Sousa Paulo, Thuzine Edite, Weakliam David, Maia Joana, Amado Elenia, Burgess Thora, Lachman Peter
NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA University Lisbon, Lisboa, Portugal.
Ministry of Health, Maputo, Mozambique.
Int J Public Health. 2025 Mar 12;70:1607847. doi: 10.3389/ijph.2025.1607847. eCollection 2025.
Mozambique is a large country with low GDP and dispersed population. The health service has limited human and physical resources. These constraints have the potential to result in poor quality of care with an impact on patient safety and person experience.
This paper is a "before and after" assessment of a quality and safety improvement project based on a qualitative and quantitative review.
Four case studies illustrate the success of the programme with gains in terms of reduction of maternal death and Key lessons are that aid agencies need to coproduce solutions with the local MoH and clinical teams so that there is ownership of the programme. Thus, all interventions need to be financially light, i.e., aiming to achieve success with minimal funding, so that when the programme ends there is a sustainable plan that can be maintained.
In this review of quality improvement initiatives in Mozambican hospitals we have demonstrated the potential to enhance patient outcomes despite resource constraints. The key to the success of the initiative has been collaborative work as equal partners.
莫桑比克是一个幅员辽阔但国内生产总值较低且人口分散的国家。其卫生服务的人力和物力资源有限。这些限制有可能导致护理质量低下，进而影响患者安全和就医体验。
本文是基于定性和定量评估对一个质量与安全改进项目进行的“前后”评估。
四个案例研究说明了该项目的成功，在降低孕产妇死亡率方面取得了成效。关键经验是援助机构需要与当地卫生部和临床团队共同制定解决方案，以便该项目能够得到各方的支持。因此，所有干预措施在资金方面都要轻装上阵，即旨在以最少的资金取得成功，这样当项目结束时，能够有一个可持续的计划得以维持。
在此次对莫桑比克医院质量改进举措的评估中，我们证明了尽管存在资源限制，但仍有提高患者治疗效果的潜力。该举措成功的关键在于作为平等伙伴开展协作。
