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  11. Implementing Quality Improvement Initiatives To Improve The Use Of Adolescent- And Youth-friendly Health Services In Zou, Benin

Implementing Quality Improvement Initiatives to Improve the Use of Adolescent- and Youth-Friendly Health Services in Zou, Benin

Josephat Avocè1, Mamadou Kandji2, Vanessa Mitchell3

  • 1The Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Sénégal. javoce@intrahealth.org.

Global Health, Science and Practice
|April 15, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

The Challenge Initiative (TCI) improved adolescent sexual reproductive health services in Benin, but quality and contraceptive uptake declined during COVID-19. Continuous quality improvement strategies are essential for sustained gains in youth reproductive health.

Area of Science:

  • Public Health
  • Reproductive Health
  • Health Services Research

Background:

  • High unmet need for family planning among adolescents and youth (15-24 years) in Benin.
  • Adolescent and youth sexual reproductive health (AYSRH) services require targeted quality improvement.

Purpose of the Study:

  • To assess and enhance the quality of AYSRH services.
  • To improve contraceptive uptake among adolescents and youth in Benin.
  • To evaluate the impact of quality improvement cycles on service utilization.

Main Methods:

  • Implementation of three quality assessment (QA) cycles using a locally adapted checklist.
  • Categorization of 65 service delivery points (SDPs) into quality tiers: poor, moderate, good to excellent.
  • Development and implementation of remedial action plans with supportive supervision.

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Main Results:

  • Initial improvement in service quality from 52% (good to excellent) in QA cycle 1 to 74% in QA cycle 2.
  • Regression in service quality to 40% (good to excellent) in QA cycle 3, coinciding with COVID-19 disruptions.
  • Significant improvement (P=.031) in contraceptive uptake for adolescents and youth in higher-quality SDPs between QA cycles 1 and 2.

Conclusions:

  • Quality improvement strategies are crucial for maximizing AYSRH service use.
  • Sustained improvements require understanding and addressing internal and external influencing factors.
  • A nuanced, contextual approach is necessary for enduring positive results in reproductive health services.