National Rollout of 5s-Kaizen-tqm Approach in Tanzania

8/9/2019 National Rollout of 5s-Kaizen-tqm Approach in Tanzania

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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



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/

National Rollout of 5s-Kaizen-tqm Approach in Tanzania

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