Improving Health Care in Low- and Middle-Income Countries : : A Case Book.

• Author: Marquez, Lani Rice.
• Place / Publishing House: Cham : : Springer International Publishing AG,, 2020.; ©2020.
• Year of Publication: 2020
• Edition: 1st ed.
• Language: English
• Physical Description: 1 online resource (254 pages)

Table of Contents

Intro -- Acknowledgments -- Contents -- Abbreviations -- About the Editor -- Contributors -- Chapter 1: Introduction -- What Is Improvement? -- How Has the Field Evolved in the Last 30 Years? -- Improvement Methods -- About This Book -- References -- Chapter 2: Improving Quality of Care for Respiratory Tract Infections in Children: The Role of Capacity Building and Coaching in Supporting One Multifacility Improvement Team in Samtredia District, Georgia -- Background -- Designing the Improvement Effort -- Background on Georgia's Health System -- Site Selection and Formation of the QI Team -- Choosing Improvement Priorities -- Carrying Out the Improvement Intervention -- Problem Analysis -- Development of Aims and Measures of Improvement -- Testing and Implementing Changes -- Support for Improvement -- Results -- Spreading the Knowledge -- Reflection -- Snapshot of a Changed Practice -- References -- Chapter 3: Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala -- Background -- Designing the Improvement Effort -- Formation of Collaborative Teams -- Understanding SBCC Processes -- Example of Carrying Out the SBCC Improvement Effort in Chichicastenango, Quiché -- Documentation and Job Aids -- Measurement and Results -- Support for Improvement -- Coaching Visits -- Institutionalization -- Reflection -- References -- Chapter 4: Haiti's National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care -- Introduction -- Designing the Improvement Effort -- Haiti's Quality Management Program -- Implementing the Quality Management Program at the Facility Level -- Developing an Electronic Medical Record System in Haiti -- Using Electronic Medical Record Data for Improvement.

Measuring Improvement and Results -- Use of the EMR at National and Clinic Levels to Improve Quality -- Improvement Snapshot: iSanté and Prevention of Mother-to-Child Transmission of HIV -- Health Facility Improvement Snapshot: Addressing Lost-to-Follow-Up at Bernard Mevs Hospital -- Reflection -- Appendix 1. iSanté Indicators -- References -- Chapter 5: Bridging the Gap Between Emergency Response and Health Systems Strengthening: The Role of Improvement Teams in Integrating Zika Counseling in Family Planning Services in Honduras -- Background -- The Zika Response -- Designing the Improvement Effort at the National Level -- Overview of the Honduran Health System -- Site Selection -- Baseline Assessment -- Development of and Training in Standards of Zika Care -- Formation of QI Teams -- MOH Support for Improvement Teams -- Coaching -- Shared Learning -- Improving Zika Counseling and Care Within Family Planning Services at Catacamas Polyclinic in Olancho -- Setting Improvement Aims -- Analysis of the Current Care Process to Identify Gaps -- Measuring Improvement -- Testing and Implementing Changes -- Other Activities That Contributed to Improvement -- Results -- National-Level Monitoring of Zika Indicators -- Spreading the Knowledge -- Reflection -- References -- Chapter 6: Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India -- Background and Setting -- Getting Started -- Initial Organization of the Improvement Work -- Measurement and Results -- Institutionalizing and Spreading QI from 5 to 43 Facilities -- Sustainability -- Reflection -- Chapter 7: The Business Case for Quality in Health Care -- Background and Regulatory Framework -- Designing and Organizing the Improvement Effort -- Inception of the Collaboration -- Capacity Building at the National Hospital Insurance Fund.

