{"id":13230,"date":"2023-03-22T14:58:15","date_gmt":"2023-03-22T13:58:15","guid":{"rendered":"https:\/\/health.bmz.de\/?page_id=13230"},"modified":"2023-06-20T14:29:27","modified_gmt":"2023-06-20T12:29:27","slug":"concours-qualite-management-qualite","status":"publish","type":"page","link":"https:\/\/health.bmz.de\/fr\/toolkits\/concours-qualite-management-qualite\/","title":{"rendered":"Du \u00ab\u00a0Concours qualit\u00e9\u00a0\u00bb \u00e0 un Management int\u00e9gr\u00e9 de la qualit\u00e9"},"content":{"rendered":"<style>.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id_bd617d-64{margin-bottom:40px;}.kb-row-layout-id_bd617d-64 > .kt-row-column-wrap{align-content:center;}:where(.kb-row-layout-id_bd617d-64 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:center;}.kb-row-layout-id_bd617d-64 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);min-height:100vh;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id_bd617d-64{background-image:url('https:\/\/health.bmz.de\/wp-content\/uploads\/page\/CQ3_CDS-Corner-Stone_-Retroinformation-a-lequipe-du-CDS-par-membres-du-jury-1.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kb-row-layout-id_bd617d-64 > .kt-row-layout-overlay{opacity:0.45;background-color:#3a3a3a;}@media all and (max-width: 1024px){.kb-row-layout-id_bd617d-64 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id_bd617d-64 > .kt-row-column-wrap{min-height:35vh;grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id_bd617d-64 alignfull kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-layout-overlay kt-row-overlay-normal\"><\/div><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-middle\">\n<style>.kadence-column_de5648-54 > .kt-inside-inner-col,.kadence-column_de5648-54 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column_de5648-54 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column_de5648-54 > .kt-inside-inner-col{flex-direction:column;}.kadence-column_de5648-54 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column_de5648-54 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column_de5648-54{position:relative;}@media all and (max-width: 1024px){.kadence-column_de5648-54 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column_de5648-54 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column_de5648-54 inner-column-1\"><div class=\"kt-inside-inner-col\">\n<h1 class=\"wp-block-heading has-text-align-center has-text-color\" id=\"helping-bangladesh-s-injured-workers-return-to-work\" style=\"color:#ffffff\">Du \u00ab&nbsp;Concours qualit\u00e9&nbsp;\u00bb \u00e0 un Management int\u00e9gr\u00e9 de la qualit\u00e9<\/h1>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p class=\"has-text-align-right has-cyan-bluish-gray-color has-text-color has-small-font-size wp-block-paragraph\">Feedback sur leur performance \u00e0 l\u2019\u00e9quipe d\u2019un centre de sant\u00e9 \u00a9 GIZ \/ Rukemampunzi Landry<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Une bo\u00eete \u00e0 outils du Burundi montre comment instaurer une culture de la qualit\u00e9 dans les services de sant\u00e9<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pour la premi\u00e8re fois, une bo\u00eete \u00e0 outils pr\u00e9sente l\u2019approche \u00ab&nbsp;Concours qualit\u00e9&nbsp;\u00bb, initi\u00e9e par la GIZ en Guin\u00e9e dans les ann\u00e9es 2000 et largement reprise ailleurs. Effets d\u00e9montr\u00e9s \u00e0 l\u2019appui, l\u2019\u00e9quipe du Burundi montre comment faire de cette comp\u00e9tition positive une porte d\u2019entr\u00e9e \u00e0 un management durable de la qualit\u00e9 des services.