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Press Release

August 20, 2014

5S-CQI-TQM: Japanese experiences for better hospital management


A series of the 5S-CQI (Continuous Quality Improvement)-TQM (Total Quality Management) workshops is being held this week, organized by the Ministry of Health and Family Welfare and SMPP-2 (Safe Motherhood Promotion Project Phase 2) which is funded by JICA. These events coincide the visit by Professor Yujiro Handa, Director of Global Networking Office, Health Sciences University of Hokkaido, and expert in TQM in hospitals.

The 5S-CQI-TQM program is one of the main intervention approaches of SMPP-2 with a collaboration of the Directorate General of Health Services (DGHS), to improve the quality of hospital service delivery, thus contributing to the reduction in maternal and neonatal morbidity and mortality. In 2011, DGHS introduced the TQM program in 4 hospitals including Satkhira DH in support of SMPP. Currently the program has been expanded to 30 hospitals in collaboration with JICA and UNICEF. DGHS has a plan to introduce TQM over 100 hospitals that entail all the Upazila Health Complexes (UHCs) and MCWCs in Satkhira district by the end of 2014.

Professor Handa is in Bangladesh from 16th to 22nd of August, and visits hospitals that have introduced 5S in Sakhira, Narsingdi and Tangail to understand the progress of the 5S-CQI-TQM of each hospital, give feedbacks to hospital staffs, and conduct sessions for 5S and step-up from 5S to CQI. He is expected to give advices on the direction of the 5S-CQI-TQM of the Government and the monitoring system strengthening, as well as provide SMPP2 of recommendations on its support in this field. Participants from the three districts and neighboring districts are expected to learn the practical knowledge on and application of the 5S-CQI-TQM through hospital visits and to discuss challenges they are facing in implementing the 5S in their hospitals.

The TQM, which was first introduced in manufacturing industries in Japan, is a management tool for improving performance and quality, and now adapted by hospitals in more than 15 African and Asian countries. In several Sri Lankan hospitals, promotion of 5S (sort, set, shine, standardize and sustain) have led to CQI – continuous improvement of quality in the hospital environment and overall health services - and TQM process for better hospital management systems. Studies on hospitals that have introduced the 5S-CQI-TQM in Africa and Sri Lanka have shown positive changes, such as better quality of hospital services, increased motivation and job satisfaction of staff, improved cleanliness in hospitals, and positive patient satisfaction.

For the Purpose of reduction of maternal and neonatal morbidity/ mortality, the Governemnt fo Bangladesh requested the JICA to jointly implement the SMPP in Narsingdi district for 5-year period from 2006 to 2011. After successful completion of the 1st phase, SMPP has started its 2nd phase from July 2011.


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