4 September 2024, Taizz, Yemen – In 2023, Khalifa Hospital in Taizz significantly boosted its commitment to quality health care by adding a dedicated quality team. Focusing on infection prevention and control, follow-up and evaluation, this team works with a quality committee led by the hospital director.

Established in 1989, this 220-bed capacity hospital is a vital health facility, serving a catchment area of about 1 million people. Annually, the hospital has 55 000 outpatient visits, 17 000 emergency cases and 5000 inpatient admissions.

The quality team has noticeably improved the hospital’s services. This progress was acknowledged on World Patient Safety Day, 17 September 2023. Both WHO and the Ministry of Public Health and Population celebrated the hospital for its adoption of safety protocols for surgery and childbirth. This approach underscores the facility’s commitment to enhance patient safety and quality of care.

A WHO team visited Khalifa Hospital in October 2023, as part of implementing the Emergency Human Capital Project (EHCP), and met with key health workers in the surgical and maternity departments. Dr Mazen Al-Zuberi, General Manager; Dr Abdullah Noamaan, District Health Office Manager; and Dr Abdulazeez Al-Selwi, Head of the Quality Department, shared insights into the transformative impact of adopting the WHO Surgical Safety Checklist.

This tool has significantly reduced medical errors and enhanced patient safety – a major stride towards better quality of care. Anaesthetist Dr Basheer Abbas shared the Surgical Safety Checklist’s practical benefits, emphasizing its role in identifying patients with underlying conditions that contraindicate surgery, thereby enhancing personalized patient care.

In 2023, Khalifa Hospital embarked on a crucial WHO-led training initiative, with sessions aiming to strengthen infection prevention and control practices. This pivotal effort led to significantly enhanced hand hygiene protocols and more effective use of personal protective equipment. Both will contribute to reduce health care-associated infections.

Integrating the Surgical Safety Checklist, as well as the WHO Safe Childbirth Checklist, into clinical routines substantially improves the safety of surgical and childbirth procedures. The hospital has also advanced its waste management and sterilization processes, reinforcing a safe and clean treatment environment.

The hospital expects these improvements to lead to lower maternal and neonatal mortality rates and a decrease in postsurgical complications. The initiative has also sparked a cultural shift towards prioritizing safety and quality of care.

WHO supports quality of care capacity-building in this hospital as part of the Emergency Human Capital Project implemented in partnership with the World Bank.

4 September 2024, Marib, Yemen – Marib General Hospital, established in 2005, is located near active conflict zones and amid a hub of displaced populations. As such, it serves as a critical health facility for some of the most vulnerable.

With a 180-bed capacity and an average bed occupancy of 75%, it caters to a vast catchment area of 3 million people, handling more than 10000 inpatient cases annually.

In response to pressing needs, the hospital has made several attempts to establish a quality team. The latest effort, in 2022, was successful, and the team has been instrumental in applying the WHO Surgical Safety Checklist and enhancing quality across multiple areas, even amid severe patient overcrowding. These areas include infection prevention and control, and sterilization.

This commitment to quality has set Marib General Hospital apart from other facilities. It has also cemented the hospital’s relationship with local authorities, which have provided financial support in recognition of the hospital’s role in alleviating the health burden on the governorate. The hospital management’s dedication to quality health care is further evidenced by the engagement of an external quality specialist, funded via local authority support.

A WHO team visited the hospital in March 2023 and commended its implementation of quality, safety, and infection control measures across departments. Marib General Hospital stands out for its ongoing workforce training, self-financing initiatives, and proactive approach to continuous evaluation and improvement. Regular management meetings are held to discuss service quality, identify service gaps and come up with solutions. Special meetings consider patient morbidity and mortality to improve care outcomes.

Effective use of quality standards demonstrates a comprehensive approach to ensuring patient safety and quality. Among others, the hospital has implemented the Surgical Safety Checklist, as well as the WHO Safe Childbirth Checklist; infection control protocols; water, sanitation and hygiene standards; and standards for the management of pharmaceutical supplies.

Through these measures, Marib General Hospital not only addresses the immediate health needs of its community but also lays the foundations for ongoing improvements in health service delivery. In this way, it serves as a model of resilience.

WHO supports quality of care capacity-building in this hospital as part of the Emergency Human Capital Project implemented in partnership with the World Bank.

4 September 2024, Marib, Yemen – Kara Hospital is a critical health service provider for over 2 million people from Marib and neighbouring governorates such as Al Bayda, Al Jawf and Shabwah. Having opened its doors in 2010, it was upgraded to a governorate hospital in 2017.

Its strategic location on the main road between Yemen and Saudi Arabia makes it a critical first responder to road traffic injuries. The hospital also provides a wide range of services, including general emergency care, various surgical services, and maternal and child health services, as well as outpatient services. It does this in a context of thousands of people having been internally displaced to Marib by the war and amid damage to other health facilities.

In 2023, Kara Hospital took significant strides to enhance its quality of care by creating a dedicated quality team. With WHO’s support, the hospital assessed and improved its compliance with national quality standards, achieving an impressive 86% compliance rate. The Minister of Public Health and Population recently recognized the hospital’s dedication to quality and patient safety with an award.

Kara Hospital’s quality team has worked to enhance infection prevention and control; set up a central sterilization department; and formed a committee for continuous improvement, based on the local burden of morbidity and mortality.

The hospital has focused on efficient medical waste management; regular workforce training; and patient rights, ensuring high-quality, respectful care. A culture of accountability has been promoted through regular audits, departmental competitions to uphold quality standards, and community engagement through health awareness campaigns.

These efforts have led to substantial community trust, and support from local authorities to enhance hospital infrastructure. A maternal and child health building, an administrative building and a power station have been added, and extensive landscaping efforts made.

The hospital’s dedication to quality care is clear from its service use figures. In 2023, it was responsible for about 100 000 outpatient visits, mostly from women and girls; 55 000 emergency department visits; 10 000 inpatient admissions; and 10 000 births.

With the support of WHO, the community and local authorities, Kara Hospital has become a pillar of quality health care provision in Marib – both for internally displaced people and host communities.

WHO supports quality of care capacity-building in this hospital as part of the Emergency Human Capital Project implemented in partnership with the World Bank.