Ministry of Health

Quality Improvement Conference Excellence and Innovation Towards Universal Health Coverage

4th- 6th June, 2019

Programme

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Table of Contents

Day 1 Schedule……………………………………………………………………………………………………… 1-4 Day 2 Schedule……………………………………………………………………………………………………… 5-8 Day 3 Schedule……………………………………………………………………………………………………… 9 List of Poster Presentations…………………………………………………………………………………………..10-12

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Day 1 Programme

TIME TOPIC PRESENTER VENUE 08:00-08:30 Registration Ushers Hotel Foyer And poster preparation Poster presenters

Morning session Chairperson: Director - M&E Co- Chairperson: PHD Lusaka 08:30-08:45 Welcome remarks introductions, Dr Jelita Chinyonga Main Conference Hall Conference Objectives

08:45-09:15 Overview of quality improvement in Dr Rosemary Mwanza Main Conference Hall Zambian Health Sector 09:15-09:30 UNFPA Dr. Mupeta Main Conference Hall 09:30-09:45 What can we learn from quality Key note Speaker (Dr. Chilunga Puta Main Conference Hall across the world? – Path, ) 09:45-10:00 Role of research in QI Director – NHRA Prof. Godfrey Main Conference Hall Biemba 10:00-10:15 Question &Answer Session

10.15-11:00- Tea Break and poster viewing All Hotel foyer

11:00-13:00 Theme Presentations Day 1 Stream A (Room 1) Stream B (Room 2) Stream C (Room 3) Morning Theme: Effectiveness and Amenities Theme: Technical Competence Theme: Developing Projects Sessions Chairperson: Director Public Health Chairperson: Director Nursing Chairperson: Dr. Puta Co-Chairperson: PHD Luapula Co-Chairperson: SMS CDH Co-Chairperson: Dr. Biemba

1. Beatrice Amadi Integration of 1. Angel Phiri 1. Emmanuel Kooma HIV care into community Post Caesarian Section Pain A health care total quality management of acute Management management tool (TQM) childhood malnutrition.

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2. Josephine Maala 2. Haswell Malombo system model for a hospital in Mitigating Compromised Reducing maternal mortality Southern Province. Working Environment at through quality anaesthetic 2. Elizabeth Kamanga Natuseko Health Centre. care. Improving the supply, 3. Masauso Nqumayo 3. Christian Ezeala accessibility and storage of Using user centered design to Quality Improvement in anaesthetic drugs in theatres. improve quality of messages healthcare training through 3. Edgar Shilika and channel of analysis of Medical School’s Frequency of Kristen Rat communication. learning environment. Sarcoma viral oncogene KRAS 4. Christine Imasiku 4. Beatrice Zulu mutations in colorectal Save A Life Smile Improving Training Quality carcinomas at UTH. 5. Aubry Shanzi through Systems and Skills 4. Chalwe Mutesa-Mwewa Improving access to obstetric Development - Pilot of a Implementation of a daily fistula surgery by local surgical Decentralised Nurse Training review template to improve skills training in Luapula model in Rufunsa District, patient safety in intensive care Province. , unit UTH. 6. Getrude Gundumure Tshuma 5. Msangwa Sinjani 5. Sarah El Sheikh Strategy to reduce maternal Testing change of lab. report QI Zambia Community. and perinatal outcomes & requisition to improve 6. Dave Mulenga through improved referral commodity stock supplies. Implementing Patient Safety system between district level and Quality Improvement hospitals (L1) and tertiary level Model in UTH Physiotherapy hospital in Lusaka. 7. Patrick Kabwe Quality improvement project to improve TB notification rates in Mansa District, Luapula. 8. Aniset Kamanga Assessing the availability of medicines, equipment and human resources to provide sexual, reproductive, maternal and newborn health services.

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9. Bupe Mwamba Perinatal problem identification program (PPIP) at the Women and Newborn Hospital: A feasibility study. 13:00-14:00 Lunch All Hotel Restaurant