Improving Care at a Nairobi Health-Care Provider -- Assessment Standards, Scoring, and Certification -- Initiating the Improvement Process at St. Patrick -- Technical Support for Improvement -- Results -- Achieving National Hospital Insurance Fund Contracting -- Scaling Up and Sustaining the Certification Program -- Reflection -- Author's Reflection -- References -- Chapter 8: Promoting Rational Use of Antibiotics in the Kyrgyz Republic -- Background -- Organizing the Improvement Effort -- Foundational Work with Implementing Partners -- Choosing Improvement Priorities: Selecting Index Conditions -- Developing Audit Instruments -- Selecting Quality Indicators -- Developing a Database to Track and Analyze Quality Data -- Selection of Study Sites -- Developing Training Materials -- Carrying Out the Improvement Effort -- Training -- Job Aids -- Audit and Feedback -- Data Collection and Analysis -- Support for Improvement Coaching -- Financial Support -- Results -- Sustaining and Scaling Up the Improvement Effort -- Clinical Protocols -- Institutionalization and Scale-Up of Training -- Institutionalization of Audit and Feedback Mechanisms -- Reflection -- Specific to the RUA QI Initiative -- Introducing and Institutionalizing QI Methodologies -- Chapter 9: Applying a Standards-Based Approach to Reduce Maternal Mortality and Improve Maternal and Neonatal Services in Mozambique -- Background and Setting -- Designing and Organizing the Improvement Effort -- Approach and Strategy -- Development of the Performance Standards -- The Provider Training -- Strengthening the Health Management Information System -- Carrying Out the Improvement Effort -- The Formation of the QI Teams -- Implementing the Standards Through Facility Assessments, Action Plans, and Change Management -- Improvement Efforts at Xai-Xai Provincial Hospital, Mozambique.

The Role of Mid-level Managers in the Health System -- The Power of Recognition -- The Implementation Challenges -- The Measurement and Results -- The Provider and Facility Performance -- The Clinical Practice Indicators -- The Maternal Mortality -- The Status of the QI Program -- Reflection -- References -- Chapter 10: Strengthening Services for Most Vulnerable Children Through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania -- Background and Setting -- Developing and Communicating Standards for MVC Care and Support -- Organizing the Improvement Effort -- Actors at the Village Level -- District Selection -- Collaborative Improvement -- Initial Introductory Visits -- Ward Selection -- District and Ward Start-Up -- Baseline Assessment -- Team Formation -- Capacity Building -- First Learning Session at District Level -- First Learning Session for Community Level -- Carrying Out the Improvement Work -- Organization of MVC Committee Meetings -- Documentation -- Data Collection -- Support for Improvement Teams -- Second Learning Sessions for MVC Committees -- Results -- Sustaining Improvements and Spread -- Challenges -- Reflection -- Reflection from Team Members -- Reflection from the Author -- Chapter 11: Improving the Quality of Voluntary Medical Male Circumcision: A Case Study from Uganda -- Background and Setting -- Developing and Applying a Locally Adapted VMMC Quality Assessment Tool -- Organizing the Improvement Effort -- Formation of Quality Improvement Teams -- Choosing Improvement Priorities -- Development of Aims and Measures of Improvement -- Carrying Out the Improvement Effort -- Development, Implementation, and Testing of Change Ideas -- Support for Improvement -- Results -- Sustaining and Scaling Up the Improvement Effort -- Scaling Up VMMC QI Activities -- Spreading the Knowledge.

Reflection -- Author's Perspective -- Implementing Partner Perspective -- Site Perspective -- References -- Chapter 12: Integrating Gender to Improve HIV Services in Uganda -- Background -- Organizing the Improvement Effort -- Beginning the PHFS Pilot Effort -- Obtaining Local Buy-in -- Formation of the QI Team -- Training Heightens Staff Awareness of Gender Norms -- Carrying Out the Improvement Effort -- Problem Analysis -- Support for the QI Team -- Gender Interventions -- Results -- Ivukula Health Center -- All Pilot Sites -- Team Motivation Grows as They Begin to See Results -- Institutionalization -- Reflection -- Chapter 13: Improving HIV Counseling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale-Up Journey -- Background -- Organizing the Improvement Effort -- Choosing Improvement Priorities -- Health System Culture in Ukraine -- QI Team Formation -- Quality Management Team -- Analyzing the Problem -- Challenges to the Provision of Quality HCT Services -- Carrying Out the Improvement Effort -- Problem Statement -- Aim -- Improvement Objectives -- Development, Implementation, and Testing of Change Ideas -- Proposed Changes -- Measuring Improvement -- Indicators -- Moving Toward a Culture of Data Analysis -- Use of Time Series Charts -- Support for Improvement -- QI Team Dynamics -- Results -- Scaling Up the Improvement Effort -- Reflection -- References -- Chapter 14: Conclusion -- What Do These Cases Tell Us About QI in Low- and Middle-Income Countries? -- Index.