Case Study

Improving Pediatric Care in Nicaragua

In 2003, the USAID-funded Quality Assurance Project (QAP), the Ministry of Health of Nicaragua, and UNICEF/Nicaragua started a Pediatric Hospital Improvement (PHI) Collaborative aimed at standardizing and improving the care of severely ill...

Quality in Action in Rwanda: Case Studies

Quality improvement via the identification of problems and team-based problem solving is one of the main pillars of quality assurance. Through this method, medical, technical, and administrative personnel directly involved in the provision...

Internal quality assurance: Lessons learned from the PKMI Hospital pilot program in Indonesia

The Indonesian Association for Secure Contraception (PKMI) developed and conducted a pilot test of an internal quality assurance program in the family planning units of 16 hospitals in Jakarta and West Java between May 1992 and March 1995...

Health care sector reform and quality assurance in Costa Rica. Results of process improvement teams working in health facilities

An organizational reformation took place in Costa Rica to improve the access, quality, and delivery of health care services based on the needs of the target population. Under the health sector reform program, the Caja Costarricense del...

Using Team Problem Solving to Improve Adherence with Malaria Treatment Guidelines in Malawi

The Case Study Series presents real applications of quality assurance (QA) methods in developing countries at various health system levels, from national to community. The series focuses on QA applications in child survival, maternal and...

Using Screening Data to Improve Hypertension Care in Russia

The fall of the Soviet Union in 1991 signaled a turning point for the region. Scores of weapons factories closed, and the network of work site polyclinics or medsanchasti had to be integrated into the remaining system of clinics and...

Designing the integration of district and refugee health services in West Nile, northern Uganda

This case study outlines the application of quality design in the integration of refugee health care activities and the local health system of a rural district in northern Uganda. It illustrates how stakeholders with diverse interests and...

Assessing malaria treatment and control at peer facilities in Malawi

In Malawi, a country of 10 million people, 90 percent live in rural areas. Because malaria is transmitted by a mosquito vector, rural communities are particularly affected. The Secretary of Health recently announced that on average,...

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