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Improving Health Worker Performance: Lessons from a global review of programs & Malawi's experience and learning - Shared screen with speaker view
Sita Strother
18:33
Thank you all for tuning in! Feel free to introduce yourself in the chat.
Sita Strother
18:59
Sita Strother, Child Health Task Force Secretariat, JSI, Washington DC
Pierrette Cazeau
19:07
Pierrette J Cazeau from Haiti Cholera Research Funding Foundation Inc USA
Zachariah Jezman
19:09
Zachariah Jezman Impact Malaria, Malawi
Dagemlidet Tesfaye Worku
19:20
Dr Dagemlidet (Daggy) Tesfaye WORKU, medical coordinator for MSF (Doctors without Borders) in Nigeria
Farzana Yasmin
19:55
Farzana Yasmin, University Witten/Herdecke, Germany
Mr. Paul Darrel Meneses | IPSF Interprofessional Coordinator
20:05
Good morning / afternoon / evening to everyone tuning in right now from the Phillippines! I am Mr. Paul Darrel O. Meneses from International Pharmaceutical Students' Federation (IPSF) as its current Interprofessional Coordinator! Great to see everyone in today's webinar!
Virginia Castellano Pleguezuelo
20:19
Virginia Castellano from ITM (Belgium) and LSHTM (London)
Bibi Samrina Siddiqui
20:28
Samrina from Afghanistan, Senior Advisor for Midwifery at MSH
Romany Redman
20:33
Hello everyone! Romany Redman, Last Mile Health in Rivercess, Liberia. Health facilities strengthening programs
MALANGIZO MBEWE
20:51
Hie everyone,
Regine Unkels
20:55
Hello Everyone, my name is Regine Unkels, OB/GYN specialist, PhD student at Karolinska Institute, Stockholm, Sweden
Kezia K'Oduol
21:09
Hallo, Kezia K'Oduol-Living Goods, Kenya
Allan Eyapu
21:19
Hi All,Allan Eyapu, Living Goods, Kampala
William Stones
21:25
Professor William Stones, Kamuzu University of Health Sciences, Malawi
Tapas Nair
21:40
Hi everyone, this is Dr. Tapas Nair from WHO’s Health Workforce Dept.
Mr. Paul Darrel Meneses | IPSF Interprofessional Coordinator
21:49
yes
MALANGIZO MBEWE
21:57
Dr Malangizo Mbewe, Ag Director, Quality Management, Ministry of Health-Malawi
Sarah Collins
22:11
Dr Sarah Collins, London School of Hygiene and Tropical Medicine (LSHTM). Working in collaboration with NEST360. Wonderful to virtually meet you all!
Eric Swedberg
22:20
Hi All, Eric Swedberg, Senior Director Child Health, Save the Children
Ankur Sooden
22:32
Hi Everyone. Ankur, quality improvement advisor from India.
Ajibike Oyewumi
22:42
Ajibike Oyewumi, ob/gyn and healthcare quality specialist Lagos Nigeria
Mojisola Olubummo
23:33
Hello everyone, Moji Chief Human Resources Officer, Hygeia Nigeria Limited (Lagoon Hospitals)
celine sauvaget
23:35
Hi everyone, Céline SAUVAGET, Regional Health advisor, Tdh Lausanne, based to Dakar
Georges Bonabe
23:39
Hi everyone, Georges Bonabe, Associate Public health Evaluation Officer, EGPAF Cameroon
Mahnaz Hamed
24:01
Dr. Mahnaz Hamed OBGY specialist, RMNH performance improvement officer MSH-Kabul Afghanistan.
Anne Detjen
24:03
Hello, bonjour everyone. Please feel free to enter questions into the chat at any time, we will collate them for the discussion at the end.
MGPS Acuitas
24:04
Hi All, Daniel Aina, Director MGPS Acuitas UK & MGPS Acuitas Africa
Nisha Keshary Bhatta
24:25
Hello Dr Nisha Keshary BhattaB.P. Koirala Institute of Health Sciences Nepal
Mwanaali Ali
24:38
HY
Kojo Yeboah-Antwi
25:00
Kojo Yeboah-Antwi of Father Thomas Alan Rooney Memorial Hospital, Western Region of Ghana
Petros Chirambo
25:07
Petros Chirambo, Malaria Technical Advisor, PMI Impact Malaria Project, Malawi
Karen Zamboni
25:26
Hello everyone, Karen Zamboni, UK Foreign, Commonwealth and Development Office
Antke Zuechner
27:07
Good afternoon, Antke Zuechner, technical advisor for neonatology at CCBRT in Dar es Salaam, Tanzania
Lani R Marquez
28:11
Lani Marquez, URC. Thank you for having Alex Rowe present on their seminal systematic review.
Matt Price
29:01
Matt Price, Director Strategic Partnerships, Last Mile Health
Sita Strother
32:43
You are welcome to pose your questions in the chat.
