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

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Place / Publishing House:Cham : : Springer International Publishing AG,, 2020.
©2020.
Year of Publication:2020
Edition:1st ed.
Language:English
Online Access:
Physical Description:1 online resource (254 pages)
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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.