national rollout of 5s-kaizen-tqm approach in tanzania
TRANSCRIPT
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National rollout of5S-KAIZEN-TQM approach in Tanzania
1st
National Quality Improvement ForumNovember 16 2011, Ubungo Plaza
Hisahiro Ishiima
!hie" #$visor, H%H &evelopment Proe't , (I!#)*oH+
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Background
Tanzania participated AAKCP training in 2007
Pilot project started from August 2007 at Mbea !eferral"ospital # and progress outcome $as s%ared $it% Mo"&'
in (ctober 2007
)ffecti*eness of +& acti*ities $as recognized and t%eapproac% $as officiall adopted b Mo"&' # and national
rollout planed in t%e beginning of 200,
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'ork
ing)n*ironme
nt
-mpro*ement
"ig%er $ork efficiencb impro*ing performance
of ser*ice pro*iders under
.)A/ &)!-C) &1&T)M
KA-)/
KA-)/
KA-)/
Performance impro*ement
Performance impro*ement
Performance impro*ement
Better 3ualit of
&er*icesP# T# C# C# &
5S approach
KAIZEN Approach
P= PreparednessS= Standardization
T= TimelinessC= CompletenessC= CommunicationS= Safety
TQM = 5S + KAIZEN
&45 &ort&+5&ustain
&25 &et
&65 &%ine
&75&tandardize
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Hypotheses
Good workingenvironment
Motivate healthworkers and
reactivate professionalism
Increase productivities
and safety
Improve quality ofservices
Continuousimprovement of
servicesKAIZEN
5S activities
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Measures taken for national rollout of +&8
KA-)/8T3M approac%es
I$enti"i'ation o" roles an$ responsibilities o" *oH+
#lignment -ith National Health Poli'y an$ strategies
&issemination o" the 'on'epts to $i""erent sta.ehol$ers
Integration)harmonization o" $i""erent QIPs /raining o" /rainers "or hospital managers
&evelopment o" Implementation gui$eline
&evelopment o" + posters in nglish an$ +-ahili
!on$u't !onsultation visit3
!on$u't Progress %eport *eeting3
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Alignment $it% national %ealt% polic and strategies
Health Sector Strategic Plan III
Quality improvement is an iterative process that never stops9 )*enin a resource8constrained en*ironment# :ualit s%ould be a priorit
;page +# &ection +94e*elopment of posters and guideline
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Training of trainers on +&8KA-)/8T3M
Medical (fficerin8c%arge
Medical (fficerin8c%arge
/ursing (fficer
in8c%arge
/ursing (fficer
in8c%arge
"ospital
&ecretar
"ospital
&ecretar
Training of
Trainers
National/RegionalHospital
National / Regional Hospital
Medical (fficerin8c%argeMedical (fficerin8c%arge
/ursing (fficer
in8c%arge
/ursing (fficer
in8c%arge
"ospital
&ecretar
"ospital
&ecretar
As National /Regional Trainers
In house training
Train District hospitals/Health Center/Dispensary
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Consultation *isit and progress report meeting
-ons"ltation (isit
Progress
Report
Meeting
/ational ?acilitators
from Mo"&'
/ational ?acilitators
from Mo"&'
Hospitals
Evaluation,suggestionsfor improvement
3
months
-ons"ltat
ion (isit
3months
HospitalsProgress
Report
Meeting
3
months
Peer education,Skills up sessions
Evaluation,
suggestionsfor improvement
Peer education,Skills up sessions
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Results of all interventions since 2007 Currently 46 hospitals are implementing 5S-KAIZEN
QIT is established in hospitals trained on 5S-KAIZEN
Over 5000 HWs trained on 5S
Positive attitude towards to QI is built among healthworkers in hospitals trained on 5S-KAIZEN
5S-KAIZEN-TQM approach is integrated withNational IPC guideline
The approach became a foundation of all QIapproach in Tanzania (TQIF)
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* Back yard of a district hospital
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Incinerator of a district hospital
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Medical records department of a
regional hospital
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A ward store of a consultant hospital
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Challenges
Difficult to monitor all hospitals from thecentral
Slow expansion of 5S activities in hospital
Weak implementation of S4 and S5 activities
Absence of KAIZEN training manual
Skills and knowledge of the Nationalfacilitators are not uniform
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T%ank ou for listening@An' ."estion/