This is the fifth in a series of eight factsheets on the theme of health service delivery, that draws on the results and lessons learned from the PRRINN-MNCH programme. This particular brief focuses on improving service quality through well-trained, ‘on the ground’ teams. The key messages are:
Facility-based quality improvement teams are raising standards for maternal, newborn and child health services, particularly in northern Nigeria.
- Improvements to quality of care can lead to better mortality rates, better utilisation rates, reduced delays in seeking care and improved morale among health workers.
- PRRINN-MNCH has established quality improvement teams, identifying local solutions to quality of care issues and taking action to improve them, without the need for directives from the Ministry Of Health.
- Basic but essential elements including health workers’ attitude to patients, hygiene and staff punctuality are being improved through routine on-the-job training and mentoring but the initiative needs support at higher levels.