African Forum for Quality Improvement in Healthcare

ISQua’s CEO, Peter Lachman, was the keynote speaker at the first AFRIQHER conference in Accra, Ghana, earlier this month.

 

The below is his report, originally published in Pulse (https://www.linkedin.com/pulse/start-movement-peter-lachman/?trackingId=DJ4PaA6aBS1onNlPBSQkmg%3D%3D)

 

Last week I made my first visit to Ghana for a new venture – the first AFRIQHER conference in Accra.

 

This concept of setting up a pan African movement for quality and patient safety comes from Leroy Edozien, who is an obstetrician in Manchester with a yearning to improve healthcare in Africa. Out of his enthusiasm for making something happen he set up the organisation and the website and then arranged the first conference with able local help of Noble Nazza. He states on the website that…

 

“Healthcare providers and consumers would like to see continual improvement in the quality of care that is delivered, but sustainable quality improvement does not happen by chance: the process has to be actively managed. In some parts of the world, various quality improvement theories and methods adapted from industry have been applied in the health sector, with varying degrees of success. In Africa, healthcare Quality Improvement is in its early days and there is a longer road to travel.”

 

When asked why in Ghana, Leroy simply states that this is where the Pan African vision started so it is fitting to commence the movement there. Quality improvement and patient safety are emerging in Africa and there are numerous interventions from aid agencies, think tanks and consultancies.

 

A number of very successful programmes have been held e.g. in Ghana, South Africa, Ethiopia as well as specific programmes across the continent aimed at improving HIV care, Maternal and Child Health etc. ISQua has been assisting in Mozambique and will be holding our 2019 conference in Cape Town. However, the concept of a pan African movement is one that has traction. 

 

The programme was well crafted with a lot of expertise and much to discuss. The meeting was small, 20- 30 people attended from a number of countries and this allowed for in-depth discussion of the problems and challenges faced in Africa as well as the potential for change with African solutions developed locally and spread from country to country. The programme was full and demonstrated the need for solutions for Africa to be developed by people who have to manage healthcare locally in resource poor conditions where them main resource are the people.

 

The opening was by Hon. Kingsley Aboagye Gyedu, Deputy Minister of Health, Ghana who set the scene for the next two days. We heard of the great work from Nigeria from Dr Olawumi Oluborode, Executive Manager, Society for Quality in Healthcare and then the work in Ghana both from the ministry by Dr Ernest Konadu Asiedu, Head, Quality Management Unit, PPMED, Ministry of Health, Ghana and Ernest Kanyoke, Executive Director, Ubora Institute, who gave an overview of their work in Ghana and beyond. 

 

And in the afternoons there were 3 small interactive workshops on patient safety and quality improvement methodology.

 

I was privileged to be part of the founding group and hope that this movement will grow. We at ISQua will continue to support the growth of the social movement for safety and quality in Africa and the growth of AFRIQHER.

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Nourhan Kawtharani


Nourhan, a quality and safety coordinator with eight years of experience in ambulatory healthcare in Lebanon, aims to deepen her understanding of the systemic and holistic approach to healthcare through this fellowship.

She aims to identify gaps and develop tailored interventions that address specific contexts rather than applying general solutions. Engaging with diverse professionals and perspectives during this educational journey will expand the application of these concepts across different cultural settings.

Nourhan emphasizes the importance of promoting a culture of continuous learning and improvement within healthcare institutions, considering it a vital leadership responsibility to integrate quality and safety initiatives into the organizational culture.

Nourhan's commitment to patient safety and quality management includes sourcing practical resources and transforming insights into actionable knowledge to drive continued progress in healthcare practices and outcomes.

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Elom Otchi


Elom is passionate about improving quality of care and patient safety outcomes.

In view of this, he has had the opportunity to work in various capacities with various organisations including AfIHQSA, WHO, UNICEF and others undertaking research, supporting the development of national quality policies and strategies, facilitating the establishment of quality governance systems across all the levels of the health sector and building capacity of national and sub-national quality leads/teams to institutionalize the practice of quality and patient safety across the continent.