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u2019est \u00e9galement au Burundi que la mise en \u0153uvre de l\u2019approche a b\u00e9n\u00e9fici\u00e9 <strong>pour la premi\u00e8re fois d\u2019un accompagnement scientifique<\/strong> rigoureux et continu permettant d\u2019en mesurer les effets. De 2013 \u00e0 2022, le projet \u00ab&nbsp;Renforcement des structures de sant\u00e9 dans le domaine de la planification familiale et de la sant\u00e9 et des droits sexuels et reproductifs (SDSR) au Burundi&nbsp;\u00bb, mis en \u0153uvre par la <em>Gesellschaft f\u00fcr Internationale Zusammenarbeit GmbH<\/em> (GIZ) sur mandat du Minist\u00e8re f\u00e9d\u00e9ral allemand de la Coop\u00e9ration \u00e9conomique et du D\u00e9veloppement (BMZ), a organis\u00e9 <strong>trois \u00e9ditions du Concours qualit\u00e9<\/strong> auxquelles ont particip\u00e9 90 centres de sant\u00e9 dans 6 districts sanitaires. L\u2019approche s\u2019est progressivement raffin\u00e9e pour donner la derni\u00e8re mouture des outils que <a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite\" target=\"_blank\" rel=\"noreferrer noopener\">voici<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image alignright size-large is-resized has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite\" target=\"_blank\" rel=\"noreferrer noopener\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-850x1200.png\" alt=\"\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13391\" style=\"border-width:2px\" width=\"213\" height=\"300\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-850x1200.png 850w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-213x300.png 213w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-768x1084.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-1088x1536.png 1088w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-500x706.png 500w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-800x1129.png 800w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front-1280x1807.png 1280w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/toolkit-front.png 1434w\" sizes=\"(max-width: 213px) 100vw, 213px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Cette bo\u00eete \u00e0 outils a pour objectif de <strong>capitaliser et p\u00e9renniser <\/strong>l\u2019exp\u00e9rience du projet en documentant cette approche originale de Management de la qualit\u00e9 (MQ). Elle vise ainsi \u00e0 la rendre <strong>accessible et praticable <\/strong>pour toute personne, au Burundi ou ailleurs, qui tient \u00e0 c\u0153ur la qualit\u00e9 des services offerts dans leur syst\u00e8me de sant\u00e9 \u2013 qu\u2019elle soit planificatrice, gestionnaire, prestataire de soins ou simplement curieuse. La bo\u00eete \u00e0 outils consiste en des chapitres explicatifs avec des outils techniques en annexe. Pour visionner ou t\u00e9l\u00e9charger la bo\u00eete \u00e0 outils <strong>Approche int\u00e9gr\u00e9e de Management de la qualit\u00e9 (\u00ab Concours qualit\u00e9 \u00bb) <\/strong>cliquez sur l\u2019image.<\/p>\n\n\n\n<figure class=\"wp-block-image alignleft size-full is-resized has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/theorie-du-changement-mise-en-capacite\/\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-1.png\" alt=\"concours-qualite-toolkit-1\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13247\" style=\"border-width:2px\" width=\"198\" height=\"172\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-1.png 791w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-1-300x260.png 300w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-1-768x666.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-1-500x434.png 500w\" sizes=\"(max-width: 198px) 100vw, 198px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">La <strong><a href=\"https:\/\/health.bmz.de\/download\/theorie-du-changement-mise-en-capacite\/\" target=\"_blank\" rel=\"noreferrer noopener\">th\u00e9orie du changement<\/a> <\/strong>qui sous-tend l\u2019approche d\u00e9crit les actions de mise en capacit\u00e9 visant <strong>l\u2019autonomie des acteurs<\/strong>, aussi bien les Equipes cadres de district que les \u00e9quipes des formations sanitaires. Cette mise en capacit\u00e9 s\u2019appuie sur la mise \u00e0 disposition d\u2019outils mais aussi le d\u00e9veloppement de comp\u00e9tences en Management de la qualit\u00e9. L\u2019instauration d\u2019une <strong>culture de la qualit\u00e9<\/strong> s\u2019observe aux deux niveaux.