1. Improving infection prevention in a maternal and child health clinic in Peru Guillermo E. Frías, MD, MPH Quality Healthcare Project 139 th APHA Annual Meeting and Exposition, Washington DC, November 2, 2011

2. Disclosure “There are no relationships to disclose”

3. TAHU ANIA YU RU A RED N°3 Background Campoverde Health Center Population = 14,362 Women 15-45 years-old: 4,821 Expected Pregnancies: 403 High risk of HIV, STIs, TB, and other infectious diseases

4. Performance Improvement Methodology

5. Performance improvement guidelines

6. Assessment in 85 facilities, –Low level of compliance in prenatal care, and child care clinics: 0-33%. Lack of compliance with infection prevention practices: no handwashing, poor biosafety practices, poor disinfection, inadequate waste disposal. Lack of motivation for compliance. Baseline

7. September 2009: quality health team received IP standards training October 2009: Action plan to improve best practices developed 10 month follow –up led by regional health directorate Defining infection prevention standards Infection Prevention Workshop, 2009

8. New request for materials according to standard precautions. 25 local providers received IP prevention training Check-list used to evaluate compliance Implementing best practices

9. Results

10.  2010: quality health team recognized by regional health authority  2011: Campoverde Health Center qualified as a competency-based training center for infection prevention Recognition

11. Individual facility team members promoted to higher level positions IP action plan inserted in regional results-based budget Involvement of regional university in training center capacity for IP Ensuring sustainability

12.  The application of PIM helps to guide standards development, in particular for infection prevention.  Quality teams carry out a holistic role to set the stage for IP practices compliance.  Improved logistics and budget support can help ensure sustainability. We must keep the flame on…….. Lessons learned

13. Thank you www.calidadensalud.pe Dr. Oscar Cordon, Chief of Party: ocordon@calidadensalud.pe ocordon@calidadensalud.pe Dr. Guillermo Frías: Regional Operations Manager: gfrias@calidadensalud.pe