Improving Health Care in Low- and Middle-Income Countries

1. Front Matter

   Pages i-xvi

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2. Introduction

   • James R. Heiby

   Pages 1-7Open Access

3. 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

   • Tamar Chitashvili, Ekaterine Cherkezishvili

   Pages 9-26Open Access

4. Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala

   • Elena Hurtado, Lilian Ramírez, Pablo Moreira

   Pages 27-42Open Access

5. Haiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care

   • Joshua Bardfield, Bruce D. Agins, Margareth Jasmin, Nicasky Celestin, Nirva Duval, Jean Gabriel Balan et al.

   Pages 43-58Open Access

6. 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

   • Maria Elena Banegas Arnold, Norma Aly Leitzelar

   Pages 59-75Open Access

7. Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India

   • Nigel Livesley, Praveen Kumar Sharma

   Pages 77-88Open Access

8. The Business Case for Quality in Health Care

   • Nicole Spieker

   Pages 89-104Open Access

9. Promoting Rational Use of Antibiotics in the Kyrgyz Republic

   • Barton Smith

   Pages 105-130Open Access

10. Applying a Standards-Based Approach to Reduce Maternal Mortality and Improve Maternal and Neonatal Services in Mozambique

    • Edgar Necochea, Maria da Luz Vaz, Ernestina David, Jim Ricca

    Pages 131-150Open Access

11. Strengthening Services for Most Vulnerable Children Through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania

    • Flora Pius Nyagawa

    Pages 151-175Open Access

12. Improving the Quality of Voluntary Medical Male Circumcision: A Case Study from Uganda

    • John Bekiita Byabagambi

    Pages 177-194Open Access

13. Integrating Gender to Improve HIV Services in Uganda

    • Taroub Harb Faramand

    Pages 195-208Open Access

14. Improving HIV Counseling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale-Up Journey

    • Nilufar Rakhmanova Pollard, Igor Semenenko, Uliana Snidevych, Emily Keyes, Roman Yorick, Alyona Gerasimova et al.

    Pages 209-229Open Access

15. Conclusion

    • Lani Rice Marquez, Alison Lucas

    Pages 231-237Open Access

16. Back Matter

    Pages 239-245

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This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes.  


The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:

• Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala
• Haiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care
• Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India
• Promoting Rational Use of Antibiotics in the Kyrgyz Republic
• Strengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania
• Improving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up Journey

Improving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development.




ACKNOWLEDGMENT:
This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID).


DISCLAIMER:
The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government.

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• quality improvement methodology
• improvement science
• health care improvement methods
• case studies
• global health
• public health
• strengthening health systems
• improving health outcomes
• patient-centered care
• low- and middle-income countries (LMICs)
• scale-up initiatives
• healthcare systems
• quality of care
• healthcare access
• sustainability
• facility-level improvement
• community-level improvement
• district/regional-level improvement
• national-level improvement
• open access

• University Research Co., LLC (URC), Bethesda, USA

  Lani Rice Marquez

Lani Rice Marquez, MHS, is the Knowledge Management Director for the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project at University Research Co., LLC (URC). A health management and evaluation specialist, Lani has worked for over 30 years in international health programs, where much of her work has focused on strengthening the performance of facility-based and community-based health workers in low- and middle-income countries through improvement methods. For the past 10 years, she has led URC’s efforts to apply knowledge management concepts and techniques to strengthen quality improvement program efficiency and impact.