<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image alignright size-medium is-resized has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/concours-qualite-quiz\/?tmstv=1679495965\"><img decoding=\"async\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-300x168.png\" alt=\"concours-qualite-toolkit-2\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13244\" style=\"border-width:2px\" width=\"225\" height=\"126\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-300x168.png 300w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-1200x674.png 1200w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-768x431.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-1536x863.png 1536w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-500x281.png 500w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-800x449.png 800w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2-1280x719.png 1280w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-2.png 1768w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Pour d\u00e9couvrir l\u2019approche de <strong>fa\u00e7on amusante<\/strong>, <a href=\"https:\/\/health.bmz.de\/download\/concours-qualite-quiz\/\" target=\"_blank\" rel=\"noreferrer noopener\">t\u00e9l\u00e9chargez&nbsp;ce quizz en cliquant sur l\u2019image.<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019approche int\u00e9gr\u00e9e de Management de la Qualit\u00e9 d\u00e9nomm\u00e9e \u00ab&nbsp;Concours qualit\u00e9&nbsp;\u00bb est bas\u00e9e sur <strong>six \u00ab&nbsp;piliers&nbsp;\u00bb <\/strong>qui se renforcent mutuellement.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=24\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 1 : La comp\u00e9tition positive<\/a><\/h3>\n\n\n\n<figure class=\"wp-block-image alignright size-full is-resized has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/outils-retroinformation\/\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-3.png\" alt=\"concours-qualite-toolkit-3\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13241\" style=\"border-width:2px\" width=\"390\" height=\"361\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-3.png 780w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-3-300x278.png 300w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-3-768x711.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-3-500x463.png 500w\" sizes=\"(max-width: 390px) 100vw, 390px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Le Concours qualit\u00e9 utilise une strat\u00e9gie de \u00ab<strong>&nbsp;gamification<\/strong>&nbsp;\u00bb \u2013 une comp\u00e9tition positive entre structures de m\u00eame niveau (par exemple, les centres de sant\u00e9 d\u2019un m\u00eame district sanitaire) couronn\u00e9e par le d\u00e9cernement de prix. Le concours se focalise sur un <strong>nombre restreint de th\u00e9matiques<\/strong> plut\u00f4t que sur l\u2019ensemble des services. Il est bas\u00e9 sur les principes de&nbsp;<strong>l\u2019\u00e9quit\u00e9, de la transparence, et du progr\u00e8s r\u00e9alis\u00e9<\/strong> plut\u00f4t que sur le niveau atteint. Les prix d\u00e9cern\u00e9s sont <strong>collectifs<\/strong> et compos\u00e9s d\u2019\u00e9quipements destin\u00e9s \u00e0 am\u00e9liorer les conditions de travail de l\u2019\u00e9quipe de la formation sanitaire dans son ensemble. Toutes les unit\u00e9s de soins participantes gagnent quelque chose en fonction de leur <strong>rang dans le classement<\/strong>. Un aspect important dans cette approche comparative est l\u2019auto\u00e9valuation des \u00e9quipes et la <strong>r\u00e9troinformation<\/strong> qu\u2019elles re\u00e7oivent par rapport \u00e0 leur performance. Pour refl\u00e9ter de fa\u00e7on imag\u00e9e le progr\u00e8s des formations sanitaires sur diff\u00e9rentes dimensions de la qualit\u00e9, le projet a d\u00e9velopp\u00e9 une \u00ab&nbsp;<strong><a href=\"https:\/\/health.bmz.de\/download\/outils-retroinformation\/\" target=\"_blank\" rel=\"noreferrer noopener\">fleur de la qualit\u00e9<\/a><\/strong>&nbsp;\u00bb, un outil original g\u00e9n\u00e9r\u00e9 en compilant de nombreux rapports.