Swiss-Ukrainian Mother and Child Health Programme: Overview of programme history and conclusions

Swiss-Ukrainian

Mother and Child Health

Programme

Overview of programme history

and conclusions

History and Development

Main partner regions

Volyn

Ivano-Frankivsk

Kyiv

0 100

Kilometers

200

N

Vinnytsia

Crimea

Rivne

Donjetsk

Partner Regions

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Volyn

Rivne

Ivano Frankivsk

Donetsk

Kiev

Crimea

Extension,Phase 2

Neonatology Project Perinatal Health Programme

Mother and Child Health Programme

Mother and Child Health Programme

Themes and focal areas

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Equipment supply

HTM, maintenance

ICT / eHealth

Guidelines, EBM

Management, Services Planning

Modern teaching concepts (CE)

Health promotion

NGO capacity building

Intersectoral action, Community Health committees

Continuous Medical Education

Strategic management for Oblast authorities

Clinical Skills Laboratories

Health Care Management and Governance (Summer School)

Extension,Phase 2

Neonatology Project Perinatal Health Programme

Mother and Child Health Programme

Mother and Child Health Programme

Actors, Partners and Contributors

Swiss

Academic

Institutions

SDC,

SECO

UNICEF

MoH,

MCH

NMAPE

Medical

Universi-

ties

WHO

UNFPA

Regional

HC dept.

Prof.

Societies

RESULTS!

e.g. Ivano-Frankivsk region: influence of projects on infant

mortality

Infant mortality, Volyn

RESULTS!

Main ACHIEVEMENTS in MCH (1)

Improved access (enhanced availability of services,

rehabilitated facilities; more than 2/3 of partner hospitals

meet patients expectations & needs)

Improved quality (patient satisfaction increased; clinical

practice improved – normal deliveries increased from 50%

to 70%, partner deliveries increased from 25% to 95%,

transportation of newborn within 1st day increased from

46% to 74%)

Main ACHIEVEMENTS in MCH (2)

Improved efficiency (introduced perinatal service

package contributed to rational distribution of services

among levels and strengthened the role of primary care;

clinical equipment management/inventory software;

application of telemedicine)

Improved health outcomes

(decrease in infant mortality rate in 1,5-2,5 times)

Principles and Approaches

• Patient in focus

• Appropriate solutions (technology, service package, CME)

• System approaches

• Evidence based guidance (protocols, good practices)

• International/ Regional collaboration (learning from peers)

• Supervision instead of control

• Minimal handling and invasiveness

• Quality Management approaches

• Innovation orientation, flexible approaches

Success Factor: Systems Approach

Source: WHO, de

Savigny, .2002

Success Factor: Systems Approach

• Perinatal

Registry,

• Mortality

Audit

?

• Facility Renovation

• Clinical Guidelines

• Services Package

• Management Training

and tools

• Telemedicine

• Skills based

training

• Supportive

Supervision

• eLearning

• Essential

Equipment

• Med.

Equipment

Management

• Summer

School

• eHealth

Stragegy

After all … job done ??

• Unfinished agenda ?

• Will the wheel of improvement/ modernisation keep turning?

• International Partnerships: how to nurture ?

• MCHP provides solid experience base for profound, large

scale reform in preparation

Gratitutes

• SDC, SECO

• Ministry of Health / MCH Department

• Regional healthcare departments

• NMAPE

• Medical Universities

(especially Ivano-Frankivsk, Vinnytsia, Lviv)

Persons of special merit

• Nina Goida

• Olena Sulima

• Raisa Moiseyenko

• Andrey Solodarenko

• Hanna Mikulska

• Zoya Tsikhon

• Lucas Opitz