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Better Care for All, Every Time: A Call to Action
How to Improve Health in Low and Middle Income Economies
A Call to Action
Health care interventions that are known to work and save lives are not being implemented for every patient every time. Despite improvements that have been made in health care, many resource-constrained lower- and middle-income countries are far from being on track to attain their Millennium Development Goals (MDGs). For example, currently, only 23 countries are estimated to be on track for achieving the 75% maternal mortality reduction goal by 2015. We must address this gap between knowing and doing.
Quality improvement methods enable us to re-organize care delivery and public health to enhance survival and well-being for this and future generations. Through identifying opportunities to implement best evidence, streamline and change processes of health care delivery, quality improvement (QI) approaches strengthen systems to yield better results. QI methods emphasize changes in the systems of delivering health care, rather than the provision of additional resources.
We, the participants at the Salzburg Global Seminar on “Making Health Care Better in Low and Middle Income Countries” (April 22-27, 2012), came together from 33 countries to address the critical gap between our knowledge of interventions that improve population health and the care actually provided to patients and to drive the quality improvement and patient safety agenda forward.
We urge international, regional and national stakeholders (governments, health policy leaders, communities, development partners, non-governmental organizations, health care workers and patients) to promote improvement in the quality of health for the world’s populations and to assure their health, survival, and wellbeing now and for future generations. We hereby propose and commit to the following recommendations:
We call on governments to be accountable for the improvement of health care through legislation, policies and necessary resources.
We call on governments to:
We call on health policy leaders to adopt and promote quality improvement as a cornerstone of better health for all.
We call on health policy leaders to:
We call on communities to actively advocate for quality health care as part of their rights and responsibilities.
We call on communities to:
We call on development partners to invest in approaches that drive sustainable context-specific improvements in global health.
We call on development partners to:
We call on non-governmental organizations and those providing technical assistance in global health to incorporate evidence-based improvement methods in their work.
We call on those that provide technical assistance to:
We call on health care workers to continuously improve the delivery of expert and compassionate care to patients, their families and communities.
We call on health professionals, managers, allied health care workers and educators to:
We call on patients to be empowered and at the forefront of promoting a shared vision for better health for all.
We call on patients and patient groups to:
Salzburg Global Seminar: Making Health Care Better in Low and Middle Income Economies: What are the next steps and how do we get there?,
Further details: http://www.SalzburgGlobal.org/go/salzburgstatement-info
The views expressed in this Statement are those of session participants individually and should not be taken to represent those of any organizations to which they are affiliated
Bruce Agins (USA), NYAIDS Institute/ HealthQual | Ahmed Ahmed (Kenya), Department of Children’s Services | Mirwais Amiri (Afghanistan), USAID Health Care Improvement Project | Dorcas Amolo (Kenya), University Research Co. LLC | J. Koku Awoonor-Williams (Ghana), Ghana Health Service | Charles Nde Awasom (Cameroon), Director Bamenda Regional Hospital, Ministry of Public Health | Cynthia Bannerman (Ghana), Department of Health | Pierre M. Barker (USA), Institute for Healthcare Improvement | Viktor Boguslavsky (Ukraine), University Research Co. LLC, Representative Office | Maina Amsagana Boucar (Niger), USAID-HCIURC | Sarah Byakika (Uganda), Ministry of Health | Tracey Cooper (United Kingdom), Health Information and Quality Authority | Nils Daulaire (USA), U.S. Department of Health and Human Services | Josephine Diabate Conombo (Ivory Coast), Ministry of Health and AIDS Control | Sir Liam Donaldson (United Kingdom), WHO Envoy for Patient Safety | Ezequiel Garcia-Elorrio (Argentina), International Journal for Quality in Healthcare | Justice Gweshe (Namibia), Ministry of Health and Social Services | James Heiby (USA), USAID | Jorge Hermida (Ecuador), URC/CHS Health Care Improvement Project | S. Hussain Jafri (Pakistan), Alzheimer’s Pakistan | Robinah Kaitiritimba (Uganda), Uganda National Health Users (UNHCO) | Aigul Kalieva (Kyrgyzstan), Ministry of Health | Shirin Kazimov (Azerbaijan), USAID/Azerbaijan | Edward Kelley (USA), World Health Organisation | Anna Korotkova (Russian Federation), Federal Research Institute for Health Care Organisation | Natalia Largaespada Beer (Belize), Ministry of Health | Sheila Leatherman (USA), University of North Carolina at Chapel Hill | John Lotherington (United Kingdom), Salzburg Global Seminar | Saidou Mallam Ekoye (Niger), Ministry of Public Health | M. Rashad Massoud (USA), University Research Co. LLC | Kedar Mate (USA), Institute for Healthcare Improvement | Humphrey Megere (Uganda), University Research Co. LLC | Nana Mensah-Abrampah (USA), University Research Co., LLC | Baile Moagi (Botswana), Ministry of Health | Nanthalile Mugala (Zambia), ABT Assoc/Zambia Integrated Systems Strengthening Program | Antonio Mujovo (Mozambique), MOH Mozambique | Saleh Nagi (Yemen Arab Republic), GIZ, Yemen | Babacar Ndoye (Senegal), Pronalin | Jean Nguessan (Ivory Coast), University Research Co. LLC | Khoa Nguyen (Vietnam), Medical Services Administration | Duangta Onsuwan (Thailand), Bureau of Health Administration | Tatiana Paduraru (Moldova), Ministry of Health of the Republic of Moldova | Amit Paliwal (India), Initiatives Inc. | Rob Palkovitz (USA), University of Delaware | Carlo Irwin Panelo (Philippines), University of the Philippines | Leonardo Pinzón (Philippines), Inter-American Development Bank | Januario Reis (Mozambique), USAID Mozambique | Nigel Rollins (United Kingdom), World Health Organisation | Andrei Romancenco (Moldova), Ministry of Healthcare of the Republic of Moldova | Enrique Ruelas (Mexico), Institute for Health Care Improvement | Ayman Sabae (Egyptian), The Family Clinic | Bernarda Salas Moreira (Ecuador), Metropolitan Health Secretary, Quito Municipality | Sylvia Sax (Canada), University of Heidelberg | Anuwat Supachutikul (Thailand), The Healthcare Accreditation Institute | Mary Taylor (USA), The Bill and Melinda Gates Foundation | Michelle Vanzie (Belize), Ministry of Health | Vireak Voeurng (Cambodia), Ministry of Health | Mekhriniso Yuldasheva (Tajikistan), Ministry of Health
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