Lima, Peru – Health facilities across Peru will use a performance improvement system, modeled after Jhpiego’s successful Standards-Based Management and Recognition (SBM-R®) approach, to improve primary care services nationally for women and families, the Ministry of Health has announced.
A Ministry directive issued last month named the Performance Improvement Methodology (PIM) as the national quality improvement system, citing its success in improving health care services in the provinces of San Martin, Ucayali, Loreto and Lima during four pilot projects. In the Yanaoca district in Cusco region, for example, the quality of child health and family planning services has steadily increased over six months following implementation of PIM guidelines.
Since 2008, Jhpiego, a partner on the U.S. Agency for International Development’s Quality Healthcare Project (QHP), led by Chemonics International, has been working with Peru’s Ministry of Health to implement a performance improvement system based on SBM-R. Developed by Jhpiego, SBM-R is a strategy to ensure quality and strengthen health care systems by setting standards for health care delivery, engaging providers in improving services and recognizing achievement.
Since 2011, the PIM has been the official managerial tool of the National Children’s Health Institute to ensure quality in all of their health services. More than 60 percent of hospital staff were trained in use of the performance assessments and the application of best practices. At this time, PIM guidelines have been adapted for all of the Institute’s specialty areas.
According to the July 6 ministerial directive, the purpose of instituting PIM at the national level is “to contribute to quality improvement, equity, efficiency, efficacy and continuity of integrated health care to achieve adequate health services performance.”
The directive emerged from the experience of local health authorities collaborating with community representatives, regional governments, civil society, international organizations and other local stakeholders. They united their efforts to improve health care services through the implementation of the PIM. QHP and the Ministry of Health provided the necessary technical support to make this possible.
When fully implemented, the directive will cover 1,306 health centers and 6,017 health posts, organized into health networks, which will offer primary care and constitute 98 percent of the health facilities in the country. This level of care serves 70–80 percent of all clients, resolving low-complexity health problems and offering health promotion, early diagnosis and timely treatment for the most common ailments.
The directive includes, among other things, guidelines for the implementation of the PIM and tools for measuring the implementation of best practices, with a focus on maternal, neonatal and child health, family planning, and prevention and control of TB, HIV and sexually transmitted infections.
Implementation of the methodology at the national level will be led by the General Directorate of Human Health, and the Regional Health Directorates will share in the responsibility of ensuring that it is implemented in their respective jurisdictions.