Articles producció científica> Medicina i Cirurgia

Analysis of implementation outcomes of quality improvement initiatives in Haiti: the fingerprint initiative

  • Identification data

    Identifier: imarina:9261664
    Authors:
    Emmanuel Demes, Joseph AdrienBecerril-Montekio, VictorTorres-Pereda, PilarRobert Jasmin, ErnstDube, Jean GetoCoq, Jean GarciaNickerson, Nathan
    Abstract:
    Objective. To assess the process and outcomes of the implementation of an electronic fingerprint initiative as part of quality improvement in three health facilities in the Northern Department of Haiti, in terms of its acceptability, adoption, feasibility, fidelity, and sustainability. In Haiti, poor attendance of the healthcare workforce is a nationwide problem, closely related to the quality of care. Three health institutions have tried to implement an electronic fingerprint system to monitor and improve attendance.Methods. An exploratory and qualitative descriptive study of the implementation outcomes of the fingerprint initiative. It was based on semi-structured interviews and one group discussion using purposeful sampling techniques to recruit participants, and an open coding system and deductive approach to analyze the data using ATLAS.ti 8.Results. The fingerprint initiative was successfully implemented in a non-governmental organization supported health facility but, despite some planning, it was never implemented in the public health facilities. The acceptability of the implementation was high in the not-for-profit organization and low in the public settings, mostly in relation to the presence of champions and the leadership at each health facility.Conclusions. We recommend more involvement of the leadership of health facilities in the different phases of the implementation process in order to guarantee acceptability, adoption, fidelity and sustainability. More research is needed to articulate this technology-driven initiative in the Haitian health system.
  • Others:

    Author, as appears in the article.: Emmanuel Demes, Joseph Adrien; Becerril-Montekio, Victor; Torres-Pereda, Pilar; Robert Jasmin, Ernst; Dube, Jean Geto; Coq, Jean Garcia; Nickerson, Nathan;
    Department: Medicina i Cirurgia
    URV's Author/s: Torres Pereda, Maria Del Pilar
    Keywords: Quality improvement, implementation science Health Haiti Biometric identification Absenteeism
    Abstract: Objective. To assess the process and outcomes of the implementation of an electronic fingerprint initiative as part of quality improvement in three health facilities in the Northern Department of Haiti, in terms of its acceptability, adoption, feasibility, fidelity, and sustainability. In Haiti, poor attendance of the healthcare workforce is a nationwide problem, closely related to the quality of care. Three health institutions have tried to implement an electronic fingerprint system to monitor and improve attendance.Methods. An exploratory and qualitative descriptive study of the implementation outcomes of the fingerprint initiative. It was based on semi-structured interviews and one group discussion using purposeful sampling techniques to recruit participants, and an open coding system and deductive approach to analyze the data using ATLAS.ti 8.Results. The fingerprint initiative was successfully implemented in a non-governmental organization supported health facility but, despite some planning, it was never implemented in the public health facilities. The acceptability of the implementation was high in the not-for-profit organization and low in the public settings, mostly in relation to the presence of champions and the leadership at each health facility.Conclusions. We recommend more involvement of the leadership of health facilities in the different phases of the implementation process in order to guarantee acceptability, adoption, fidelity and sustainability. More research is needed to articulate this technology-driven initiative in the Haitian health system.
    Thematic Areas: Sociologia i política Sociología Serviço social Saúde coletiva Public, environmental & occupational health Public health, environmental and occupational health Psicología Planejamento urbano e regional / demografia Odontología Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Historia Geociências Farmacia Ensino Engenharias iv Engenharias iii Enfermagem Educação física Educação Economia Ciencias sociales Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência política e relações internacionais Biotecnología Astronomia / física Antropologia / arqueologia Administração, ciências contábeis e turismo Administração pública e de empresas, ciências contábeis e turismo
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mariadelpilar.torres@estudiants.urv.cat
    Author identifier: 0000-0003-1869-2044
    Record's date: 2024-07-27
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.scielosp.org/article/rpsp/2021.v45/e68/en/
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Revista Panamericana De Salud Publica-Pan American Journal Of Public Health. 45
    APA: Emmanuel Demes, Joseph Adrien; Becerril-Montekio, Victor; Torres-Pereda, Pilar; Robert Jasmin, Ernst; Dube, Jean Geto; Coq, Jean Garcia; Nickerson, Na (2021). Analysis of implementation outcomes of quality improvement initiatives in Haiti: the fingerprint initiative. Revista Panamericana De Salud Publica-Pan American Journal Of Public Health, 45(), -. DOI: 10.26633/RPSP.2021.68
    Article's DOI: 10.26633/RPSP.2021.68
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Quality improvement, implementation science
    Health
    Haiti
    Biometric identification
    Absenteeism
    Sociologia i política
    Sociología
    Serviço social
    Saúde coletiva
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Planejamento urbano e regional / demografia
    Odontología
    Nutrição
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Historia
    Geociências
    Farmacia
    Ensino
    Engenharias iv
    Engenharias iii
    Enfermagem
    Educação física
    Educação
    Economia
    Ciencias sociales
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência política e relações internacionais
    Biotecnología
    Astronomia / física
    Antropologia / arqueologia
    Administração, ciências contábeis e turismo
    Administração pública e de empresas, ciências contábeis e turismo
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