Quality (333) Quality WHO Global Quality Rounds - Setting national strategic direction on quality of care: focus on Malaysia and Namibia (3) Reflections on yesterday's webinar

13 May, 2022

WHO Webinar May 12th 13.00 quality Round “Setting National Strategic direction on quality of care learning spotlight : Malaysia and Namibia”.

1. Malaysia completed its first NPQH (National Program in Quality of Health) cycle of a Quality Assurance program between 2018 and 2021. The WHO quality assurance consultant facilitated the start. Malaysia mapped stakeholders - their roles, identities and engaged with them. Malaysia completed a situational analysis to define the scope, policymakers, evidence base and create ownership. They learnt from other countries, used WHO resources, chose the right stakeholders and formed a technical working group.

2. Namibia has 2,500,000 citizens upper middle income. In 2003 they developed a quality assurance unit. In 2007 they monitored HIV. In 2012 they generated generic QM training and in 2013 a QM training curriculum developed. In 2016 a National Quality of Management Policy NQMP draft policy included consumers. In 2018 quality standards for hospitals and primary care were developed with accreditation and a NQMP was launched, approved by the ministry and printed and distributed. The current NQMP program is from 2021 to 2026. The WHO, World Bank and OECD gave national direction on quality- “Timely, Safe, Respectful, Responsive and improve outcomes.” Namibia started with one are - HIV - then another - maternity care – then moved on to others.

Consumer training helped develop a Patient Charter and exit interviews. Civil societies were part of the development of NQMPs. The WHO has quality assurance documents on their website helping countries to translate policy into long term strategy, action. and quality management.

Recommendations - incorporate quality assuraance in funding, involve consumers and stakeholders from the start. Seek ways to reduce the negative feelings of health workers new to quality management.

The chairman acknowledged and mentioned HIFA at the end of the webinar

HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data

Email address: richardpeterfitton7 AT gmail.com