Assessment of quality of care for children in selected hospitals in ...

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Assessment of quality of care for children in selected hospitals in Ghana4.6 Strengthening quality assurance mechanisms within hospitalsGuidelines for clinical audits must be developed and staff trained in their use. The regularconduct of such audits must be included in hospital managers’ performance indicators.Caretakers’ concerns and views may be addressed by regular patient satisfaction surveys,and their views incorporated into health facility quality improvement initiatives.The GHS customer care training should also be scaled up with hospitals buying into theprogramme.Facilitative and clinical supervision must be strengthened at all levels to ensure compliancewith standards.The MOH/GHS should designate best practice hospitals in paediatric care and use them forstudy tours and training sites, and promote regular peer reviews.4.7 Improving human resourcesThe health sector is implementing strategies to improve human resource output, andmechanisms for fair distribution must be instituted, as well as adequate compensationpackages.Communication between hospital management and staff can be improved by holdingregular meetings/durbars and involving all categories of staff in such meetings, as well asconducting staff satisfaction surveys.4.8 Improving access to health facilitiesHealth education materials for the education of caretakers should be developed in locallanguages and a variety of media used for their dissemination.Cost of hospital care is a significant barrier and communities must be educated regardinghow to register children in the NHIS as they are in the exempt category.Page 32
Assessment of quality of care for children in selected hospitals in GhanaReferences1. Assessment of Quality of Care for the Sick Child in Ghanaian hospitals. Accra, Ghana HealthService and World Health Organization, 2005.2. Emergency Triage Assessment and Treatment: Manual for Participants. Geneva, WorldHealth Organization, 2005. Available at:http://whqlibdoc.who.int/publications/2005/9241546875_eng.pdf.3. Emergency Triage Assessment and Treatment: Facilitator Guide. Geneva, World HealthOrganization, 2005. Available at:http://whqlibdoc.who.int/publications/2005/9241546883_eng.pdf4. Pocket Book of Hospital Care for Children, Guidelines for the management of commonillnesses with limited resources, Geneva, World Health Organization, 2007. Availableat: http://www.who.int/ child_adolescent_health/documents/9241546700/en/index.html.5. Better Medicines for Children. World Health Assembly Resolution 60.20. World HealthOrganization, 23 May 2007. Available at: http://www.who.int/childmedicines/publications/ WHA6020.pdf.6. Framework for Improving Hospital Care for Children in Developing Countries.Geneva, World Health Organization, 2009.7. Assessment of the quality of care for children in hospitals: A generic assessment tool. Geneva,World Health Organization, 2008.8. Standard Treatment Guidelines. Accra, Ministry of Health, Ghana National DrugsProgramme, 2010.9. Standards for the care of children and adolescents in health. Sydney, The Royal AustralasianCollege of Physicians, 2008. Available at:www.wcha.asn.au/index.cfm/spid/1_7.cfm?paction=doc...id...Page 33
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