Collaborative approach to improving the quality of voluntary medical male circumcision services in five districts of Lesotho
The USAID ASSIST Project provides continuous quality improvement (CQI) technical support to six voluntary medical male circumcision (VMMC) sites in five districts of Lesotho. CQI baseline assessments were conducted at the six sites in September 2016, revealing gaps in VMMC service quality and areas requiring improvement to comply with World Health Organization (WHO) quality standards for VMMC. Subsequent to the baseline assessments, the ASSIST Project has been working with the United States President’s Emergency Plan for AIDS Relief (PEPFAR) implementing partner, Jhpiego, and the Lesotho Ministry of Health (MoH) to address the gaps identified and improve the quality of VMMC services. CQI technical support comprises onsite coaching and mentoring, training and CQI reassessments. From September 2016 to March 2017, the six sites managed to improve overall average performance from 79.8% at baseline to 91.3% at reassessment. This case study outlines quality improvement activities undertaken by the six sites to improve VMMC service quality, particularly relating to leadership and planning, management systems and monitoring and evaluation (M&E).