Cost-Effectiveness of Improving Health Care to People with HIV in Nicaragua

A 2010 evaluation found generally poor outcomes among HIV patients on antiretroviral therapy in Nicaragua. Edward Brougton and team evaluated an intervention to improve HIV nursing services in hospital outpatient departments to improve...

What has HCI done to institutionalize improvement? A report from 17 countries

This assessment examined the varying ways that the USAID Health Care Improvement Project (HCI) has facilitated the institutionalization of improvement at the national level across 17 HCI-supported countries. This was a qualitative...

Results of a Study on Sustainability of Improvements in Maternal Child Care and Institutionalization of Continuous Quality Improvement in 30 Ministry of Health facilities in 10 SILAIS in Nicaragua

This study examines both whether improvements in care processes implemented through Continuous Quality Improvement (CQI) interventions and whether the support system put in place maintain CQI within health facilities have been sustained. This study includes both quantitative and qualitative data, with variables related to clinical and CQI training, leadership creation, acknowledgment and recognition of CQI, standardization of the care process, consensus on values for CQI, and CQI activities and institutionalization of the care processes.

Economic analysis of a pediatric ventilator-associated pneumonia prevention initiative in Nicaragua

This economic analysis evaluated an intervention to decrease ventilator-associated pneumonia (VAP) prevalence in pediatric intensive care units (PICUs) in two Nicaraguan hospitals. A matched cohort study determined differences in costs and outcomes among ventilated patients. Intervention costs were determined from accounting and PICU staff records. The intervention cost was approximately $7,000 for one year. If VAP prevalence decreased by 0.5%, hospitals would save $7,000 and the strategy would be cost-neutral.

Cost-effectiveness analysis of the Pediatric Hospital Improvement Initiative in Nicaragua

This study, published in the Pan American Journal of Public Health, examined the cost effectiveness of an initiative to improve care provided in 14 hospital pediatric wards and focused on children affected by diarrhea and pneumonia. Hospital length of stay and deaths were abstracted from a random sample of 1294 clinical records at seven of the 14 participating hospitals before the intervention and 1505 records after two years of intervention implementation.

Applying Improvement Methods to Increase Coverage and Quality of Family Planning Services

Since 2009, the USAID Health Care Improvement Project (HCI) has applied improvement approaches to ensure the availability and use of family planning (FP) counseling and services where they are most needed. HCI has given a special focus to...

Cost-effectiveness of improving services to people with HIV in Nicaragua

A 2009 evaluation found that 13% of HIV patients in Nicaragua were lost to follow-up, 16.5% died while on ART and only 45% reported good clinical outcomes. Following this evaluation, with technical assistance provided through the USAID...

Cost-effectiveness of Improving Services to People with HIV in Nicaragua

This pre/post intervention study evaluated the effectiveness and efficiency of an intervention to improve HIV services in seven hospital outpatient departments and two health centers in Nicaragua. The intervention included organizational...