1. Page 1 Integrated Quality Management for Hospitals in Tanzania 25/02/2016 Presented at Sector Network Meeting in Ghana 06 May 2014 By: Dr. Baltazar Ngoli

2. Page 1 Developments in the area of quality of health care 25/02/2016 Tanzania National Quality Improvement Framework (TNQIF), 2 nd version (2011) Situation Analysis of Quality Improvement in Health Care, Tanzania (2012) National Health Sector Quality Improvement Strategic Plan (NHSQISP) 2013 – 2018 (2013) Quality Improvement in MNCH programmes in Tanzania- an inventory of approaches being used with a particular focus on capacity development needs (2013)

3. Page 1 Key challenges 1.Tanzania Health Quality Improvement Framework (THQIF) Inadequate funding for QI activities Profusion of terminologies and approaches by different initiatives with potentials for causing confusion Human resources for health crisis 2.QI situation analysis Integration/harmonization of approaches Staff motivation and effective support for institutionalization of QI Client education to their rights and obligations in QI

4. Page 1 Key challenges 3. NHSQISP Inadequate coordination of QI (central and Partners) Weak supervision, mentoring and coaching Lack of ownership of QI initiatives at facility level. Lack of national QI standards and indicators Unclear reporting mechanism Weak sharing of experiences and knowledge TGPSH Phase IV: April 2013 – Dec 201525/02/2016

5. Page 1 What is specific in IQMS?  a participatory system involving major stakeholders  allows integration into or of other Quality Management (QM) models.  An indicator based system that approaches quality from various perspectives, including patient, staff and community  validated indicators is the backbone of IQM  indicator review and ranking done by a panel of key stakeholders  survey (incl. patient survey, self-assessment, a team survey), 2. Quality audit by a certified QM facilitator  Feedback session with entire teams.  benchmarking.

6. Page 1 Achieved results Indicators review and ranking done. A list of 279 indicators selected and incorporated into a software VISOTOOL The indicator list shared with MoHSW Selection of QI coaches (2 per each of the 4 participating regions) done Development of data assessment tools ( patient and staff questionnaires) done Assessment done in 3 hospitals (including quality audit done by qualified auditor)

7. Page 1 Thank you for your attention! For details visit www.tgpsh.or.tzwww.tgpsh.or.tz