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Using statistical process control methods to trace small changes in perinatal mortality after a training program in a

Estomih R Mduma1, Hege Ersdal2, Jan Terje Kvaloy3,4

  • 1Haydom Global Health Research Centre, Haydom Lutheran Hospital, Haydom Manyara, Tanzania.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
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Summary

Statistical process control methods revealed a steady improvement in perinatal survival over time at a rural Tanzanian hospital. This approach effectively documents changes in patient outcomes, aiding continuous monitoring and improvement efforts.

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Area of Science:

  • Perinatal health
  • Public health interventions
  • Statistical process control in healthcare

Background:

  • Perinatal survival rates in Sub-Saharan Africa often face challenges.
  • Monitoring subtle changes in perinatal outcomes requires robust methodologies.
  • Haydom Lutheran Hospital in Tanzania serves a rural population with specific healthcare needs.

Purpose of the Study:

  • To document temporal changes in perinatal survival.
  • To evaluate the effectiveness of interventions on perinatal outcomes.
  • To apply statistical process control methods in a low-resource hospital setting.

Main Methods:

  • Prospective observational study with retrospective analysis.
  • Utilized variable life-adjusted plots and cumulative sum charts.
  • Focused on perinatal survival, including fresh stillbirths and 24-hour newborn survival.

Main Results:

  • A steady improvement in perinatal survival was observed over time.
  • Variations in survival rates were noted, potentially linked to interventions.
  • Helping Babies Breathe (HBB) training was among the implemented interventions.

Conclusions:

  • Statistical process control methods were successfully applied to monitor perinatal mortality.
  • This study demonstrates a steady increase in perinatal survival at the hospital.
  • The methods used can be valuable for continuous monitoring of patient outcomes in similar settings.