Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia
Background Building a culture of quality is vital for sustaining high-quality healthcare, emphasising shared values and continuous improvement. The Quality Equity and Dignity (QED) network was a global initiative working toward this objective, focusing on maternal and newborn health. This paper aims...
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2433576 |
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| author | Anene Tesfa Berhanu Asebe Amenu Tufa Seblewengel Lemma Geremew Gonfa Theodros Getachew Desalegn Bekele Fitsum Kibret Nehla Djellouli Tim Colbourn Tanya Marchant |
| author_facet | Anene Tesfa Berhanu Asebe Amenu Tufa Seblewengel Lemma Geremew Gonfa Theodros Getachew Desalegn Bekele Fitsum Kibret Nehla Djellouli Tim Colbourn Tanya Marchant |
| author_sort | Anene Tesfa Berhanu |
| collection | DOAJ |
| description | Background Building a culture of quality is vital for sustaining high-quality healthcare, emphasising shared values and continuous improvement. The Quality Equity and Dignity (QED) network was a global initiative working toward this objective, focusing on maternal and newborn health. This paper aims to describe how QED influenced five identified attributes of quality culture in Ethiopia: leadership, people-centered interventions, collaboration, rewards, and ownership towards building and sustaining a culture of quality in healthcare establishments. Methods This qualitative study, conducted at two points six months apart, incorporated data from key informant interviews, observations, and document reviews. It included 18 national and 22 sub-national key informant interviews, seven facility observations, and one technical working group meeting observation. Data analysis was performed using NVivo 12 software, focusing on identified thematic areas related to quality culture. Result Leadership was crucial for building a quality culture in Ethiopia, and the QED network strengthened government leadership structures, although leadership capacity and staff turnover were challenges. QED enhanced people-centered care and data tracking, but the added data focus burdened healthcare workers. Opportunities for collaboration and shared learning were facilitated, although not accessible to all actors. Motivation and rewards encouraged good performance, but addressing intrinsic behavioral change remained a challenge. Conclusion Achieving high-quality healthcare involves more than tools and infrastructure; it requires a cultural shift with behavior change consistently demonstrated at various levels. The QED network faced challenges in building a culture of quality but serves as an exemplary initiative for other networks to learn from. |
| format | Article |
| id | doaj-art-2fabebea19694ec6882044c8caffda75 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-2fabebea19694ec6882044c8caffda752025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24335762433576Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in EthiopiaAnene Tesfa Berhanu0Asebe Amenu Tufa1Seblewengel Lemma2Geremew Gonfa3Theodros Getachew4Desalegn Bekele5Fitsum Kibret6Nehla Djellouli7Tim Colbourn8Tanya Marchant9Ethiopian Public Health InstituteEthiopian Public Health InstituteLondon School of Hygiene & Tropical MedicineEthiopian Public Health InstituteEthiopian Public Health InstituteEthiopian Ministry of HealthEthiopian Ministry of HealthUniversity College LondonUniversity College LondonLondon School of Hygiene & Tropical MedicineBackground Building a culture of quality is vital for sustaining high-quality healthcare, emphasising shared values and continuous improvement. The Quality Equity and Dignity (QED) network was a global initiative working toward this objective, focusing on maternal and newborn health. This paper aims to describe how QED influenced five identified attributes of quality culture in Ethiopia: leadership, people-centered interventions, collaboration, rewards, and ownership towards building and sustaining a culture of quality in healthcare establishments. Methods This qualitative study, conducted at two points six months apart, incorporated data from key informant interviews, observations, and document reviews. It included 18 national and 22 sub-national key informant interviews, seven facility observations, and one technical working group meeting observation. Data analysis was performed using NVivo 12 software, focusing on identified thematic areas related to quality culture. Result Leadership was crucial for building a quality culture in Ethiopia, and the QED network strengthened government leadership structures, although leadership capacity and staff turnover were challenges. QED enhanced people-centered care and data tracking, but the added data focus burdened healthcare workers. Opportunities for collaboration and shared learning were facilitated, although not accessible to all actors. Motivation and rewards encouraged good performance, but addressing intrinsic behavioral change remained a challenge. Conclusion Achieving high-quality healthcare involves more than tools and infrastructure; it requires a cultural shift with behavior change consistently demonstrated at various levels. The QED network faced challenges in building a culture of quality but serves as an exemplary initiative for other networks to learn from.http://dx.doi.org/10.1080/16549716.2024.2433576qed networkquality culturequality improvementpeople-centered careleadershipmotivationrewardsownership |
| spellingShingle | Anene Tesfa Berhanu Asebe Amenu Tufa Seblewengel Lemma Geremew Gonfa Theodros Getachew Desalegn Bekele Fitsum Kibret Nehla Djellouli Tim Colbourn Tanya Marchant Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia Global Health Action qed network quality culture quality improvement people-centered care leadership motivation rewards ownership |
| title | Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia |
| title_full | Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia |
| title_fullStr | Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia |
| title_full_unstemmed | Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia |
| title_short | Building a culture of quality in maternal and newborn health: experience from the quality, equity and dignity network in Ethiopia |
| title_sort | building a culture of quality in maternal and newborn health experience from the quality equity and dignity network in ethiopia |
| topic | qed network quality culture quality improvement people-centered care leadership motivation rewards ownership |
| url | http://dx.doi.org/10.1080/16549716.2024.2433576 |
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