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=36\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 2 : Les outils du Management de la qualit\u00e9<\/a><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:40%\">\n<figure class=\"wp-block-image aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"899\" height=\"664\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4.png\" alt=\"concours-qualite-toolkit-4\" class=\"wp-image-13238\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4.png 899w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4-300x222.png 300w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4-768x567.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4-500x369.png 500w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-4-800x591.png 800w\" sizes=\"(max-width: 899px) 100vw, 899px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:60%\">\n<p class=\"wp-block-paragraph\">Une fois les th\u00e9matiques du concours choisies au niveau du district sanitaire, <strong>l\u2019ensemble de l\u2019\u00e9quipe de la formation sanitaire, y compris les repr\u00e9sentants de la communaut\u00e9 <\/strong>plonge dans le processus d\u2019am\u00e9lioration de la qualit\u00e9 dans ces domaines par un travail intensif <a href=\"https:\/\/health.bmz.de\/download\/guide-cds-autoevaluation\/?tmstv=1679562459\" target=\"_blank\" rel=\"noreferrer noopener\">d\u2019<strong>auto\u00e9valuation<\/strong><\/a> \u2013 pour faire une analyse lucide de la situation de d\u00e9part comme base pour un <strong>plan d\u2019am\u00e9lioration impliquant tout le monde<\/strong>. Dans le processus de r\u00e9flexion et de mise en \u0153uvre de son plan, l\u2019\u00e9quipe est accompagn\u00e9e par son <strong>coach<\/strong> (un membre de l\u2019Equipe cadre de district) et utilise des <strong>outils pratiques et simples<\/strong> pour structurer sa gestion des activit\u00e9s, notamment :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le mod\u00e8le de la <strong>Roue de Deming<\/strong> qui donne des rep\u00e8res \u00e0 l\u2019\u00e9quipe en divisant le cycle de management de la qualit\u00e9 en quatre \u00e9tapes (planifier, faire, v\u00e9rifier, agir)<\/li>\n\n\n\n<li>Des <strong><a href=\"https:\/\/health.bmz.de\/download\/guide-elaboration-grille-ae\/?tmstv=1679562459\" target=\"_blank\" rel=\"noreferrer noopener\">grilles d\u2019auto\u00e9valuation<\/a><\/strong> ax\u00e9es sur les indicateurs des th\u00e9matiques retenues, qui permettent \u00e0 l\u2019\u00e9quipe de suivre et renforcer son progr\u00e8s.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=46\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 3&nbsp;: Le renforcement des comp\u00e9tences<\/a><\/h3>\n\n\n\n<figure class=\"wp-block-image alignright size-large is-resized has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/guide-gestion-rh-au-ds\/?tmstv=1679562459\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-926x1200.png\" alt=\"concours-qualite-toolkit-5\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13235\" style=\"border-width:2px\" width=\"232\" height=\"300\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-926x1200.png 926w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-232x300.png 232w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-768x995.