14:00-15:00 Poster presentations, viewing and All Hotel Foyer voting

15:00-17:00 Theme Presentations Day 1 Stream A (Room 1) Stream B (Room 2) Stream C (Room 3) Afternoon Theme: Effectiveness and Efficiency Theme: Effectiveness and Safety Theme: Access, Safety and Technical Sessions Chairperson: Director Policy Chairperson: WHO Dr. Malumo Competence (15:00- Co-chairperson: PHD Eastern Co-chairperson: PHD Central Chairperson: UNFPA Dr. Mupeta 17:00) Co-chairperson: PHD- Western 1. Aoife Hurley 1. Aubrey Shanzi Parental experiences of a low Reduce maternal deaths by 1. Haswell Malombo to middle income resourced 50% by 2021 through Increasing adolescent health neonatal unit utilisation of referral protocols services in Mantapala 2. Gertrude Nyirenda Mansa District Refugee Camp. SMAGs an extra hand 2. Msangwa Sinjani 2. Kalima Phiri Promoting data utilization Low Coverage for Testing of 3. Musonda Chanda and collaboration frontline HIV Exposed Babies at 12 Mulenga urban health quality workers. Improving via months of Age improvement project(TB). performance meetings. 3. Mukumbi Kabesha 3. Patrick Kabwe . Incorrect ARV administration 4. Oliver Mwenechanya Quality Improvement Project by caregivers collecting drugs, Delayed blood transfusion at in integrated disease PCOE pharmacy. UTH Children’s Hospital.

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5. Marion Lynch surveillance and response to 4. Katamba Cibangu Fast NGO and clinicians address low reporting rates tracking the use of stakeholder analysis to support 4. Loretta Mphende Dolutegravir containing QI Monitoring completeness of regimens at Kanyama and partographs Matero. 5. Cardson Kabwe 5. Jimmy Hangoma Reducing post caesarean Improving pharmaceutical section wound infection care services through Chienge District Hospital. improved essential medicines availability: A case of Women and Newborn Hospital, UTH.

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Day 2 Programme

TIME TOPIC PRESENTER/FACILITATOR VENUE 08:00-08:30 Registration Ushers Hotel Foyer 08:30-09:00 Arrival of Guests and Delegates Main Conference Hall Morning session MC: Mr. Seyuba

09:00-09:15 Recap of Objectives Dr Rosemary R. Mwanza Main Conference hall

09:15–09:30 Keynote address on the aspects of WHO Country Representative Main Conference hall quality of care 09:30 - 09:45 Health and Music Artists Esther Chungu, Freedom Main Conference hall Day, and God’s General 09:45- 10:15 Official Opening Permanent Secretary (HS) Main Conference Hall - remarks by PS(HS); calls on Hon Minister of Health, Dr. Chitalu Chilufya, MP

10:15 -11:00 Tea break Dr RR Mwanza/Dr J Chinyonga Hotel foyer and the Hon Minister and Entourage Minister Entourage views posters presented Poster presenters

11:00 -13:00 Stream A (Room 1) Stream B (Room 2) Stream C (Room 3) Day 2 morning C Theme: Access, interpersonal and Theme: Efficiency and Patient- Theme: Access and Technical presentations effectiveness Centered Competence Chairperson: Country Director- CHAI Chairperson: Country Director- Chairperson: Director PI Co-chairperson: PHD-North-western ICAP Co-chairperson: PHD Northern Co-chairperson: SMS UTH Children’s Hospital 1. Aaron Banda 1. Charity Zimba Bwalya Assessing the Availability of Leaving no one behind: 1. Moyo Nkumbula Medicines, Equipment and Teenage Pregnancies trend Point-of-care testing for Human Resources to downwards in early infant diagnosis of HIV Provide Sexual, 2. Naeem Dalal in rural Zambia: Experience Reproductive, Maternal Innovative Strategies to from field. and Newborn Health Strengthen Mental Health

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System. Kanyama: A 2. Sepiso Mulingushi Masenga Services in Northern Community-based Review Profiling HIV positive Province WHO Mental Health Gap. individuals with and without 2. Freddy Kabengale 3. Francis Kaira diabetes and hypertension. Use of screening tool to Client Centric Demand Livingstone increase HIV testing yield. Creation Model Targeting 3. Jane Musumali Experience from Katete. Hard to Reach Men in Improving the turnaround 3. Masauso Nqumayo Zambia. time for Histopathology Assessment on Quality of 4. Niza Makwaza specimens received at UTH. Family Planning Services in Social accountability 4. Arnold Bhebhe Public Health Facilities in Chisanzu NHC zone. Descriptive analysis of 5. Marion Lynch & Katy presentation, Zambia Weinberg management and 4. George Muyunda Improving the Quality of HIV outcomes Of E Learning, a more Prevention Messaging to Hydrocephalus and Spina effective approach for Address HIV in Zambian Bifida patients at UTH: capacity building at scale Youth Lessons and results from a in Zambia 6. Annie Chisanga recently established 5. Charity Bwalya Effectiveness of the prospective Hospital Based Transitioning from district to comprehensive malaria Registry zonal mentorship in 22 intervention programme at 5. Haswell Malonbo districts in Zambia – a Reducing incidence rate: A Reducing still birth rates sustainability paradigm case of from 38.3 to 8.2 per 1000 live births in 12 months through effective referral system in Chienge District, Luapula 6. Patrick Kabwe Maternal mortality reduction in Mansa District following implementation of quality improvement project recommendations.

