The Health Strategy and Delivery Foundation (HSDF), facilitated a learning session for the public collaborative cohort in Lagos State on 26th February 2020. The session, which was the fifth and final in the series of learning sessions was held at the Staff Clinic, Federal Ministry of Health, Ikeja, Lagos State. It was aimed at sharing learnings from quality interventions implemented in 26 health facilities across Lagos State, disseminate collaborative performance, peer-to-peer learning and co- develop sustainability plans for the subsequent action period.

The National Health Quality Improvement (NHQI) project started in 2015 with a prototype phase that ended in July 2018; ten General Hospitals across Lagos State were in this phase. Thereafter, there was a scale-up phase which started in September 2018 and is due to end in July 2020; 16 additional facilities were included in this phase as requested by the Lagos State Government.

In the course of this project, HSDF’s Quality Improvement team partnered with the Health Service Commission and the State Ministry of Health to adopt a mentorship model which has produced 13 mentors on Quality Improvement in Lagos State.

Quality Improvement champions from five facilities presented success stories from the change ideas tested during the 24-month implementation period. One facility shared on the role of health workers in achieving quality care; another showcased how they were able to involve patients, service users and their families in delivering patient-centered care. A hospital located in a rural setting presented on improving adherence to eclampsia protocol through quality improvement methods. Another very engaging presentation was made by a facility demonstrating how they leveraged patients and their families to reduce the incidence of post-partum hemorrhage and the last presentation was on overcoming barriers to sustaining quality improvement in one hospital.

Thereafter, the Co-Founder and CEO, mDoc healthcare, Dr Nneka Mobisson led the breakout session on the sustainability of QI in Lagos State; where she led the participants to conduct a SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis on the existing quality improvement structures instituted by HSDF. Thus, enabling the participants to develop a sustainability strategy for Quality Improvement in Lagos State.

In closing, HSDF presented awards of excellence to 14 facilities within the cohort which met the project goals of reduced maternal and neonatal mortality outcomes.