Project Fives Alive! has made significant progress in antenatal, perinatal, and neonatal care, and in spreading the QI processes across the country.
"What’s especially impressive," said Dr. Nana Twum-Danso, the Harvard-trained Ghanaian physician who directs the project for the Institute for Healthcare Improvement, "is that these improvements were achieved through novel ideas generated by the frontline health staff themselves and tested within the existing health care resources. This was made possible primarily because the goals for maternal and child survival were ambitious, explicit, and shared amongst the frontline providers, administrators of the health facilities and district health leaders. "
Perinatal Care: During the last five months of the Wave 1 Collaborative (July 2009-December 2009), overall skilled delivery coverage increased from a mean of 56 percent to 67 percent, which is 8 percentage points above the national average.
Neonatal Care: By October 2010, 10 months after the Wave 1 Collaborative ended, postnatal care (PNC) provided within two days of birth was at a coverage of 70 percent compared to the baseline of 10 percent. Follow-up PNC on day 6 or 7 had also achieved 50 percent coverage compared to 0 percent baseline.
Spread: As of December 31, 2010, Project Fives Alive! has scaled up its QI training and coaching to 33 of the 38 districts in the Northern Sector of Ghana, including 185 sub-districts and 23 hospitals in the North and 9 NCHS hospitals in the South.