Project Outcomes

Over 80% of QoC learning sites were observed to have good knowledge on utilization of QI concepts as they have improved MNH service delivery through the completion of QI projects with at least one or more change ideas adopted into their systems. The change ideas which were tested and adopted include; keeping malaria test kits and LA at maternity, task allocations among team members on each shift, carrying out mentorship sessions, adhering to documentation tools (registers, forms, QI journal etc), documentation tool developments and many others.

CBMNC programme showed remarkable improvement in the percentage of HSAs who were practicing CBMNC. The percentage of HSAs practicing CBMNC and reporting increased from a median 19% in the first year of project to a median of 43% in final year of the project. This had resulted in an increase in the number of women reached by HSAs through door to door visits from a median of 232 women per months in the first year to 409 women per month in final year of the project.

Communities that were reached out through this initiative, tremendous improvements were observed in accessing MNH services from their nearest health facilities and having their delivery supported by skillful health workers. This observation was made specifically in Dedza district.

CSC processes contributed to the successful participation of communities in developmental works such as construction of bathrooms and toilets at nearby health facilities, mobilizing resources for guardian shelter project and in some instances, community members successfully negotiated on the reduction costs of maternity services.