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-500x648.png 500w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5-800x1037.png 800w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/concours-qualite-toolkit-5.png 994w\" sizes=\"(max-width: 232px) 100vw, 232px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Le renforcement des comp\u00e9tences concerne aussi bien les \u00e9quipes des formations sanitaires que leurs encadreurs, membres de <strong>l\u2019Equipe cadre de district<\/strong>. En communiquant avec des adultes professionnels il est important d\u2019appliquer les principes de l<strong>\u2019andragogie<\/strong>, en respectant l\u2019exp\u00e9rience et les connaissances existantes des interlocuteurs. Pour appuyer la gestion des ressources humaines au niveau district un <a href=\"https:\/\/health.bmz.de\/download\/guide-gestion-rh-au-ds\/?tmstv=1679562459\" target=\"_blank\" rel=\"noreferrer noopener\">Guide op\u00e9rationnel a \u00e9t\u00e9 d\u00e9velopp\u00e9<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Un grand accent est mis sur la strat\u00e9gie du <strong><em>coaching <\/em><\/strong>par les membres de l\u2019Equipe cadre de district. Le coaching s\u2019est r\u00e9v\u00e9l\u00e9 comme une strat\u00e9gie efficace pour assurer le respect des normes en rapport avec le style participatif pr\u00e9conis\u00e9 en mati\u00e8re de supervision formative et int\u00e9gr\u00e9e. Le <strong><a href=\"https:\/\/health.bmz.de\/download\/guide-aqds-cq3\/?tmstv=1679562459\" target=\"_blank\" rel=\"noreferrer noopener\">r\u00f4le du coach<\/a><\/strong> est d\u2019orienter et de renforcer les capacit\u00e9s sur place dans les formations sanitaires \u00e0 travers des visites r\u00e9guli\u00e8res et en mettant l\u2019accent sur le <strong>travail d\u2019\u00e9quipe.<\/strong> Au c\u0153ur du coaching il y a le principe de <strong>r\u00e9flexivit\u00e9<\/strong> que l\u2019on retrouve dans une supervision formative et int\u00e9gr\u00e9e o\u00f9 l\u2019accompagnement ne se substitue pas \u00e0 la r\u00e9flexion de l\u2019\u00e9quipe.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=65\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 4 : La participation communautaire<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dans l\u2019approche int\u00e9gr\u00e9e du Management de la qualit\u00e9, la participation communautaire repr\u00e9sente une <strong>racine indispensable de la qualit\u00e9<\/strong>. Une structure de sant\u00e9 existe pour r\u00e9pondre aux besoins de la communaut\u00e9 qui l\u2019entoure. La communication r\u00e9ciproque et la confiance mutuelle sont essentielles pour la bonne marche de cette structure. Au Burundi cette relation vitale avec la communaut\u00e9 est organis\u00e9e \u00e0 travers les <strong>organes de cogestion<\/strong> que sont les comit\u00e9s de sant\u00e9 (COSA) des formations sanitaires. Le COSA \u2013 et \u00e0 travers lui la communaut\u00e9 \u2013 est pleinement <strong>int\u00e9gr\u00e9 dans le processus de management de la qualit\u00e9<\/strong>. Il y apporte un soutien essentiel, en participant aux auto\u00e9valuations des formations sanitaires et \u00e0 la <strong>mise en \u0153uvre de leurs plans d\u2019am\u00e9lioration<\/strong> (souvent avec des contributions en mat\u00e9riels, argent ou main d\u2019\u0153uvre).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=70\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 5 : L\u2019alignement sur l\u2019existant<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Conform\u00e9ment aux grandes orientations des accords internationaux sur l\u2019efficacit\u00e9 de l\u2019aide au d\u00e9veloppement comme la D\u00e9claration de Paris (2005) ou le Programme d\u2019action d\u2019Accra (2008), l\u2019approche int\u00e9gr\u00e9e de Management de la qualit\u00e9 <strong>s\u2019ins\u00e8re dans un syst\u00e8me de sant\u00e9 existant<\/strong> et vise \u00e0 en am\u00e9liorer la qualit\u00e9 et le rendement, en <strong>travaillant avec les acteurs sur place<\/strong>. C\u2019est une \u00e9vidence que l\u2019approche doit s\u2019int\u00e9grer dans cette r\u00e9alit\u00e9, en s\u2019alignant avec les structures et m\u00e9canismes existants, pour avoir un <strong>impact et une perspective de p\u00e9rennisation<\/strong>. Il faut \u00e9viter de cr\u00e9er des structures parall\u00e8les qui seraient en concurrence avec les structures actuelles, et \u00e9viter de promouvoir des standards d\u2019une structure de sant\u00e9 \u00ab id\u00e9ale \u00bb \u2013 qui n\u2019\u00e9tant pas r\u00e9alistes, seraient un facteur de d\u00e9motivation pour les partenaires.