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13:00 -14:00 Lunch All Hotel Restaurant

14:00-15:00 Poster viewing and voting Poster Presenters Hotel foyer

15:00-17:00 Stream A (Room 1) Stream B (Room 2) Stream C (Room 3) Day 2 afternoon Theme: Technical Competence and Theme: Safety and Effectiveness Chairperson: NHRA Stream D Access Chairperson: Director-HRDT Co-Chairperson: NHRA presentations Chairperson: Director-Health Co-Chairperson: PHD Muchinga Promotion Research workshop for all Co-Chairperson: PHD-Southern 1. Kaunda Lwimba 1. Lupenshyo Ngosa Potential of Ketofol to Workshop with research experts Social accountability, Provide Adequate explaining new research rules and community health assistants Sedation and Analgesia in regulations and answering and primary health care. Women Undergoing questions on current or potential 2. Ricky Mapulanga Manual Vacuum projects. Improving HIV-Case Aspiration. identification and linkage to 2. Carrick Allison treatment:CIRCLE OF HOPE It isn't all painless- 3. Oluwaseun Aladesanmi Developing a Peripheral Strengthening Ownership Nerve Blockade Service and Accountability of through Workshops Community Emergency 3. Naeem Dalal Transportation Systems in Prevalence Of Burnout Northern Province, Syndrome amongst early 4. Fastone Goma career Medical Doctors, Strengthening the role of UTH Lusaka. nurses and their frontline 4. Emma Stevens teams to provide quality Critically ill patient and care in rural Zambia: Novel basic life support; A pilot approaches to onsite training training course for in leadership and healthcare professionals. management

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5. Msangwa Sinjani 5. Sarah El-Sheikha Rapid Performance Preventing inadvertent Monitoring for Continuous administration of strong Program Improvement potassium within operating towards the First 90: theatres . 6. Mecktridah Malambo Effective leadership, conducive environment and strengthening health systems. Southern Province

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Day 3 Programme

TIME TOPIC PRESENTER/FACILITATOR VENUE 08:00- 08:30 Registration Ushers Hotel Foyer Chairperson: Director- NHRA Co-Chairperson: Director- ZNPHI 08:30-10:00 Quality from our client’s People experiences of health and Main Conference Hall perspective. Film plus question illness and answers session

10:00-10:15 Tea Break All Hotel Foyer 10:15- 10:30 Total Quality Leadership and Country Director- FHI360 Main Conference Hall Accountability in HIV/AIDS Programming 10:30-11:00 Table discussion to define Director- QA Break-away Rooms support needed to improve quality and next steps for projects. 11:00-11:20 Sharing identified needs and Director- PI Break-away Rooms offers of help and expertise. 11:20- 11:40 Personal and team Director- M&E Break-away Rooms commitments to action within 30 days. Individual objectives and commitment to actions recorded at tables. 11:40 – 12:00 Summary of conference Director- QA Main Conference Hall outcomes next steps for quality road map. 12:00-13:00 Official Closing Permanent Secretary (HS) Main Conference Hall - Awards

13:00- 14:00 Lunch All Hotel Restaurant

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Poster Presentations

Theme Presenter Presenter Poster Title Last name First name Improving Mashina Chomba An observational study to establish the acceptance rates of lumbar puncture quality among patients with non-stroke neurological diseases at UTH, Lusaka.. through Mulenga Lufungulo Increasing the number of health facilities conducting high impact community Community focused group discussions (HIC-FGD) in Chifunabuli District. Engagement Emmanuel Kooma Strengthening community engagement for quality response for resilient public and Social health services. Accountability A case for district local authorities in Zambia. Webby Mwamulela Integrating community outreach into quality improvement to promote maternal and child health A case study of Shampande Urban Clinic and Choma General Hospital (1st Level) 2019. Chaka Phiri Universal Coverage: Availability and accessibility increases utilization of Family Planning Services among adolescents in . Mulenga Kampamba Improving the coverage for first anti natal care clients within 14 weeks

Mulenga Kampamba Reduction of Malaria Case at Bushinga Health Post.

