Journal Articles

Reflections from Over a Decade of Managing Large, Global, USAID-Funded Quality Improvement Projects

This paper describes the insights and reflections of Dr. M. Rashad Massoud in directing the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project and the USAID Health Care Improvement (HCI) Project. These reflections...

The Next Frontier of Healthcare Quality Improvement: Remaining Gaps and Priorities

This paper is a synthesis of the views of leaders from the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project on where the field of improving healthcare is heading in the coming years. This paper outlines the journey...

Managing Hundreds of Improvement Teams

Recognizing the notable scale of USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project activities and sizable number of improvement teams, which in some cases is close to 1,000 improvement teams managed in one country...

Improving postpartum care in a large hospital in New Delhi, India

Despite recent progress, the maternal mortality ratio (MMR) in India remains high at 174 per 100 000 live births. Bhagwan Mahavir Hospital (BMH) is a secondary level hospital in New Delhi. In 2013, five women died in BMH’s postpartum ward...

Measuring productivity and its relationship to community health worker performance in Uganda: a cross-sectional study

The Ugandan Ministry of Health (MoH) established Village Health Teams (VHT) to empower communities to take part in the decisions that affect their health. In Busia District these teams, comprised entirely of volunteers, are responsible for...

ISQua supplement on Salzburg Global Seminar Session 565—‘Better Health Care: how do we learn about improvement?’

A fundamental question for the field of healthcare improvement is the extent to which the results achieved can be attributed to the changes that were implemented and whether or not these changes are generalizable. Answering these questions...

The cost-effectiveness of three methods of disseminating information to improve medical male circumcision in Uganda

Uganda is working to increase voluntary medical male circumcision (VMMC) to prevent HIV infection. ASSIST has been supporting efforts in Uganda to ensure provision of high-quality, patient-centered VMMC services. This study compares three...

Multivariate analysis of covariates of adherence among HIV‑positive mothers with low viral suppression

In working to prevent mother‑to‑child transmission of HIV in Northern Uganda, we explored reasons for poor viral load suppression among pregnant and lactating women who were in care and received viral load tests but had not achieved viral...

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