Improving childhood nutrition and wellness in South Africa: involving mothers/caregivers of malnourished or HIV positive children and health care workers as co-designers to enhance a local quality improvement intervention

Table 3 Interventions suggested and implemented by co-design teams [26]

Improvement activity: already implemented or planned for	Small scale	Process design within team	Process design between services	Process design between organisations
Small screen for privacy at reception	x
Triage by senior staff at ED	x
Lazyboys (reclining chairs) for long term mothers - donations sourced		x
Mattresses for mothers in the ward	x
All referred patients through clinic doctors			x
Tracing of children through CHWs			x
Tea for mothers in morning	x
Debriefing of paediatrics staff by university psychology department				x
Schooling				x
Library				x
Organisation of child files at clinics			x
Ill children straight to ward from ED without waiting for results (with SOP)	x
Downreferral criteria in POPD	x
Departmentalisation		x
Prescription pathway at clinics- plan/SOP			x
Ward orientation tool for admitted patients	x
Soundproof area in POPD (moved to doctors room)	x
Urns for Paediatric ward	x
Psychological support for mothers				x
Play area at wellness		x
Q marshals at clinics			x
Q marshals at hospital reception	x
Positive attitude workshops by subdistrict psychologist planned			x
Time appointments at POPD		x
Point of care blood test machine in ED – on priority equipment list		x

ISSN: 1472-6963