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BioMed Research International
Volume 2017, Article ID 8036535, 6 pages
Research Article

Quality Improvement Interventions for Nutritional Assessment among Pregnant Mothers in Northeastern Uganda

1Baylor College of Medicine, Children’s Foundation-Uganda, Box 72052, Kampala, Uganda
2Mulago National Referral Hospital, Block 5 Clock Tower, Kampala, Uganda

Correspondence should be addressed to Jonathan Izudi; moc.liamg@dzhanoj

Received 16 January 2017; Revised 12 April 2017; Accepted 2 May 2017; Published 30 May 2017

Academic Editor: Louiza Belkacemi

Copyright © 2017 Jonathan Izudi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Assessment of pregnant mothers for nutritional status is a neglected intervention. In Kaabong Hospital, nutritional status of pregnant mothers was not assessed during antenatal care (ANC) visits. A quality improvement (QI) project was initiated to increase nutritional assessment using midupper arm circumference (MUAC) among pregnant mothers during ANC visits from 0 to 90% between April and September 2015. Method. Baylor-Uganda formed ANC Work Improvement Team (WIT) that reviewed ANC register, identified gaps in quality of care, analyzed root causes using cause-effect diagram, developed solutions, and tested and implemented the solution using Plan-Do-Study-Act cycles. Planned and tested changes included the provision of anthropometric tools, integrated ANC register, and data use. Result. In April 2015 (baseline), none (0/235) of the pregnant women were assessed for nutritional status using MUAC. Following QI interventions, nutritional assessment improved to 79% (200/252) in May 2015 and to 100% (241/241) in June 2015. The 100% performance was sustained until August 2016. Overall, 39 cases of malnutrition—1 (2.6%) severe (MUAC < 19.0 cm) and 38 (97.4%) moderate acute malnutrition (MUAC 19–22.0 cm)—were identified and linked to nutritional rehabilitation program. Conclusion. QI interventions are critical in achieving high rates of nutritional status assessment and identifying malnourished pregnant women during ANC visits.