Boucar M, Hill K, Coly A, Djibrina S, Saley Z, Sangare K, Kamgang E, Hiltebeitel S
University Research Co. LLC, Boulevard Mali Bero, Rue Dosso, Niamey, Niger.
BJOG. 2014 Sep;121 Suppl 4(Suppl 4):127-33. doi: 10.1111/1471-0528.12818.
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.
尽管有适当的指导方针，但全球范围内的医疗服务往往未能提供具有高影响力的循证护理。本案例研究描述了一项大规模计划，旨在改善尼日尔和马里针对母亲和新生儿的综合产后护理。由于基于共同目标、地方自主权和共享学习以加速最佳实践实施的改进努力，78家医疗机构在预防产后出血和基本新生儿护理标准的合规性方面迅速改善，同时估计的产后出血量有所减少。这种方法能迅速取得成果，并可有效推广以改善资源匮乏地区的护理。
