The Purpose of the Program or Project
Maternal health care is a big part of our hospital and has for a long time been in dire need of change and reforms. Referral back-up for the maternal section of the hospital is needful for the hospital to reduce the number of complications and mortality rates that have been observed in the hospital during pregnancy periods, the delivery systems, postpartum and the problems that new burns and new mothers experience ( AbouZahr & Wardlaw, 2004) . The improvement of quality services in this hospital will involve a 24-hour round the clock readiness alert. The program will enable the team in the hospital to be adequately prepared and respond to the needs of the clients appropriately.
Additionally, the need to provide best practices in the management of the referral hospital, by giving the newborns and new mothers useful healthcare links. Such links involve the transportation of patients within the facility, to offer communication and organized services.
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There is still much to be an initiative to create links between the hospital and the surrounding healthcare facilities to help in case the hospital faces emergencies with the maternal patients to reduce rates of mortalities.
This program has been a borrowed initiative from an African hospital that leads the quality improvement measures that incorporate the improvement measures that create operating theatres, and standard instruments that create organized systems that enhance efficient flow of high-quality services that are centered on low-cost improvement.
The Target Population
The main target population of this improvement program is every woman and child that comes into the hospital, with access to a skilled support officer to offer routine care or to handle the management complication ( Jamison, Breman & Measham, 2006) . Having skilled management and birth attendants will have appropriate skills and years of competence and experience to provide labour, childbirth, and the best postnatal care. Additionally, the facility, both the managerial and other top leadership in the facility will be involved in the development and the implementation of the policies needed to go into the support necessary to improve quality of the maternal services offered.
The benefits of the Program
The results of a well-conducted analysis have proved that the strategies that will be adopted in this program will be best cost-effectively improving the maternal health. The main aim will be to reduce the mortality rate that the hospital has been experiencing. The intervention will prove to be substantial in comparison with the existing situation that has been.
Another benefit will be the increased coverage level of the standard of care in the hospital, especially in the field of family planning, and improvement of the intrapartum, obstetric care, that will not only improve health but save the hospital’s resources. The reduction of the infant and postpartum mortality is, however, the greatest benefit the hospital will be looking to achieve. Studies from hospitals that have changed their quality delivery in the maternity sector have experienced a reduction in the overall maternity rate, reducing the disparities that have surrounded the issue of motherhood.
Budget Justification
The most important factor is that the project will be affordable and cost-effective in the long run. Cost effective calculations have been conducted, and the results showed the intervention would go above and beyond in the most cost-effective way. The rate of reduction in the mortality we calculated was sensitive to the coverage rate in the most effective way, especially in the cases of unsafe abortions, which are also addressed in the intervention of maternal health.
The financial impact of the quality improvement program will be an individual cost per woman, ranging from $18.50 all the way to $370, which showed an increasing rate of the cost-effectiveness ratios. The strategy in the costs will involve the increase in the family planning for women over 20, with the delivery rates being targeted to at least 75%.For women younger than 20, the delivery rate of the family planning options will be aimed at 33% from the previous 18%.The second service in the improved quality will be the availability of safe abortions for all women, who wish to terminate their pregnancies, and finally, an emergency obstetric care for the women that visit the facility. All these services will be included in the $18.50 to $370 per patient cost estimation.
The Basis of Evaluation
The measure of the success of the program will be a framework of at least six domains that will be measures of the quality health care program. The assessment can be monitored within the organization by the heads of departments and other specialists. Within this framework, the hospital management will determine the vision of the hospital using the strategic areas, “clinical guidelines, and standards of care, effective interventions, and measures of quality of care, relevant research, and capacity-building (Bhutta, Das, Bahl, Lawn, Salam & Paul, 2014).”
Conclusion
In conclusion, I feel that the maternal health department in the hospital has been lacking and will be improved heavily by the strategy presented in this proposal. As my supervisors, do you feel the proposal is viable, do you believe the proposal would be approved if formally proposed? What are some strengths and weaknesses of the proposal?
References
AbouZahr C, Wardlaw T (2004). Maternal mortality in 2000: estimates developed by WHO, UNICEF and UNFPA. Geneva: World Health Organization. C. AbouZahrT. Wardlaw 2004.
Bartlett LA, Mawji S, Whitehead S, Crouse C, Dalil S, et al. (2005) Where giving birth is a forecast of death: maternal mortality in four districts of Afghanistan, 1999–2002. Lancet 365: 864–70.
Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, (2014). Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet; 384:347–370.
Boulkedid R, Sibony O, Goffinet F, Fauconnier A, Branger B, Alberti C(2013). Quality indicators for continuous monitoring to improve maternal and infant health in maternity departments: a modified Delphi survey of an international multidisciplinary panel. PLoS One;8:e60663.
Jamison DT, Breman JG, Measham AR, editors. (2006). Cost-effectiveness analysis. Priorities in Health. Washington, DC: World Bank. Pp. 39–59.
