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14 Δεκ 2013 (πριν από 3 χρόνια και 5 μήνες)

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Part
II
I:
Quality Improvement Initiatives and
Activities





SAVE LIVES: Clean Your Hands


Sanitary

Programs/Activities

The

Ministry of Hea
lth
as the leading organisation in
the
promotion of healthy living
for all
Samoans

has carried out its
ongoing activities and programs
to boost
awareness and
understandings of peo
ple in
general view
of having good sanitary facilities

with utensils. Schools,
villages and health facilities are all covered by these programs. These are done quarterly and the
mo
nitoring role is also a priority of the Ministry of Health to ensure effectiveness and to assess
improvements of performances and outcomes by
individual, schools and/or health facilities
.

Hand
washing as part of these sanitary programs is highly empathize

throughout discussions and
workshops as this is one area take too lightly
by
individuals

but could

distr
ibute,
carry

and spread
germs and bacteria
.
Guidelines are used for assessments and all target groups must aware of this
and make relevant actions.

Sanitation unit of the Ministry of Health carried these out as part of
their
usual
duties.


School Food Safety Guidelines

The main purpose of this guideline is to ensure food is secure and safe for consumption in schools.
T
his

revealed

a huge commitment n
eed to put in practice by all stakeholders involved and the
ongoing monitoring role by the Ministry of Health. S
ection two (2) of the guideline

which is
Personal Hygiene reflects the need as
obligatory

to wash hands

with soap and water before and
after eve
ry doings. St
oreowners and/or food makers and teachers

should all aware of the
principles and contents of the document with the need to apply it at their
areas of work.
Assessments, spot checks a
nd monitoring of this guideline

is carried out by the Nutrit
ion Unit of
the Ministry of Health.




WHO Surgical Safety Checklist and Manual


Clinical Protocols

Samoa Ministry of Health and the National Health Services are now in the process of synchronizing
and drafting of a Clinical Protocols insinuating guidelines
for the management of listed diseases,
treatments of patients pretentious, and operations procedures. This would present and elaborate
more understanding to medical clinicians and relevant health professionals on suitable steps to
follow and guide their wo
rks and performances.

Good sanitation and cleanliness would be highlighted in the manual as it is one priority aspects of
health. It explains to health service providers the significance and the benefit of maintaining clean
environment and medical equipmen
ts used. It is a very helpful tool to assist users and all health
workers involved to guide their actions

performances
.


A group of selected people
, with the inclusion of some clinicians in the Ministry of Health, was
formed

to develop this
protocol so th
at best suit and can applicable with the context of Samoa.



Infection Control Manual and Policy

The ministry and the health sector have its Infection Control Manual to guide the performances of
all health professionals out in health facilities in
alignment with the standards set out in the manual.
The Ministry’ ongoing monitoring role through spot checks always carried out to ensure safety
practices, clean environment and good sanitation are in places.


As way forward, a National Policy was developed and it was published in 2011 with the aim
‘To
minimize the risk of exposure to harmful agents and micro
-
organisms and prevent the risk of
infection, particularly those who are at increased risk of being in c
ontact with and transmitting
disease (e.g. animals and farmers/employees or employees and patients in the health care
setting)’
...this policy is available on the Samoa Ministry of Health website.




WHO Patient Safety Curriculum Guide

Nursing Protocols

Nursi
ng profession is currently having a protocol to teach the basic skills and to serve as a guide to
help identify and refer clinical problems which are beyond the scope of Nurse. This manual was
published in 1994 and it was made possible by the collaboration

of the Samoa Department of
Health focal divisions and staffs and the Nurse Consultants of the World Health

Organization.
However, this document is now under review to cover the extent nursing practises.

TBA Guidelines

As the Ministry of Health’ mandated

role is to monitor and regulate the work of all health
professionals, therefore attempted to develop a Traditional Birth Attendants Guidelines. This was
primarily prepared to ensure safety of all Samoan mothers and their children and officially state
and
certify the work of Traditional Birth Attendants carried out in the community. It also
acknowledges the huge contribution of TBAs in monitoring, measuring and achieving of Millennium
Development Goal 4 (Reduce Child Mortality) and 5 (Improve Maternal Healt
h). The launching of
this document was done in lately 2010 and the ongoing monitoring process was started from there
and it is done by the Nursing Division of the Ministry of Health.

The vision; Healthy Mother and their Newborns is well define in the cont
ext of best practical skills
apply at the right time in the right place. This however ideally reminds TBAs to be proactive at all
time and the process to follow when deal with antenatal mothers especially those with
complication during delivery.

Section
7.2.1 of this manual also clearly explains safety practices when delivering a mother. They
should have to wash their hands before and after delivery, neat outfits and tidy environment must
be considered.



The adaptation and promotion of QA/QI training
s

National Health Services and the Ministry of Health have their Quality Assurance Units to audit
performances of each profession by organisation. National Health Services
and other health
providers
have their own Quality Assurance
staffs to assess their i
nternal performances and the
Ministry of Health overseen and do overall audit exercise for the whole sector.

Trainings and workshops coordinated and facilitated by the Ministry of Health through the Health
Services Performance and Quality Assurance for Me
dical and Allied health professionals Division, as
part of their annual process, trained all Quality Assurance officers and health workers to priority
areas and improvements to be made in performances.



International Classification for Patient Safety (ICPS
)

H
ealth policies, standards and developed protocols
chiefly
reflect

the whole concept towards
best
practices and
patient safety
. Samoa Ministry of Health with its sector partners
in developing
relevant documents and programs were all to assist guide perfo
rmances of health professionals
involved
just for the safety of patients.

All policies and publications are available on the Ministry of
Health website.