Around 5 million people die each year in low and middle-income countries due to poor quality of health care. Poor care not only jeopardises the health of individuals; it erodes the trust of people and can be a barrier to people seeking clinical care. Evidence also shows that the poorest people in society also receive the worst care. The Lancet Commission on High Quality Health Systems defines a high-quality health system as one which consistently delivers care that improves or maintains health, is valued and trusted by all people, and which responds to the changing needs of a population.
The Government of Somaliland is committed to building a culture of quality improvement in healthcare and held an initial conference with support from KGHP back in 2019. Now, with funding from the UK’s Department of Health and Social Care, KGHP is working in partnership with WHO, Borama Regional Hospital, Awdal Regional Health Management, the Ministry of Health Development Department of Community Health Services and Amoud University to take this work forward. The overall goal of our collaboration is to generate evidence and strengthen capacity to improve the quality of health care in Somaliland. We are also implementing a pilot project in the Awdal region, which can serve as a basis for scaling up to a national quality improvement strategy.
Situational Analysis of Quality Improvement (QI) - Building momentum for a national level strategy
As a starting point, we worked with the Ministry of Health Development (MoHD) to contract a consultant to draft a situational analysis on the state of quality of care in Somaliland. With guidance from the WHO Quality Team, we have conducted a desk review, focus group discussions, and key informant interviews with health stakeholders in Somaliland, including respondents from NGOs, the Ministry of Health, health facilities, and health regulatory bodies. The situational analysis was presented at a National Stakeholder Meeting on March 8-9, and key findings were validated. Stakeholders agreed there are more areas to explore in the situational analysis, therefore efforts to add to this document will be ongoing, led by the MoHD with technical advice from the WHO. We are hoping that this analysis and workshop are the start of a national conversation and commitment to quality of care. The next step is to develop a national quality framework to be rolled out to all health facilities in Somaliland.