WHO: Quality of care in fragile, conflict-affected and vulnerable settings (3) WHO Bulletin: The quality-of-care agenda in fragile, conflict-affected and vulnerable settings

5 March, 2021

In January we highlighted a new WHO Publication, Quality of care in fragile, conflict-affected and vulnerable settings

https://www.hifa.org/dgroups-rss/who-quality-care-fragile-conflict-affec...

The March 2021 issue of the WHO Bulletin has an editorial on this subject. Citation and extracts below.

CITATION: The quality-of-care agenda in fragile, conflict-affected and vulnerable settings

Matthew Neilson, Sheila Leatherman & Shamsuzzoha Syed

Bulletin of the World Health Organization 2021;99:170-170A. doi: http://dx.doi.org/10.2471/BLT.21.285627

Inadequate quality of care claims between 5.7 million and 8.4 million lives each year in low- and middle-income countries. Access to quality care could prevent 2.5 million deaths from cardiovascular disease, 1 million newborn deaths, and half of all maternal deaths annually; yet many settings lack even basic infrastructure such as water in health facilities...

In response to this need for action, the World Health Organization (WHO) has worked with partners to develop a practical approach to address quality in fragile, conflict-affected and vulnerable settings [http://dx.doi.org/10.2471/BLT.19.246280]. These efforts have culminated in a technical package comprising an action-focused guide [https://www.who.int/publications/i/item/9789240015203] and tools compendium [ https://www.who.int/publications/i/item/9789240018006]...

The technical package outlines eight elements for quality action planning: service priorities and quality goals; shared local understanding of quality; stakeholder mapping and engagement; situational analysis; governance for quality; interventions for quality improvement; health information systems and quality assessment; and quality measurement...

One of the eight elements – interventions for quality improvement – is particularly important. This section presents a series of evidence-based interventions organized under five areas: ensure access and basic infrastructure for quality; shape the system environment; reduce harm; improve clinical care; and engage patients, families and communities...

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Neil Pakenham-Walsh, HIFA Coordinator, neil@hifa.org www.hifa.org