Improving the Health of Mothers, Newborns, Children, and Adolescents in Low- and Middle-Income Countries: Synthesis Report

Over its nearly eight years of implementation, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project supported USAID's global Preventing Child and Maternal Deaths and Family Planning agendas by:

  • Testing and implementing innovative, cutting-edge quality improvement (QI) and service delivery approaches in maternal, newborn, and child health (MNCH), such as collaborative improvement, process redesign, and integrating routine and complications care across system levels;
  • Building local individual and institutional capacity to apply improvement methods across health system levels (community, clinic, hospital, district, regional, central) to improve, scale up, and sustain high-impact, low-cost, people-centered MNCH and FP services for leading causes of maternal, newborn, and child morbidity and mortality in USAID priority countries;
  • Strengthening frontline health worker and manager skills, motivation, and performance through integrated clinical and QI capacity building and through engagement of health workers in making improvements in their local health care systems and processes;
  • Developing, testing, and disseminating technical frameworks, approaches, and tools that can increase effectiveness of improvement and health system strengthening initiatives in support of the USAID PCMD strategy and promote countries’ journey to self-reliance;
  • Supporting the development and testing of MNCH quality of care (QoC) indicators, strengthening routine health information systems to enable regular tracking of quality measures at service delivery level, and promoting accountability at global, national, and sub-national levels.

This report summarizes the activities and results achieved by ASSIST to improve the quality of maternal, newborn, child, and adolescent health (MNCAH) and reproductive health and family planning (RH/FP) services over the life of the project.  It describes the main strategies employed by the project to improve quality of care and strengthen local capacity for continuous improvement and summarizes results by focus area.  The Appendix to the report lists the key MNCAH/RH/FP quality improvement products developed by ASSIST and provides links to each in the USAID Development Experience Clearinghouse (DEC).

Report Author(s): 
Tamar Chitashvili | Kate Fatta
ASSIST publication: 
ASSIST publication
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