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Embedding Quality Improvement of Maternal
Health Programs in Cianjur District, Indonesia:
Prospects and Challenges
The REACHOUT project is funded
by the European Union
1
REACHOUT Consortium Meeting
Bangladesh, 12 June 2016
• Maternal Mortality Ratio at
national level remains high
i.e. 359/100,000
• 48 reported maternal
deaths in Cianjur district in
2012
• Improving health facility
delivery is important to
reduce maternal deaths
Context analysis
QIC1 activities
National
Provincial
District/
Regency
Sub-
district
Village
Supervision • Health Promotion
• Community Engagement
QIC1 to QIC2
Moving from Reachout led intervention (QIC1)
into health system intervention (QIC2)
Stakeholder
Meeting
QI
Workshop
Action Plan:
District
Health
Office
Community
Health
Center (3)
Health System
led Quality
Improvement
Prospects
1. QI focus is in line with district health focus
and sub-district health focus
• Improve the quality of antenatal care services
• Early complication detection and management
by close to community health providers
• Further increase childbirth in health facility
• Improve the existing supportive supervision
Prospects
• District Health Office
• Community Health
Centre/Puskesmas
• Village midwives and
village health volunteers
• Involvement and
enthusiasm of District
Health Office and
Puskesmas in the QI
workshop
• Designed QI Action plan
2.Established rapport with strategic stakeholders in
Cianjur during our Context Analysis and QIC1
Prospects
QIC2 Action Plans
• District Health Office
– Improving the quality of Antenatal care/ANC
– Pregnant Women Class
– Complication Detection and Management
• Community Health Centre/Puskesmas
– Improving the quality of ANC
– Scaling up Pregnant Women Class
– Improving the quality of ANC
Challenges
• Maintaining stakeholders’ support and enthusiasm
amidst their busy schedules and other priorities
• The issues related to local politics (e.g. Staff/Officer
Mutation)
• The issues related to daily implementation
(consistency/determination) and sustainability
Follow up
• Regular meetings with stakeholders to maintain
their support and enthusiasm
• REACHOUT provides assistance in the
implementation of QIC2 in the District Health
Office and Puskesmas
• Advocacy to the new head of Cianjur district and
new district officers

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Key findings from REACHOUT work in Indonesia

  • 1. Embedding Quality Improvement of Maternal Health Programs in Cianjur District, Indonesia: Prospects and Challenges The REACHOUT project is funded by the European Union 1 REACHOUT Consortium Meeting Bangladesh, 12 June 2016
  • 2. • Maternal Mortality Ratio at national level remains high i.e. 359/100,000 • 48 reported maternal deaths in Cianjur district in 2012 • Improving health facility delivery is important to reduce maternal deaths Context analysis
  • 4. QIC1 to QIC2 Moving from Reachout led intervention (QIC1) into health system intervention (QIC2) Stakeholder Meeting QI Workshop Action Plan: District Health Office Community Health Center (3) Health System led Quality Improvement
  • 5. Prospects 1. QI focus is in line with district health focus and sub-district health focus • Improve the quality of antenatal care services • Early complication detection and management by close to community health providers • Further increase childbirth in health facility • Improve the existing supportive supervision
  • 6. Prospects • District Health Office • Community Health Centre/Puskesmas • Village midwives and village health volunteers • Involvement and enthusiasm of District Health Office and Puskesmas in the QI workshop • Designed QI Action plan 2.Established rapport with strategic stakeholders in Cianjur during our Context Analysis and QIC1
  • 8. QIC2 Action Plans • District Health Office – Improving the quality of Antenatal care/ANC – Pregnant Women Class – Complication Detection and Management • Community Health Centre/Puskesmas – Improving the quality of ANC – Scaling up Pregnant Women Class – Improving the quality of ANC
  • 9. Challenges • Maintaining stakeholders’ support and enthusiasm amidst their busy schedules and other priorities • The issues related to local politics (e.g. Staff/Officer Mutation) • The issues related to daily implementation (consistency/determination) and sustainability
  • 10. Follow up • Regular meetings with stakeholders to maintain their support and enthusiasm • REACHOUT provides assistance in the implementation of QIC2 in the District Health Office and Puskesmas • Advocacy to the new head of Cianjur district and new district officers