Donna McCarraher
33:21
can the link to the bmj article be shared? that slide passed quickly!
Romany Redman
33:25
Can you paste the link to the BMJ training effectiveness paper?
Romany Redman
33:31
Thank you!
Robyn Churchill
33:37
Robyn Churchill Maternal Health Team Lead, USAID
Anne Detjen
33:55
https://gh.bmj.com/content/6/1/e003229.info
Sita Strother
35:14
Here is the link to the Lancet Global Health review: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30398-X/fulltext
Tapas Nair
38:48
Will the slide deck and video recording be shared with all the participants after the webinar?
Anne Detjen
39:05
Feel free to share experiences here as well as your questions
Sita Strother
39:09
Yes! Both will be shared with all those who registered.
Tapas Nair
39:23
Thanks!
Eyob Gebretsadik
40:45
Does the intervention on ICT need to be modified in such a way that it require also a training or orientation on hw to use it routinely and uniformally?
Mahlet Mehari
40:59
Thank you?
Lory Meoli
41:59
Would you please provide some examples of "community support"? Does this include work around community engagement and accountability?
Eyob Gebretsadik
44:15
Can you put the link for the website here in chat box
Eyob Gebretsadik
44:44
Thank you!!Alex can you put it here
Laurence Laumonier-Ickx
44:44
Can we get this very useful presentation?
Marjorie Johnson
44:51
What do you mean by "high-quality research" on CHWs? Can you give an example of a research project on CHWs that is "high-quality"? Thank you.
Kelsey Grey
44:53
Fantastic presentation and speaker - thank you!
Sita Strother
44:55
Link to the health care provider performance review: https://www.hcpperformancereview.org/
Kezia K'Oduol
45:05
Thank you for great presentation. Were there studies that included training and mentorship?
Asha Pun
45:46
thank you so much for the excellent and informative presentation. learnt a lot
Sita Strother
48:07
Thank you for your questions, please keep sharing! The presentation slides and recording will be shared after the webinar.
Susan Wang
48:45
How do studies of performance and studies of interventions to improve HW performance account for and control for enormous variations in workloads, timely access to required resources and equipment to deliver services, appropriate staffing levels, health worker wages, etc.?
Marion Subah
49:23
this is Marion Subah from Liberia
MADU EZIOMA (MRS)
50:14
Good day All, Madu Ezioma, FMoH, Abuja, Nigeria
Romany Redman
50:31
I am Jonathan Lobbo from Liberia
Romany Redman
50:39
For QI projects of HCW performance in facilities with evolving strategies with PDSA cycles so there are no defined 'protocols' per se, but where gathering quality of care indicitors involves gathering data about patient care, how is IRB and ethics approached?
Karen Zamboni
50:47
Question from Dr. Musopole - thank you for your very informative presentation. Please can you say a bit more about how QMD works with other Directorates in MOH (particularly the HRH and RMNCH) on quality issues? In other words, how is the MOH combining building a system for quality with decisions on HRH allocation and improvement on implementation of MNCH technical standards?
William Stones
50:55
In the systematic review, are there any clear differences in effects in 'L' versus 'M' countries among 'LMIC'- i ask as in practice there are massive differences in infrastructure and and capacity. I wonder how useful the concept of LMIC still is.
Ade Adekola
52:48
What has been the impact of COVID-19 vaccine rollout in HCW improvement either pre- or post- COVID?
Anne Detjen
53:58
We are getting many interesting questions, thank you! If we cannot address them all in the discussion we will try to get answers from the presenters and share them together with the recording and slides
Agya Mahat
54:25
What has been the role of regulatory systems in quality improvement programs for health workers?
Fran McConville
55:40
Great to see the POCQI training went virtual
Mojisola Olubummo
56:04
Could you kindly share some of the QI tools used in Malawi
Kristina Granger
56:22
What strategies do you use to promote and ensure people-centred care?
Mojisola Olubummo
57:06
What are the Human Resources issues you mentioned exist in Malawi and how have you been able to navigate or proffer solutions to these issues
Jimmy Nzau
57:11
Question for Alex: did you explore QI interventions engaging clients and taking into account their perspectives? If yes what was the results from the literature?
Maureen Momanyi
57:24
Thank you Dr Musopole - please could you speak to the implementation of 'standard 9' - community engagement for QoC (specific learnings on approaches and sustainability), and if you could also touch on any plans to expand QoC to service delivery at community level.
Nisha Keshary Bhatta
57:47
Are we going get the presentation?
Fran McConville
58:02
Do we know why only 6 per cent of health workers were washing their hands in the facility before the QI process?
Nisha Keshary Bhatta
59:06
Did you modify your training tools for virtual training?
Eric Jemera
59:07
Is there any evidence that consudcting training
Mohd. Aziz Khan
59:31
Was there standard indicators fixed for QI projects across the facility? If so, was it automated?
Mojisola Olubummo
59:32
How do you drive staff engagement in Quality improvement
Asha Pun
01:00:01
how are the activities funded/supported that are done to address the gap for QI-Hospital or MOH?
