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.