Timor-Leste Maternal, Child, Newborn Healthcare Quality Standards

Draft for discussion: actualized on March 26, 2018

Background: In line with Quality Cabinet’s initiative to develop MNCH quality standards, the following draft is prepared. The document took into account global evidences on quality improvement including WHO framework on quality of care. The quality cabinet prepared this document keeping it in line as broader domains of quality improvement framework for Timor Leste that was shared with stakeholders. This document needs to be reviewed in line with the quality issues, along with the clinical areas. Appreciate your feedback on this by 30th of March,2018. Please also be informed that as a next step , respective tools and processes will be developed.

 

Broad Quality Domains		MNCH standards
Standard 1 Leadership	1.1	Every heath facility providing MNCH services has functional MNCH quality improvement teams to guide the QI processes at a regular interval
	1.2	Every heath facility providing MNCH services conduct regular  maternal and perinatal death reviews  with actions taken for corrective measures
	1.3	Every health facility conduct their own assessment on MNCH service performances using QI checklist, tools
Standar 2 Patient centered care (timely and equitable, access, rights)	2.1	Every woman, child and newborn and their family members to be shown respect, dignity and provided emotional support
	2.2	Every woman, child and newborn and their family members to be informed on the health issues and allowed to choose treatment option according to their preference
	2.3	Every woman, child and newborn irrespective of gender, race, ethnicity, geographical location, socio-cultural, economic context should receive prompt access to health care
	2.4	Every woman, child and newborn should receive standard care free of cost from skilled providers
Standar 3  Patient safety	3.1	Every woman, child and newborn to receive care from the skilled health workers using patient safety standards and receive care free from unsafe clinical practices and medical errors
	3.2	Every woman, child and newborn to be given care based on  defined preventive strategy (i.e patient identification, standard handover process during shift changes , adverse event reporting system)
	3.3	Every woman, child and newborn to be examined and managed at any point of treatment following  the standard infection prevention and control guideline
	3.4	Every woman, child and newborn to be treated within a safe infrastructure and environment for health-care delivery processes
	3.5	Health providers while providing MNCH care are to follow standard waste disposal system
Standard 4 Improve clinical practices	4.1	Every pregnant woman receives routine, evidence-based care for routine and complications during antenatal check up
	4.2	Every woman and newborn receives routine, evidence-based care and management of complications during labour and childbirth period
	4.3	Every woman and newborn receives routine, evidence-based care and management of complications during postnatal period
	4.4	Every under-five child is assessed for nutritional status and given appropriate intervention and counseling according to guideline
	4.5	Every under-five child with severe malnutrition are managed according to the guidelines and provided follow up care and appropriate counseling to the caregivers
	4.6	Every under-five child are treated for the common childhood illnesses (diarrhoea, ARI etc) following national guidelines and protocols
	4.7	Every under-five child to be screened for TB and provided treatment following guideline
	4.8	Every Mother, newborn and child  are appropriately assessed for referral and timely and appropriate referral done
	4.9	For every woman, newborn or child who are referred, prior information is provided to the referral facility and the feedback is provided to the referring facility for further follow up
	4.10	For every woman/newborn/child requiring referral, a pre-established implementation plan is followed without delay
Standard 5 Providers engagement	5.1	Every provider in the health facility providing MNCH care has the substantial right to express their views on their needs, expectations and challenges
	5.2	Every health facility providing MNCH care practice a system of staff appraisal and motivation for improved performance
	5.3	Every staff providing MNCH care have access to information and are provided relevant trainings on a regular  basis  and ensure competent care to the patients
Standard 6 Use of Improvement Methods	6.1	Every heath facility providing MNCH care practices 5s-CQI-TQM approach for improving their workplace arrangements
	6.2	Every heath facility providing MNCH care practices Plan-do-check-act Quality Improvement approach  to solve their problems
Standard 7 Measurement for Quality    Standard	7.1	Every woman, child and newborn to have  a complete, accurate, standardized medical records documentation
	7.2	Every health facility has a mechanism for collection, analysis on MNCH critical data and a system of feedback for improved performance
Standard 8 Ensure system inputs for the quality improvement	8.1	Health facility to have essential drugs and supplies for MNCH care and a standardized logistics processes and procedures to be available
	8.2	Skilled staffs equipped with equipment, and support materials available 24/7 for providing MNCH care
Standard 9 Improve  preventive services for health care quality	Community and family to be aware  for promotion of health behaviors in MNCH health  issues