TARGET PURPOSE:

CONSTITUENTS/BENEFICIARIES  
All prospective pregnant mothers, 10% (1 mo
pregnant mothers and postnatal mothers
of  New Amsterdam (~ 8,210 persons
2015 Census) CHANGE PAT
Increase Access
Provision of mate
etc. 
Implementation o
PROBLEMS services at the Ne
Increased coverag
Provision of amb
The health care delivery system is not navigation, and p
completely standardized   
Inavailability of ceratin maternal services
Poor use of available maternal services
The cost burden of maternal health care Improve Quality
is high Advance leadersh
Low supply of medical resources  healthcare staff r
Poor management of obstetric Continuous asses
complications used in the mana
Worsened referral systems due to lack of becomes availabl
transport Implement the us
strategies in the d
Implore the use o
therapy on mater
Improve patient c
Amsterdam Hosp
GUIDING PRINCIPLES
Secondary and tertiary health care
Early screening and cessation of the Reduce Cost
progression of complications Actively transver
Evidence-based planning and decision- sustainability or
making Use of analytical
Sustainable development (CUA, Marginal
   
 

ULTIMATE IMPACT: Reduction of

 PURPOSE: To reduce obstetric complications and maternal mortality in th
10% (1 mother saved in every 10 deaths) by 31st December, 2028. 

CHANGE PATHWAYS & STRATEGIES SHORT TERM OUTCOM

Increase Access Access
Provision of maternal healthcare equipment e.g. beds, ultrasound machines,
etc.  Improved availability of materna
Implementation of the deficient /improvement of the various maternal care Improved availability of materna
services at the New Amsterdam Hospital. (safe abortions)
Increased coverage for quality healthcare Increased in the number of mater
Provision of ambulances in order to accomplish effective and efficient healthcare services (prenatal, per
navigation, and patient referrals among health facilities  Improved maternal healthcare re
   
 
Improve Quality   Quality
Advance leadership and workforce development opportunities for secondary
healthcare staff relative to maternal services  Increased number of healthcare w
Continuous assessment, improvement and crystalization the current guidelines complications and emergency ma
used in the management of obstetric complications as new information Enhanced hospital guidelines aim
becomes available obstetrics.
Implement the use of evidence-based, practice-based and patient-centered care Enhanced use of evidence-based,
strategies in the delivery of maternal and obstetric services  patient-centered strategies in mat
Implore the use of stress-coping strategies and group cognitive-behavioral Improved patient care experience
therapy on maternal patients   
Improve patient care experience, engagement and satisfaction at the New
Amsterdam Hospital

Reduce Cost Cost

Actively transverse perspectives that reduce cost, avoid wastage, promote
sustainability or contain costs without compromising the quality of care.  A healthcare statement that is mo
Use of analytical models for health technology assessment decision-making Decreased or maintained healthc
(CUA, Marginal analysis, etc.) More affordable healthcare – thir
   

T: Reduction of Obstetric complications and increase life expectancy of

nal mortality in the New Amsterdam Hospital, Guyana by
ber, 2028. 

ORT TERM OUTCOMES LONG - TERM

ess OUTCOMES
 
oved availability of maternal healthcare equipment   
oved availability of maternal services and family planning services  
abortions)   BETTER
ased in the number of maternal patients accessing maternal  
HEALTH
hcare services (prenatal, perinatal, and postnatal).  
oved maternal healthcare referral system  
 
 
 
ity  
 
ased number of healthcare workers trained to manage obstetric  
lications and emergency maternal issues. 
nced hospital guidelines aimed at improving quality of care in
trics. BETTER
nced use of evidence-based, practice-based, promising practices, and CARE
nt-centered strategies in maternal service delivery 
oved patient care experiences, engagement and satisfaction  

BETTER
althcare statement that is more financially reactive HEALTH
eased or maintained healthcare cost  OUTCOME
e affordable healthcare – third party payer’s perspective FOR MONEY

e expectancy of mothers.
 INDICATO
Long-term outcom
Long-term
Outcome Better Health Decreased materna
Decreased number
Increase in the ave
complications

Short-term outco
Improved availability of maternal healthcare equipment  Increased number
Improved availability of maternal services and family population 
planning services (safe abortions) Decline in teenage
Short-term Increased in the number of maternal patients accessing Referrals to the Ne
maternal healthcare services (prenatal, perinatal, and Skilled attendants
Outcomes postnatal). Abortion ratio
Improved maternal healthcare referral system Postnatal care for m

Outputs 
Fully operational:
Regional perin
Regional Perinatal Diagnostic Centre (Level IV), Ambulation S
Outputs Ambulation & Referral Service Referral Servi

