2016/LSIF/FOR/011 Non-Governmental Organization Perspective on Establishing Effective Partnerships for Infection Prevention and Control in Healthcare Settings Submitted by: Jhpiego Policy Forum on Strengthening Surveillance and Laboratory Capacity to Fight Healthcare Associated Infections and Antimicrobial Resistance Ha Noi, Viet Nam 14-15 December 2016
NGO Perspective on establishing effective partnerships for IPC in healthcare settings APEC Policy Forum Ha Noi, Viet Nam December 14 15, 2016 Natalie Hendler, MHS Regional Senior Program Officer Jhpiego-an affiliate of Johns Hopkins University
Jhpiego Global health affiliate of the Johns Hopkins University Nonprofit organization funded through US government, other governments, private foundations, corporations, international donors Implementation knowhow from 43 years of experience across >150 economies Currently in more than 55 economies 2
Where We Work Today
Jhpiego s Work What do we do? Strengthen the performance of health workers and health systems to provide quality health care services for women and families How do we do it? Build service delivery and health workforce capacity through global and local partnerships Working with doctors, midwives, nurses and health educators Performance and quality improvement and human resources for health Translating Global Guidance Local Practice 4
We bring clinical understanding to systems for health to improve patient care HEALTH FINANCE HEALTH GOVERNANCE DOMESTIC DISTRICT/ PROVINCE HEALTH FACILITY SERVICE DELIVERY INNOVATIONS HEALTH INFORMATION COMMUNITY MEDICAL PRODUCTS HEALTH WORKFORCE
6 Our Partners
Scalable Partnerships for IPC Sustainable Outcomes Support implementation Transfer Capacity Build Partnerships Global experts Donors Regulatory Bodies Ministry of Health & Edu Professional Associations Univ. & Training Institutions Regional & District Health Teams Health Facility Mgmt & HCWs 7
Key principles for Partnership Engage local stakeholders Shared vision Collaborative planning Continuous communication Openness to change Joint responsibility for action Shared success 8
Capacity Building for IPC Standards and guidelines In-service training and preservice education On-site training approaches E-learning Performance and quality improvement Integration of services Innovations 9
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Example: Strengthening IPC in Tanzania: Building Partnership Jhpiego global expertise Centers for Disease Control Health Services Inspectorate MOH&SW Health Quality Assurance Division Medical Assoc. of TZ (MAT) 6 medical training schools Regional & District Health Teams 26 hospitals & HCWs 11
Example: Strengthening IPC in Tanzania: Transfer Capacity 13 new guiding documents 70+ Domestic IPC trainers On-site training QI teams in hospitals Integrated IPC into pre-service education
Example: Strengthening IPC in Tanzania: Supporting implementation Supported hospital QI teams to continuously assess performance on IPC Standards Installed high-tech incinerators at 2 high volume hospitals PERFORMANCE SCORE (%) 80 70 60 50 40 30 20 10 25 10 66 66 32 12 20 32 39 35 54 70 40 51 72 39 41 53 Established HAI Technical Working Group 0 MNH DOM IMTU KCMC MMH BMC Key 1 st assessment, 2010 2 nd assessment, 2011 3 rd assessment, 2013 13
Example: Strengthening IPC in Tanzania: Sustainable Outcomes 12 hospitals recognized for excellence in IPC by 2015 Integrated IPC into maternal and child health services and medical male circumcision MOH&SW implemented a system of HAI surveillance focused on SSIs 14
Partnership fosters Innovation Response to Ebola crisis among Health Workers: Most exposures occurred during removal of PPE Jhpiego facilitated partnership with individuals, students, CBID, APL, JHMI, BSPH and private businesses to design PPE that are easy to remove. 15
Seize the Opportunity! Develop in-country expertise in IPC Ensure basic infrastructure and supplies Monitor Healthcare Associated Infections and collaboratively analyze for solutions Enable rationale use of antibiotics Promote local innovation for local problems 16
Jhpiego: Partnership for Sustainability 17