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=79\" target=\"_blank\" rel=\"noreferrer noopener\">Pilier 6 : L\u2019innovation digitale &#8211; les NTIC<\/a><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les nouvelles technologies de l\u2019information et de la communication (NTIC) sont devenues incontournables. Pour appuyer de fa\u00e7on efficiente l\u2019approche int\u00e9gr\u00e9e de Management de la qualit\u00e9, notamment le <strong>monitorage de routine et la pr\u00e9paration des rapports de coaching<\/strong>, les <em>coachs<\/em> membres des Equipes cadres de district ont \u00e9t\u00e9 <strong>outill\u00e9s de tablettes<\/strong> et d\u2019un logiciel de <strong>r\u00e9colte de donn\u00e9es<\/strong>. Ces dispositifs innovants ont \u00e9t\u00e9 utilis\u00e9s pour suivre le d\u00e9veloppement de l\u2019approche ainsi que les changements op\u00e9r\u00e9s pour les diff\u00e9rentes th\u00e9matiques du Concours qualit\u00e9, dont le <strong>calcul des notes pour la r\u00e9troinformation des structures participantes<\/strong> et l\u2019attribution des prix. Apr\u00e8s la fin du Concours qualit\u00e9 \u2013 \u00e0 l\u2019initiative des partenaires du niveau op\u00e9rationnel \u2013 les <strong>masques de saisie ont \u00e9t\u00e9 adapt\u00e9s<\/strong> aux besoins des districts sanitaires pour <strong>refl\u00e9ter le paquet minimum d\u2019activit\u00e9s des formations sanitaires<\/strong> (conform\u00e9ment au principe de l\u2019<strong>alignement<\/strong>), et s\u2019int\u00e8grent ainsi encore mieux aux dispositifs de monitorage des districts. Enfin, en compl\u00e9ment du monitoring, des <strong>donn\u00e9es d\u2019\u00e9valuation<\/strong> ont pu \u00eatre int\u00e9gr\u00e9es \u00e0 la collecte de routine pour mesurer les effets de l\u2019approche.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/health.bmz.de\/download\/approche-integree-de-management-de-la-qualite#page=87\" target=\"_blank\" rel=\"noreferrer noopener\">Les effets d\u00e9montr\u00e9s de l\u2019approche et son co\u00fbt-efficacit\u00e9<\/a><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image alignleft size-large has-custom-border\"><a href=\"https:\/\/health.bmz.de\/download\/rapport-evaluation-cq3\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"927\" height=\"1200\" src=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-927x1200.png\" alt=\"\" class=\"has-border-color has-ast-global-color-2-border-color wp-image-13356\" style=\"border-width:2px\" srcset=\"https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-927x1200.png 927w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-232x300.png 232w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-768x994.png 768w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-1186x1536.png 1186w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-500x647.png 500w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-800x1036.png 800w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53-1280x1657.png 1280w, https:\/\/health.bmz.de\/wp-content\/uploads\/page\/Screenshot-2023-03-25-at-23.11.53.png 1548w\" sizes=\"(max-width: 927px) 100vw, 927px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\">La bo\u00eete \u00e0 outils conclut avec un r\u00e9sum\u00e9 des effets d\u00e9montr\u00e9s dans le cadre de <strong>l\u2019accompagnement scientifique<\/strong>. L\u2019\u00e9valuation globale de l\u2019approche r\u00e9v\u00e8le un ensemble de preuves convergentes et robustes en faveur de quatre dimensions :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>La comp\u00e9tition positive<\/strong> <strong>fait entrer dans le processus<\/strong> mais ce sont les effets qui ont convaincu et ont nourri l\u2019engagement vers des <strong>changements profonds et p\u00e9rennes<\/strong>.