Romany Redman
01:00:33
I am about to implement a pilot project in health facility strengthening. what is your experience in engaging central government to easily get the project approved
Tanvi Shah
01:01:20
How do you continue the supportive supervision to ensure sustainability? Who provides it? Is the facility leadership involved to engage? What rewards and recognitions apart from certificates did you provide?
Mojisola Olubummo
01:01:21
what are the major reasons for high staff turn over and how have we mitigate this in private hospitals?
Nisha Keshary Bhatta
01:02:12
Any reason for senior doctors not participating?
Evelyn Mhlope
01:03:35
Hi Everyone, your experiences very similar to ours in SA.
Peter Waiswa
01:03:48
Thanks Alex and Owen for a great presentation
Romany Redman
01:04:00
Thank you! Great presentations!
MADU EZIOMA (MRS)
01:04:03
thank you, please hope the presentations will be shared
Mojisola Olubummo
01:04:25
Thanks Owen, great and simple presentation.
Peter Waiswa
01:04:26
When can we move from project to program in QI @Malawi colleague, Owen
Mary Okumu
01:04:27
Are the factors influencing quality performance similar in terms of priority for public HW and private HW considering that the 'what is in it for me' for the two sectors might differ. Mary Okumu, Kenya
Mahnaz Hamed
01:04:34
Thank so much Alex for the nice presentation and how access to your presentation?
Olive Cocoman
01:04:40
Yes we will share the slides and the recording later this week.
Consolata IYOGIL
01:04:57
Greetings from Uganda and thank you for this presentation
Eric Jemera
01:04:59
Is there evidence that (i) training on QoC itself is helpful? And (ii) QoC interventions when combined with recognition/reward (e.g. RBF) are more beneficial? (iii) disease/program-specific HW capacity-building interventions (this is often the case that drives HW capacity initiatives?
Ankur Sooden
01:05:09
Question for Dr Rowe are there some frameworks available to evaluate Healthcare worker performance improvement methods.
Evelyn Mhlope
01:05:14
otherwise for assessment we look at at %improvement point that should be sustained over 4 quarters at least
Mahnaz Hamed
01:05:15
wow it will be great
MALANGIZO MBEWE
01:05:25
Nice presentations and Owen
Donna McCarraher
01:05:53
how is supervision defined? is there a minimum number of visit
Donna McCarraher
01:05:56
?
Georges Bonabe
01:06:29
Very interesting, Bonabe form Cameroon
Peter Waiswa
01:06:34
@Alex are there effective QI initiatives that are run as programs in LMICS?
Neema Kimambo
01:07:30
Thank you for the great presentations. I have a question to Alexander Rowe Was mentorship looked at as training on site or was it not assessed as an intervention??
Donna McCarraher
01:08:32
have the new guidelines/standards in Malawi been rolled out? How is this working?
Marjorie Johnson
01:11:14
Thanks so much for the presentations. Excellent!
Nyi Yoe
01:11:50
Hello from Myanmar. This is very interesting and thank you so much. I understand that different context has influences on the outcomes of the study? So can we conclude that the study will give better conclusion if made for each country rather than all the countries combined?
Rory Nefdt UNICEF NYHQ
01:12:27
Excellent presentations, very helpful. Thank you
Dr Pir Murad Khan
01:13:37
Excellent presentations
Hailemariam Legesse
01:13:40
thank you Anne and all, sharing the materials and recording will be very helpful
Karen Zamboni
01:13:46
thanks so much to both presenters.
Codjia Laurence
01:14:02
Very good presentations
Mary Okumu
01:14:03
Partly missed Rowe's presentation and looking forward to the webinar materials. Thank you.
Marion Subah
01:14:32
excellence and thanks so much.
Dagemlidet Tesfaye Worku
01:14:32
Dear all, I have to leave now! I have a meeting to attend>Thanks for the great and useful presentations
kate Lightly
01:14:48
Great to hear about your work!
Sita Strother
01:14:54
Thank you all for joining! We will share the materials with everyone.
Mojisola Olubummo
01:15:06
thank you Sita
Consolata IYOGIL
01:15:08
From Consolata to Owen thank for recognizing the importance of training supervisors for each specific field
Tapas Nair
01:15:13
Thank you, everyone. Really splendid presentations and discussions!
Anne Detjen
01:15:17
Thank you everyone
Tanvi Shah
01:15:50
Thank you so much. This was extremely informative and look forward to learning more. Have a wonderful day!
MGPS Acuitas
01:15:50
Very insightful presentations. Thank you everyone.
Eric Swedberg
01:15:51
Thanks for the excellent presentations!
Evelyn Mhlope
01:15:51
one HCW started a QI Movement in her area and this really helped in sustaining the improvements and continuous looking for new areas to improve
Ajibike Oyewumi
01:15:55
Very well done everyone I learned a lot about what works and what does not work for improving healthcare workers performance