Improving Health Care in Low- And Middle-Income Countries
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Improving Health Care in Low- And Middle-Income Countries

Improving Health Care in Low- And Middle-Income Countries


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About the Book

OverviewBy James Heiby, USAIDOverall introduction to the book that explains the purpose of the book, a short explanation of what the improvement process is about, and briefly discusses what the book is not covering.
Part 1: Facility-level improvement
Case 1: Improving Quality of Care for Respiratory Tract Infections in Children: The Role of Capacity Building and Coaching in Supporting a Multi-Facility Improvement Team in Samtredia District, Georgia

By Tamar Chitashvili and Ekaterine Cherkezishvili, University Research Co., LLC

This case study describes the experience of a multi-facility quality improvement team in Imereti's Samtredia District in Georgia that addressed the quality of care for respiratory tract infections among children. The case study details the design and implementation of the improvement effort, and provides details about the capacity building and coaching support provided to the team that helped lead to improved health outcomes.

Case 2: Integrating Gender to Improve Outcomes in an elimination of mother-to-child transmission of HIV Program at Ivukula Health Center III in Eastern Uganda

By Taroub Faramand, WI-HER, LLC

In partnership with Uganda's Ministry of Health, United States Agency for International Development (USAID)-funded projects joined expertise in quality improvement and nutrition to put into practice an initiative that addressed all aspects of ensuring healthy HIV-free infants. This case study focuses on how a successful pilot team in eastern Uganda used quality improvement tools to identify clinic inefficiencies and put into action a plan to eliminate mother-to-child transmission of HIV and improve nutrition assessment, care and support services.

Case 3: Improving HIV counseling and testing in tuberculosis service delivery in Ukraine: it all starts with one good team

By Nilufar Rakhmanova, FHI 360

Because TB and HIV programs in Ukraine functioned separately as vertical programs-focusing on specific health conditions-they often missed a window of opportunity for diagnosing HIV at an earlier phase of infection. This case study describes how a successful pilot team in Chervonograd, Ukraine used quality improvement methods to raise the rates of HIV counseling and testing offered to clients tested for TB and how the team scaled up its successes to other sites.

Part 2: Community-level improvement
Case 4: Strengthening accessibility of services to most vulnerable children through quality improvement approaches in community settings: Case of Bagamoyo district, Tanzania

By Flora Nyagawa, University Research Co., LLC

This case study describes a quality improvement approach to ensure implementation of the National Quality Improvement Guidelines for Most Vulnerable Children in Bagamoyo District, Tanzania. The case study largely focuses on the steps needed to organize improvement efforts; including how project participants formed teams, carried out introductory visits, initiated district and ward efforts, conducted baseline assessments, and built capacity.

Case 5: Addressing behavior change with quality improvement methods in Guatemala

By Elena Hurtado, University Research Co., LLC

In Guatemala, quality improvement and collaborative learning methods were applied to two social and behavior change (SBCC) interventions to strengthen families' health and nutrition-related knowledge and behaviors. This case details the organization of the quality improvement effort and team formation, the role of coaches, and explores challenges to making the improvements a permanent part of health services.


About the Author: 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.


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Product Details
  • ISBN-13: 9783030431143
  • Publisher: Springer International Publishing
  • Publisher Imprint: Springer
  • Edition: Annotated edition
  • Language: English
  • Returnable: N
  • Sub Title: A Case Book
  • Width: 156 mm
  • ISBN-10: 3030431142
  • Publisher Date: 18 Sep 2020
  • Binding: Paperback
  • Height: 234 mm
  • No of Pages: 245
  • Spine Width: 14 mm
  • Weight: 426 gr


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