Assessing the quality of care and the general functionality of both public and private health facilities in Uganda is vital for identifying gaps and priority areas for improvement to achieve Universal Health Coverage (UHC). It was against this background, the MOH with support from AVSI Foundation through UNICEF funding conducted training and assessment on HFQAP in the West Nile sub-region, Kiryandongo and Lamwo districts. The HFQAP assessment focused on the 110 health service delivery standards. The standards include 96 from the WHO six traditional health systems building blocks and 14 from client centered care and patient safety which was the seventh domain assessed
The Government of Uganda through the MOH conducted the assessment on HFQAP in the 11 regions of; Bugisu, Bukedi, Bunyoro, Busoga, Kampala, Karamoja, Lango, North central, South central, Teso, and Tooro. The assessment covered all HCIVs and HCIIIs (1009 facilities) in 97 districts across the 11 regions, to determine the level of performance for health facilities based on the service delivery standards and use the findings for Continuous Quality Improvement (CQI).
The Health facility Quality of Care Program (HFQAP) was developed basing on a systematic review of the YSP as the previously adapted national quality assessment strategy and the current health facility assessment methodologies; including the SARA and the HFA introduced by the STAR E LQAS Project. The main objective is to provide information on the quality of care and the general functionality of both the public and private health facilities in Uganda and use it for CQI.
The quality of health care has been a major deterrent to health service utilization in Uganda as evidenced by the slow progress in improvement of some of the health sector core performance indicators. Studies have also shown that the technical quality of health services has been deficient in some key areas. The HFQAP was developed to be implemented as one of the Quality Improvement (QI) interventions in the health sector. HFQAP survey facilitates identification of gaps and weaknesses responsible for sub-optimal service provision and intervention coverage that need to be addressed and provide a basis for planning and monitoring scale-up of interventions for service delivery improvement.
The Health Facility Quality of Care Assessment Program (HFQAP) was launched by Ministry of Health in 2015, whose main goal was to provide regular information on quality of care and the general functionality of both the public and private (PNFP) health facilities in Uganda. The information generated from periodic assessments is to be used for performance monitoring and Continuous Quality Improvement (CQI).
The Health Facility Quality of Care Assessment Program (HFQAP) was launched by Ministry of Health in 2015, whose main goal was to provide regular information on quality of care and the general functionality of both the public and private (PNFP) health facilities in Uganda. Only health facilities that report through District Health Information System (DHIS2) were considered. The information generated from periodic assessments is to be used for performance monitoring and Continuous Quality Improvement (CQI).
The 9th National Quality Improvement Conference is one special forum where researchers, practitioners, health service managers, policy makers, and academia come together to take stock of what has worked and what has not worked. experts. The conference of December 2022 brought together delegates from all levels of the health sector including, development & implementing partners, health care service providers and health consumer organizations under the theme “Supervision, Monitoring, Coaching, Mentorship for a resilient health system: The Role of QI”.
The 8th QI conference was the 2nd of its kind given that it was mainly virtual with over 2,000 participants expected to be hosted. This National QI Conference was therefore timely and planned to provide a forum for peer learning through showcasing QI work from across the country, coupled with
expert presentations on QI work from national and international experts.
The health sector developed the National Quality Improvement Framework & Strategic Plan (NQIF&SP) 2020/21 – 2024/25 that was launched in November 2021 at the 8th National QI Conference. The national quality improvement conference is a forum where frontline healthcare providers, researchers, practitioners, health services managers, policymakers and academia come together to share experiences of best practices, challenges, and innovations in health practice aimed at improving the quality of health care. This usually includes sharing in Country and international experiences. This report highlights the discussions, key talking points, and key recommendations that emerged from the conference.
Monitoring deaths aids in identifying and addressing their causes, allowing health systems to adapt and respond effectively. Therefore, a robust Mortality Surveillance System is the cornerstone of a highly effective public health system. It plays a pivotal role in measuring key indicators such as the crude mortality rate (CMR), life expectancy, total and excess mortality, maternal, neonatal, infant, and child mortality rates; categorized by age, gender, location, and other forms of mortality.
This guidebook was formulated for trainers and leaders in management, in order to enhance 5S activities at health facilities under Ugandan government sector health services. By using this book, facilitators and leaders in health facilities will be able to train their trainees and frontline staff to improve their work environment through the Work Improvement Team (WIT), formulated at every work venue of the health facility.
The Patient Rights and Responsibilities Charter is a result of joint effort by Ministry of Health in partnership with key stakeholders. The patient rights and responsibilities charter and its constant review processes will enable health users’ to contribute to the development and contribution of the overall health care system, guide and improve the capacity of health providers in provision of high quality care. The implementation of the Patient Rights and Responsibilities Charter will enhance community participation and empower individuals to take responsibility for their health. This will promote accountability and improve the quality of health services.
