Kenyan Stakeholders Laud Ciheb's CQI Work
Over time, Ciheb's continuous quality improvement (CQI) specialists have worked with other experts to develop general and country-specific resources that include guides, curriculums, templates, and illustrated best practices. Now, these resources are being shared on Ciheb’s new CQI pages.
Ciheb invited stakeholders from Kenya to share perspectives and insights on the work being done.
Mr. Kepha Abuya, county deputy AIDS and STI coordinator and county lead mentor, Kisii County
"By the time UMB was coming on board, viral suppression was around 80%. Through the QI approach, our viral suppression is around 94%, which is way above from the 80% which we had previously.
After doing data cleaning, we found out we lost more than 1,000 clients. That became an issue which we’ve worked on over time. We have been able to return some of these clients back because of cleaning the data to make sure what we are reporting is actually on the ground. Facilities have been able to do their filings. At the end of the day, it’s easier to retrieve their files for clients they are supposed to be seeing through the course of the day, and we credit part of the achievement to UMB."
Ms. Susan Omondi, head of health standards, Nairobi Metropolitan Services – Health Directorate
Ms. Omondi coordinates the quality assessment and quality improvement activities in Nairobi County, Kenya.
"The University of Maryland, Baltimore has been one of our strong partners in the implementation and strengthening of quality improvement initiatives for health Services in Nairobi. UMB has helped train service providers and managers from the county, sub-county, and facility levels on (Kenya Quality Model for Health) to provide basic knowledge on the model. UMB has also provided CQI support through organizing technical working group meetings, supervising health facilities, hosting the annual best practices workshops, and supporting the health service delivery awards process."
Ms. Judy Amboka, adherence counselor
Ms. Amboka is responsible for offering psychosocial support to clients with high viral load, improving retention, offering antiretroviral therapy, and assisting in disclosure.
"With CQI we can sustain good outcomes among our HIV clients. UMB has helped us as service providers through capacity building and continuous mentorship."
Ms. Deborah A. Mogoa, county infection prevention and control and CQI coordinator
Ms. Mogoa coordinates quality management efforts including the development, implementation, education, data collection, and analysis, as well as guiding sub-counties on how to implement and monitor evidence-based quality and process improvement practices.
"Continuous quality improvement focuses on identifying sub-optimal processes in a healthcare system and changing them to reduce defects and improve quality. Since the introduction of the program by UMB to Kisii County, there has been an improvement in health indicators that were performing poorly and were subjected to the CQI process. Through CQI, the healthcare providers are able to identify problems, implement and monitor corrective actions, as well as study their effectiveness on improving quality of care by using reliable cost effective and sustainable healthcare processes to achieve their goals."