With support from the United States Agency for International Development (USAID) Applying Science to Strengthen and Improve Systems (ASSIST) Project, a team of health care workers from 47 health facilities and one hospital in 40 districts (48 sites) in Uganda used quality improvement methods to improve retention of HIV-positive children under age 14 on antiretroviral therapy (ART). Dramatic improvements were noted, from 30% of children under age 14 retained on ART in March 2013 before the start of intervention activities to 94% by end of January 2014.
This coming September at the Third Global Symposium on Health Systems Research in Cape Town, Frances Day-Stirk, President of the International Confederation of Midwives, and I will be co-chairing a working group on the role of standards, quality improvement, and regulation for improving health worker productivity and performance in the context of universal health coverage (UHC). We will be part of a satellite session on emerging findings and priorities for human resources for health (HRH) post 2015 and one of seven working groups contributing to this effort. During the working group we will present a strategic paper and framework that we are developing together with global experts on this topic.
As one of a series of events aimed at gathering and sharing knowledge on parenting practices and effective parenting interventions in Africa, the PEPFAR OVC Technical Working Group Co-Chairs sponsored a meeting on supporting and strengthening child-caregiver relationships (parenting) on December 11-13, 2013 in Cape Town, South Africa. The meeting was an opportunity to convene PEPFAR OVC Focal Points, international experts, and practitioners from Africa around how PEPFAR programs currently support activities to strengthen child-caregiver relationships and how these efforts might be expanded and improved to better address the multi-dimensional needs of vulnerable children and their families.
Director-Research and Evaluation, USAID ASSIST/URC
What do Sigmund Freud and some in the field of improvement have in common? No, this is not the beginning of a Woody Allen joke and I hope the answer is a simple “nothing”. But sometimes when I hear those immersed in improvement say that our work is too complex and nuanced for randomized trials or other rigorous research methodologies, it reminds me of the famous cigar-smoking psychoanalyst.