He has also worked extensively across all levels of care in the health sector of Ghana, including leading the Quality & Patient Safety program in its largest teaching hospital.

I would like to use this Fellowship as a learning platform and an opportunity to acquire the requisite knowledge, skills and competencies to complement ongoing efforts by like-minded individuals and organizations to continuously advance improve the quality and patient safety in Ghana and the continent.

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Stephen Taiye Balogun


Stephen is a Senior Programme Officer at the Institute of Human Virology in Nigeria as well as Country Representative for Health Information for All (HIFA).

Stephen plans to use this opportunity to maximise his impact by championing the cause of patient safety and quality in Nigeria and across Africa.

Stephen says "Quality and safety is a major wheel through which universal healthcare coverage can be achieved. The goal is to be a bridge in the gap between the International Quality Improvement and Patient Safety community and my country to ensure rapid spread, adoption, implementation and practice."

We are looking forward to working with both Stephen and our 2020 winner Rhoda Kalondu over the next year.

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Dr Rhoda Kalondu


Rhoda is the Head of the Patient Safety Unit at Kenyatta Hospital in Nairobi and wants to use this Fellowship to learn how to establish a culture of safety and develop systems for assessment and analysis at her institution, and more widely. As well as this, Rhoda intends to develop and execute an intervention to improve patient safety in Kenyatta National Hospital.

It is one thing to institute measures and processes for improvement, but quite another to change the culture of an environment. Rhoda's ambition to lead others in this change inspired the panel.

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Dr Subhrojyoti Bhowmick


I am an MBBS graduate from Calcutta University with a Gold Medal in Gynecology & Obstetrics.

I have completed M.D in Pharmacology from IPGME& R, Kolkata and have over 12 years of experience in the field of Clinical Research, Pharmacovigilance and Medication management in Hospitals.

I have completed certification in Clinical Research Administration & Project Management from Stanford University, USA and in Patient Safety from Johns Hopkins University, USA.

I am an Assessor for National Accreditation Board for Hospitals & Health care providers (NABH), India assessing hospitals for medication safety and clinical quality standards and NABH Assessor for Ethics Committee Accreditation program in India as well.

I serve as the Chairperson, Institutional Ethics Committee of Health Point Hospital, Kolkata and am associated with 2 other Hospital ethics committees as a member.

I finished my Fellowship in Healthcare Quality from the International Society of Quality in Healthcare (ISQua) from Ireland in 2017.

I have published several research articles and have also authored a chapter on “Regulations governing Clinical Trial” in the book “Fundamentals of Clinical Trial & Research”.

I am a peer reviewer for prestigious international journals like the British Journal of Clinical Pharmacology, CNS Drugs and Drug Safety case reports.

I am the recipient of the UK Seth Oration Award for Best Clinical Pharmacology paper by the Indian Pharmacological Society in 2009 and the “Most promising Healthcare professional in Patient Safety in India” award by the Asian African Chamber of Commerce and Industry in October 2018.

Recently in April 2019, I received the Young Quality Achiever award by Consortium of Accredited Healthcare Organizations (CAHO), India for 2019 for my work in the field of medication safety and clinical research.

I have a keen interest in teaching and am visiting adjunct faculty of Pharmacology at KMC, Mangalore, India and for Healthcare technology at MAKAUT, Kolkata, India.

I was associated with Stanford University School of Medicine, in the USA as a Senior Clinical Research Associate from 2015 to 2017 and have certification in Biostatistics, Evidence-based Medicine and Medical Writing from Stanford University.

Currently, I am working as the Clinical Director of Academics, Medical Quality and Clinical Research at Peerless Hospital and B K Roy Research Centre, Kolkata.

I am very happy and thrilled to receive the prestigious ISQua Lucian Leape Patient safety Fellowship Award for 2019 and I look forward to honing my skills further in the field of healthcare quality and patient safety through my experiences during this fellowship.

I sincerely believe that successful completion of this fellowship will help me evolve as a more confident Patient safety leader in India who in turn can provide significant inputs on policy changes through NABH for the Indian healthcare system.

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