Journal Articles

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...

Health Worker Engagement and Facility Performance in Delivering HIV Care in Tanzania

With an increasing number of people living with HIV linked to long-term treatment, a productive health workforce is essential to provide quality care. Engaged health workers are more productive and provide higher quality care. This study...

Experiences of Indian Health Workers Using WhatsApp for Improving Aseptic Practices with Newborns: Exploratory Qualitative Study

Quality improvement (QI) methods support frontline health workers to identify and address gaps in care, primarily through process changes. Teamwork and group discussion are key to identifying quality problems, analyzing their root causes...

There Is Much to Learn When You Listen: Citizen Engagement in High- and Low-Income Countries

It is important engage and solicit feedback from citizens when developing the health care policies that will affect them. However, citizen engagement can be difficult to implement in practice – and often more so in low- and middle-income...

Quality improvement as a framework for behavior change interventions in HIV-predisposed communities: a case of adolescent girls and young women in northern Uganda

Conventional approaches to HIV prevention remain the foundation for reducing HIV infections in Uganda, but innovations that demonstrate reduction in risk to infection in vulnerable populations also should be urgently embraced. Over the...

How Kabarole Hospital in western Uganda saved mothers’ lives through team-based problem-solving

While the maternal mortality ratio (MMR) has declined globally in recent years, 99% of maternal deaths occur in developing countries. Most (75%) maternal deaths are due to severe bleeding, infections, pre-eclampsia and eclampsia,...

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