National Healthcare Quality Improvement(NHQI) Initiative
The National Healthcare Quality Improvement Initiative started in 2015 with Lagos as the first state to be enrolled. Imo state was enrolled later in the year and Niger in 2016. We make use of two models (the collaborative model and the model for Improvement) to carry out the project. Using the breakthrough series, the state teams engaged stakeholders in the state and selected facilities using two criteria: a high patient volume and an occurrence of deaths (maternal and / or neonatal deaths and / or stillbirths). Improvements in processes on the project include:
- A 24% reduction in maternal deaths on the Imo state collaborative.
- A 25% reduction in maternal mortality on the Lagos collaborative
In Niger state, we have observed a faster improvement in process indicators as a result of implementing change packages from Lagos and Imo states. For example, in the last six months, partograph coverage by 132%”.