Improving Mike Chaponda Efficacy and safety of artemether-lumefantrine as treatment for Plasmodium quality Falciparum through uncomplicated malaria in adult patients on efavirenz based antiretroviral equitable therapy in Zambia: access to an open label non-randomized interventional trial. care, Inutu Mbangweta Quality Improvement Collaboration Adolescent ART initiatio n in medications Alick Bwanga The role of H. pylori in adults presenting with spontaneous gastroduodenal and perforation at UTH, Lusaka. equipment Chris Mol Quality Improvement of medical equipment medical equipment maintenance Mwaba Mwila Rational Drug Use QI Project Chinsali General Hospital. Nixon Miyoba Nutrition scores and MUAC of adult surgical orthopaedic patients at a teaching hospital in Lusaka Province.

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Theme Presenter Presenter Poster Title Last name First name Improving Fanwell Banda Quality Improvement Interventions for Exposed Infants Tested For HIV at 12 quality Months In Quarter Two 2016 to Quarter One 2018 at Mwembeshi Health Centre through in . Equitable Martin Bwalya GENEXPERT HIV viral load assay for reduced viral load turn around time and access to improved patient care. care, Goodson Mpumba Making institutional delivery services possible at Walela Health Post in Chipata medications Mukosa District of Eastern Province. and equipment

Improving Kennedy Chishimba Viral load monitoring at 6 months post ART initiation. Quality Albert Hitima Assessment of factors which lead to high pregnancy among adolescents in through Rufunsa District. Innovation in Kelvin Chibwalwe service design Reducing Turn Around Time (TAT) for viral Load results through Facility Zoning. Kalima Phiri Testing of HIV exposed infants at 18 months. Jay Sikalima Use of Pf HRP2 based Malaria rapid diagnostic test in an area of high transmission, Nchelenge. Improving Mwansa Lubeya Simulation-Based Training to increase use of condom-UBT for management of quality Ketty PPH: A Zambian experience through Skills Margarate Munakampe The Zambia Therapeutic Art Course: Improving the quality of mental health care Development in Zambia Anna Chirwa In-service Objective Structured Clinical Examination revealing deficits in mentor competencies. Rachael Talbot Quality improvement of Neonatal Nursing knowledge and skills through delivery of single ‘Masterclass’ teaching sessions. Mweene Cheelo Improving access and quality of surgery in rural Zambia. Lessons from the Medical Licentiate Programme.

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Theme Presenter Presenter Poster Title Last name First name Improving Dominic Sashi Reduction of patient's turn-around time from 6hours to 4hours at Kanyama Level quality One Hospital through Joaquim Musamba Achieving customer satisfaction survey of more than 80% at Nchanga North System and General Hospital Laboratory by February 2018 Leadership Freddy Kabengele Contribution of targeted testing strategy in the increase of yield index testing Development modality. Case of Mchini Clinic, Chipata Clinic, in Eastern Province. Msangwa Sinjani Measurements for Elimination of Mother to Child HIV Transmi ssion using Routine Cohort Msangwa Sinjani Monitoring Improving Viral Load Coverage: The Case of Shampande Rural Health Clinic in Southern Province Lindsey Hehman Automate and standardize activity budget input tool for con tinuous planning quality improvement Catherine Mwaba Establishing a Quality Management System (QMS) in Radiotherapy in a LMIC Hospital Setting: An experience of the Cancer Diseases Hospital (CDH) Rabson Zimba Establishing a community-based surveillance system to improve tracking of maternal and neonatal deaths and births in Northern Province Lindsey Hehman District-level RBF to incentivize more efficient ways to provide quality RMNCAH services

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Thanks to all of our Sponsors and Partners! ➢ Ministry of Health ➢ Centres for Infectious Diseases ➢ National Health Research Research Zambia (CIDRZ) Authority (NHRA) ➢ FHI360 ➢ Health Education England ➢ The U.S. Department of Defense ➢ PATH ➢ Zambia Medicines Regulatory ➢ THET Authority ➢ The World Bank ➢ ICAP at Columbia University ➢ The World Health Organization ➢ UNFPA ICPD ➢ PEPFAR ➢ Swedish International ➢ USAID- SBH Development Agency (SIDA) ➢ HPCZ ➢ General Nursing Council ➢ Media Houses ➢ World Vision Exhibitors: ➢ JHIPIEGO ➢ Solidarmed ➢ Sterelin ➢ Livewell

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Ministry of Health

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