would be great Elizabeth, thanks

thanks elizabeth

Thank you!

(for including multiple sectors)

BUT it is also just including nutrition (within the health sector).

Fully agree Sascha

http://www.qualityofcarenetwork.org/engage-peers

Can I ask Blerta a question?

I can answer

yes

Thanks for organizing and launching the subgroup.

thank you very much for this initiative

We look forward to hearing from all of you! 1. please provide input to the TOR, 2. please share proposed activtiies,

Thank you!

Thank you for the invitation to address and listen to the group!

Thank you all!