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Дата: 03.07.2023

June 12 to 17, 2023 in Tajikistan and June 20 to 23, 2023 in Kyrgyz Republic, National Steering Group meeting and semi-annual Quality Improvement Workshops were held within the framework of a joint project with WHO on “Improving the quality of hospital care to reduce maternal, newborn and child deaths (Tajikistan, Kyrgyz Republic, Mongolia and Vietnam)”.

Participants of the Meetings and Workshops:

Representatives of the embassies of the Russian Federation in Tajikistan and Kyrgyz Republic, representatives of the WHO European and Regional Offices, WHO Headquarters, and Ministries of Health of the participating countries, heads of maternity departments, pediatric departments, obstetrician-gynecologists, neonatologists, and midwives from district hospitals.

The Russian WHO Collaborating Centers were represented by experts from the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov: Yarotskaya E.L., Head of the Department of International Cooperation; Khamatkhanova E.M., Head of the Department of Educational Simulation Technologies in Medicine;  Teplyakova O.V., Head of Methodological Accreditation and Simulation Center; Titkov K.V., Head of the Accreditation and Simulation Center; Kisova A.K., midwife; Nikonets A.D., intensivist; Khlestova G.V., Associate Professor of the Department of Continuous Professional Education and Simulation Technologies; Babich D.A., obstetrician-gynecologist; Barakhoeva L.M., Specialist of the Department of International Cooperation; Barakhoeva D.M., Specialist of the Department of Educational Simulation Technologies in Medicine; Gapaeva M.D., Specialist of the Department of Educational Simulation Technologies in Medicine; Magomedova A.P., Specialist of the Department of Educational Simulation Technologies in Medicine.

The following topics were discussed at the Meetings in Tajikistan and in Kyrgyz Republic:

• The use of digital tools to improve perinatal care and the registry of human resources;
• Interim results in pilot hospitals under the Project;
• Update on the revision of clinical standards (obstetrics/gynecology, neonatology and pediatrics);
• Discussion of an evidence-based review of the situation with maternal, newborn and child deaths in the Kyrgyz Republic and measures to prevent it;
• Update on progress and plans for the NCD component of the project;
• Optimization of nursing care in pilot hospitals and new standards in pediatric care.

The agenda for the semi-annual Quality Improvement Workshops covered a number of important issues:

• Reviewing the results of the previous semi-annual Quality Improvement Workshop and the goals and objectives of the current workshop;
• Planning for the next phase of the Project - assessment of the quality of care in pilot hospitals over the past two years;
• Tools for measuring the quality of care;
• Further implementation/dissemination of acquired knowledge and plans at the facility level;
• Improving care for newborns and young children based on patient feedback;
• Rational use of medical equipment to improve the quality of maternal, newborn, and child health care.

For the first time during the missions, the team headed by Khamatkhanova E.M. (the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov), at the request of WHO curators of the Project, conducted the Session on emotional and professional burnout.

The Session included:

• Report on remote survey on professional burnout of more than 100 healthcare workers in Kyrgyz Republic;
• Face-to-face testing of the Session participants;
• Lectures on the causes, signs, and consequences of professional burnout;
• Interactive discussion of professional burnout in professional groups and interdisciplinary teams.

The participants highly appreciated the contribution of the WHO Collaborating Center (the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov) to the implementation of the Project.