Publication Date September 1, 2023 Program & Technical Resources

Virtual Meeting Report: Strengthening and Scaling up IMCI implementation in the Context of Quality-of-Care Initiatives

This report summarizes discussions from a global consultation meeting organized by MOMENTUM Country and Global Leadership of successes, challenges, and opportunities for more effective implementation of Integrated Management of Childhood Illness (IMCI). The meeting shared country updates from Bangladesh, Ghana, Malawi, and Sierra Leone on their status of IMCI implementation and best practices, identified major barriers impeding further progress, and recommended actions for overcoming barriers and operationalizing IMCI implementation at scale.

Publication Date January 1, 2022 Research & Evidence

Quality of Care for Family Planning: A Comparison of Private and Public Facilities in Seven Countries Using Survey Data

Both public and private health facilities play important roles in the provision of voluntary family planning services. However, little is known about how and if quality of care may differ between these two types of facilities. MOMENTUM Private Healthcare Delivery has conducted an analysis of Service Provision Assessment surveys to compare quality of care for family planning services in public and private health facilities across several countries. The report, "Quality of Care for Family Planning: A Comparison of Private and Public Facilities in 7 Countries Using Survey Data" shares findings that reveal significant nuanced differences between public and private sector health facilities in three key aspects of quality: structure, process, and overall outcome.  A research brief is also available and highlights the key findings from the report.

Publication Date July 1, 2022 Webinars

Perception and Reality: Findings and Implications of a Study on Quality of Care in Family Planning

On July 19, 2022, MOMENTUM Private Healthcare Delivery held a webinar to discuss their analysis of Service Provision Assessment (SPA) surveys, comparing the quality of care for family planning (FP) services in both public and private health facilities across multiple countries. Both public and private health facilities play important roles in the provision of voluntary FP services. However, little is known about how and if quality of care may differ between these two sectors. This webinar shares the study findings and country examples on how quality of care may be measured differently and recommendations for improvement of services.

Publication Date December 1, 2021 Research & Evidence

Thinking Big about Postabortion Care: Improving postabortion care and postabortion family planning through identification, prioritization, and enabling critical behaviors

Complications from miscarriage and unsafe induced abortions are a major cause of mortality or morbidity for women worldwide, particularly in low and middle-income countries. USAID and its partners have been investing resources in improving the access to and quality of postabortion care (PAC) for decades. New guidance from USAID MOMENTUM Country and Global Leadership contributes to that work by leveraging lessons learned from global efforts to date by unpacking key behaviors around PAC and postabortion family planning. Specifically, the guidance pinpoints and prioritizes key actions, actors, enabling and inhibiting factors, and strategies at different levels in order to transform global PAC. For each behavior, the guidance describes pathways to change demonstrated to enable and sustain the behavior. Country programs can use this guidance to identify and resolve context-specific challenges and opportunities to promote quality PAC and postabortion family planning.

Publication Date April 1, 2023 Research & Evidence

Improving Metrics and Methods for Assessing Experience of Care Among Children and Caregivers in Low- and Middle-Income Countries

There is a growing recognition of the importance of conceptualizing and measuring young children’s and their families’ experience of care in health facilities in low- and middle-income countries. This landscape review considers the importance of pediatric experience of care (PEoC) and related frameworks, metrics, and tools. Following the development of this framework, MOMENTUM Knowledge Accelerator carried out a qualitative study soliciting expert feedback on the proposed framework. The accompanying technical brief summarizes the study’s findings.

Publication Date November 1, 2021 Research & Evidence

Nutrition Quality of Care for Maternal, Newborn, Child, and Adolescent Health

MOMENTUM Country and Global Leadership developed a technical brief on the nutrition components of the WHO maternal, newborn, child, and adolescent health (MNCAH) Quality of Care (QoC) standards and associated policy and implementation considerations, and early learning related to implementing these nutrition standards. The primary objective of the brief is to raise awareness among nutrition and MNCAH stakeholders (country and global) of the nutrition QoC standards, and of the opportunities to apply the standards to improve the quality of integrated MNCAH and nutrition services. The brief highlights early learning from three QoC Network countries (Nigeria, Ethiopia, and Ghana) that are implementing efforts to improve the quality of integrated health and nutrition services, and outlines policy and implementation considerations for improving the quality of integrated nutrition and MNCAH services. MCGL will continue to use the brief as part of its technical and capacity development assistance efforts with a subset of countries to advance nutrition as a component of QoC efforts for women, newborns, children, and adolescents.

Publication Date March 1, 2024 Research & Evidence

Strategies for Deploying Pediatric Death Audit to Improve Quality of Care

Pediatric death audits are used to improve health care quality and outcomes for children. In this report, MOMENTUM Country and Global Leadership examined the use of death audits in Kenya, Nigeria, Sierra Leone, South Africa, and Zambia. These experiences suggested both challenges in the use of death audits for improving pediatric quality care as well as options to begin developing effective systems that incorporate audits, even in low-resource settings.

Publication Date June 1, 2023 Research & Evidence

Regular Measurement Is Essential but Insufficient to Improve Quality of Healthcare

This article, written with the support of MOMENTUM Country and Global Leadership staff, argues that large-scale improvements in quality of healthcare require strong change management as well as health information systems that can provide continuous and rapid feedback.

Publication Date October 1, 2023 Training & Guidance

The Baby-Friendly Hospital Initiative (BFHI) Checklist: Integrating BFHI into Maternal and Newborn Health Services and Quality of Care

The Baby-Friendly Hospital Initiative (BFHI) is a set of standards to protect, promote, and support optimal breastfeeding during the critical first hours and days while a mother-baby pair receives delivery and postnatal services in health facilities. This checklist, developed by MOMENTUM Country and Global Leadership, aims to provide health facilities and district managers with practical guidance to ensure the integration and institutionalization of the BFHI Ten Steps within routine antenatal care (ANC), intrapartum care and postnatal care (PNC).The checklist may also be used by health facility managers and health workers involved in maternal and newborn care and nutrition, including ministry of health sub-national and district health managers.

Publication Date July 1, 2023 Webinars

Establishing Routine Health Care Quality Monitoring and Improvement

On July 13th, 2023, MOMENTUM's Monitoring, Evaluation, Innovation, and Learning Working Group held a webinar, "Establishing Routine Health Care Quality Monitoring and Improvement." Attendees heard from Dr. Shogo Kubota about an approach used in Lao PDR by the World Health Organization (WHO) in partnership with the government of Lao PDR to monitor quality service delivery and use data for service improvements. Following Dr. Kubota's presentation, webinar attendees and the Working Group discussed the implications of this approach for measuring effective coverage.