Activites 
Construction of Re
Maternal Health Procurment of furn
Activities needed for the outp

Inputs 
Availability of fina
Finance and technical quality in keeping
Inputs
INDICATORS
Long-term outcome 
Decreased maternal mortality rate
Decreased number of obstetric complications
Increase in the average life expectancy of mothers with obsteric
complications

Short-term outcome 
Increased number of maternity beds per female (reproductive age)
population 
Decline in teenage pregnancy
Referrals to the New Amsterdam hospital ratio
Skilled attendants at birth
Abortion ratio
Postnatal care for mothers and babies within two days of birth

Outputs 
Fully operational:
Regional perinatal Diagnostic Centre (Level IV)
Ambulation Service
Referral Service

Activites 
Construction of Regional Perinatal Diagnostic Centre (Level IV)
Procurment of furnishing, medical equipment and supplies and services
needed for the outputs in accordance to the pre-prescribe timeframe

Inputs 
Availability of finance, personnel and materials in right quantities and
quality in keeping with project specifications and timeframe.
Long-term
Outcome Better Care

Increased number of healthcare workers train

obstetric complications and emergency mater
Enhanced hospital guidelines aimed at improv
Short-term care in obstetrics.
Outcomes Enhanced use of evidence-based, practice-bas
practices, and patient-centered strategies in m
delivery 
Improved patient care experiences, engageme
satisfaction  

Stress Coping Therapies, Maternal and Child

Outputs New Amsterdam Regional Hospital & Digital
system

Maternal Health & Quality Assessment Tool

Activities

Finance and technical

Inputs

Better Care
of healthcare workers trained to manage
ations and emergency maternal issues.  Short-term outcome
l guidelines aimed at improving quality of
evidence-based, practice-based, promising
ent-centered strategies in maternal service
care experiences, engagement and
erapies, Maternal and Child health Wing at
Regional Hospital & Digitalized feedback
& Quality Assessment Tool
chnical
INDICATORS
Long-term outcome
Maternal mortality
Materal morbidity ratio
Referral to New Amsterdam Hospital ratio
Ratio of Obstetric health care team to the maternal population
Number of feedbacks forms sent from patients via email
Proportion of patients treated according to clinical guidelines
Patient satisfaction above 70% as measured by patient feedback system
Proportion of Maternal/Obstetric patients to other patients per year
Outputs
Fully operational:
Stress Coping Therapies
Maternal and Child health Wing at New Amsterdam Regional Hospital
Digitalized feedback system
Activites
Construction of Maternal and child health hospital in accordance to the prescrib
Construction of therapy rooms at New Amsterdam Hospital
Procurement of furnishings, medical equipments and supplies
Employment of psychologists for implementation of maternal therapy sessions
Procurement of hardware, software and technical expertise for the development
feedback system
Inputs
Availability of finance, personnel and materials in right quantities and quality in
project specifications and timeframe.
population
email
guidelines
ent feedback system
atients per year

rdam Regional Hospital

n accordance to the prescribed timeframe

Hospital
d supplies
f maternal therapy sessions
xpertise for the development of the patient

ight quantities and quality in keeping with

Long-term Better Healt
Outcome Mo
A healthcare statement that is
Decreased or maintained hea
Short-term More affordable healthcare –
Outcomes

Digitized Organisational Health

(OHTAU)
Outputs

New Amsterdam Hospital

Activities

Finance and technical

Inputs
 INDICATORS
Better Health Outcome for Long-term outcome

Money
Average cost per maternal care packages
Average cost of one QALY gain under the NAHD

Short-term outcome
A healthcare statement that is more financially reactive Number of stockout of essential medications and medical su
Decreased or maintained healthcare cost  Percentage of NAHD budget spent on maternal and obstertr
More affordable healthcare – third party payer’s perspective healthcare services
Per capita spending by New Amsterdam Hospital for matera
services
External resources for maternal health as a percentage of tot
expenditure

Digitized Organisational Health Technonogly Assement Unit Outputs

OHTAU) Fully operational:
Digitized Organizaational Health Technology Assessme

Activites
Design, development and procurment of items needed for O
New Amsterdam Hospital accordance to pre-prescribe timeframe

Inputs
Avaibility of finance, personnel and medical supplies in suit
quantities and quality in keeping with project specifications
Finance and technical timeframe.
packages
under the NAHD

medications and medical supplies

ent on maternal and obstertric

sterdam Hospital for materal health

health as a percentage of total health

Health Technology Assessment Unit

rment of items needed for OHTAU in

eframe

and medical supplies in suitable

g with project specifications and