Sustaining and Scaling up Clinical Audit in Uganda and Tanzania

Building on previous THET funding to support evidence based midwifery practice through audit and feedback in 4 LAMRN countries (Kenya, Uganda, Zambia and Zimbabwe) , there was identified need to sustain and roll out clinical audit in both Uganda and Tanzania. Midwives in both countries have evidence-based skills and determination to tackle maternity care standards in their facilities. The audit approach used to improve the quality of maternity care includes: 1. Develop and implement clinical action plans, based on previous audit findings in Uganda and re-audit to assess improvements. 2. Conduct a refresher course on clinical audit in Ugandan health facilities where LAMRN members underwent audit training but did not get to implement projects. Building on this they will initiate audit projects in their facilities. 3. Support the initiation of clinical audits by midwives in Tanzania, through workshops and mentoring by the Ugandan and UK team. Uganda 1. Develop and implement clinical action plans, based on previous audit findings in Uganda and re-audit to assess improvements. 2. Conduct a refresher course on clinical audit in Ugandan health facilities where LAMRN members underwent audit training but did not previously get to implement projects. Building on this they will initiate audit projects in their facilities. 3. Ugandan midwives will support the initiation of clinical audit projects by midwives in Tanzania, through workshops and mentoring.. Tanzania 1. Through training, workshops and mentoring from colleagues in Uganda and UK, midwives in Tanzania will develop and implement clinical audit projects in their facilties.