title: Improving postpartum care for mothers and newborns in Niger and Mali: a case study of an integrated maternal and newborn improvement programme.
abstract: Despite appropriate guidelines, healthcare services worldwide often fail to deliver high-impact evidence-based care. This case study describes a large-scale programme to improve integrated postpartum care for mothers and newborns in Niger and Mali. As a result of an improvement effort based on common objectives, local ownership and shared learning to accelerate implementation of best practices, 78 facilities demonstrated rapid improvement in compliance with standards for post-partum haemorrhage prevention and Essential Newborn Care as well as a reduction in estimated postpartum haemorrhage. This approach yields rapid results and can be efficiently spread to improve care in low-resource settings.
authors.affiliation: University Research Co. LLC, Boulevard Mali Bero, Rue Dosso, Niamey, Niger.
authors.forename: M
authors.initials: M
authors.lastname: Boucar
authors.forename: K
authors.initials: K
authors.lastname: Hill
authors.forename: A
authors.initials: A
authors.lastname: Coly
authors.forename: S
authors.initials: S
authors.lastname: Djibrina
authors.forename: Z
authors.initials: Z
authors.lastname: Saley
authors.forename: K
authors.initials: K
authors.lastname: Sangare
authors.forename: E
authors.initials: E
authors.lastname: Kamgang
authors.forename: S
authors.initials: S
authors.lastname: Hiltebeitel
mesh_terms: D005260:Female; D006801:Humans; D008302:Mali / Q000453:epidemiology; D008429:Maternal Welfare; D009548:Niger / Q000453:epidemiology; D019982:Organizational Case Studies; D011181:Postnatal Care / Q000592:standards*; D006473:Postpartum Hemorrhage / Q000453:epidemiology; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology / Q000517:prevention & control*; D058996:Quality Improvement; D011787:Quality of Health Care / Q000592:standards*
keywords: Health systems; information systems; maternal; newborn; quality improvement; supervision; training