Table 1
Summary of elements from WHO quality of care in fragile, conflict-affected, and vulnerable settings: tools and resources compendium.
| ELEMENTS | DESCRIPTIONS |
|---|---|
| Service priorities and quality goals | Coordinating with existing health systems to provide quality care that addresses the most pertinent needs of the population |
| Shared local understanding of quality | Engaging with the community to ensure that the work is relevant and in sync with local goals |
| Stakeholder mapping and engagement | Collaborating with stakeholders to promote quality and responsiveness, among other benefits |
| Situational analysis-state of quality | Performing assessments of needs, capabilities, and quality |
| Governance for quality | Ensuring oversight and governance in supporting quality work |
| Interventions for quality improvement | Improving quality through actionable plans and timely delivery |
| Health information systems and quality assessment | Promoting decision-making based on assessment and data driven solutions |
| Quality Measurement | Measuring quality through valid indicators adapted to local context |
Figure 1
Map of South Sudan [16].
Table 2
Recommendations for Implementation of WHO Quality Care Elements.
| ELEMENT | AUDIENCE | ACTION ITEMS |
|---|---|---|
| Service priorities and quality goals | Cluster coordinator | Undertake situational analysis to determine barriers to prioritization and coordination among all stakeholders |
| Cluster Coordinator | Expand usage of closed monitored online forum to increase coordination among Cluster members | |
| Shared local understanding of quality | All NGOs | Increase local leader and community participation |
| All NGOs, led by Cluster coordinator | Improve robustness of existing equity analyses to determine which voices are being heard at stakeholder meetings and how to create more diverse program advisory committees | |
| Donors | Conduct assessment on regulations or policies that may be prohibitive to African-run NGOs applying for and receiving grants | |
| Donors | Reduce administrative burden on grantees | |
| Donors | Provide grant application-writing workshops to African-run NGOs | |
| Stakeholder mapping and engagement | SSHCO | Create stakeholder map and methods of engagement matrix |
| Cluster coordinator | Empower MOH to have larger leadership role within Cluster | |
| Situational analysis-state of quality | Cluster coordinator | Determine current overlap in programs and geographic regions between Cluster organizations and produce accompanying report |
| Governance for quality | All NGOs | Support MOH through leadership training |
| International NGOs/Donors | Encourage international NGOs to adopt a health-systems strengthening approach, working in partnership with the MOH | |
| Interventions for quality improvement | All NGOs | Provide scholarships for future healthcare workers |
| All NGOs | Target capable local staff at all levels and fund continuing education | |
| Health information systems and quality assessment | SSHCO | Create specialized training for data clerks to ensure timely reporting of IDSR data |
| Quality measurement | SSHCO | Create and improve quality measurement indicators such as healthcare staffing levels, pharmaceutical access, and procedure usage and access |