<\/li>\n\n\n\n<li><strong>Le coaching<\/strong>, qui correspond \u00e0 une <strong>supervision formative et int\u00e9gr\u00e9e<\/strong>, est efficace pour stimuler la bonne performance des \u00e9quipes.<\/li>\n\n\n\n<li><strong>Le<\/strong> <strong>travail d\u2019\u00e9quipe, <\/strong>en s\u2019appuyant sur le <strong>collectif<\/strong>, est une source de reconnaissance et de satisfaction au travail. Il permet une plus grande efficacit\u00e9 dans l\u2019am\u00e9lioration de la qualit\u00e9.&nbsp;<\/li>\n\n\n\n<li><strong>La dynamique positive d\u2019am\u00e9lioration continue de la qualit\u00e9 est soutenable<\/strong>. Dans les six districts sanitaires qui ont exp\u00e9riment\u00e9 l\u2019approche, la p\u00e9rennisation des acquis s\u2019est av\u00e9r\u00e9e <strong>peu co\u00fbteuse et efficace<\/strong>.&nbsp;<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Pour lire ou t\u00e9l\u00e9charger le rapport d\u2019\u00e9valuation complet, cliquez sur cette image.<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\">Mars 2023<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Du \u00ab&nbsp;Concours qualit\u00e9&nbsp;\u00bb \u00e0 un Management int\u00e9gr\u00e9 de la qualit\u00e9 Feedback sur leur performance \u00e0 l\u2019\u00e9quipe d\u2019un centre de sant\u00e9 \u00a9 GIZ \/ Rukemampunzi Landry Une bo\u00eete \u00e0 outils du Burundi montre comment instaurer une culture de la qualit\u00e9 dans les services de sant\u00e9 Pour la premi\u00e8re fois, une bo\u00eete \u00e0 outils pr\u00e9sente l\u2019approche \u00ab&nbsp;Concours [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13227,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"9153","_relevanssi_noindex_reason":"","_uag_custom_page_level_css":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"slim_seo":{"title":"Du \u00ab\u00a0Concours qualit\u00e9\u00a0\u00bb \u00e0 un Management int\u00e9gr\u00e9 de la qualit\u00e9 - Healthy DEvelopments","description":"Feedback sur leur performance \u00e0 l\u2019\u00e9quipe d\u2019un centre de sant\u00e9 \u00a9 GIZ \/ Rukemampunzi Landry Une bo\u00eete \u00e0 outils du Burundi montre comment instaurer une culture de"},"footnotes":"","advanced-sidebar-menu\/link-title":"","advanced-sidebar-menu\/exclude-page":false},"class_list":["post-13230","page","type-page","status-publish","hentry"],"acf":[],"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Healthy DEvelopments","author_link":"https:\/\/health.bmz.de\/fr\/author\/marc\/"},"comment_info":"","uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"gform-image-choice-sm":false,"gform-image-choice-md":false,"gform-image-choice-lg":false},"uagb_author_info":{"display_name":"Healthy DEvelopments","author_link":"https:\/\/health.bmz.de\/fr\/author\/marc\/"},"uagb_comment_info":0,"uagb_excerpt":"Du \u00ab&nbsp;Concours qualit\u00e9&nbsp;\u00bb \u00e0 un Management int\u00e9gr\u00e9 de la qualit\u00e9 Feedback sur leur performance \u00e0 l\u2019\u00e9quipe d\u2019un centre de sant\u00e9 \u00a9 GIZ \/ Rukemampunzi Landry Une bo\u00eete \u00e0 outils du Burundi montre comment instaurer une culture de la qualit\u00e9 dans les services de sant\u00e9 Pour la premi\u00e8re fois, une bo\u00eete \u00e0 outils pr\u00e9sente l\u2019approche \u00ab&nbsp;Concours\u2026","_links":{"self":[{"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/pages\/13230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/comments?post=13230"}],"version-history":[{"count":55,"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/pages\/13230\/revisions"}],"predecessor-version":[{"id":13918,"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/pages\/13230\/revisions\/13918"}],"up":[{"embeddable":true,"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/pages\/13227"}],"wp:attachment":[{"href":"https:\/\/health.bmz.de\/fr\/wp-json\/wp\/v2\/media?parent=13230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}