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 of health services and sometimes representatives of the population being served--those who best understand the interests of that population--form multidisciplinary teams that identify gaps between actual service and what implicit or explicit norms advocate. These teams use the tools and methods of quality assurance (QA) to close those gaps. The case studies in this collection present the results of five teams that 1) increased curative consultations and revenues while lowering fees, 2) improved family planning rates, 3) increased the percentage of pregnant women who attended first trimester consultations, 4) increased vaccination coverage, and 5) improved the quality of care for shock victims during their first 48 hours at the hospital. These results confirm that quality is not always linked to additional resources but instead often lies in simple, low-cost measures, well adapted to the development level of each country. This publication is therefore intended for everyone, for healthcare consumers who need to understand how quality healthcare is provided, for policy makers and planners who must institutionalize the QA approach, but above all for frontline (or first-line) healthcare providers, from whom results are demanded on a daily basis, and consequently, must achieve similar concrete results. (excerpt)

Report Author(s): 
Lin YS
Quality Assurance Project
ASSIST publication: 
Facebook icon
Twitter icon
LinkedIn icon
e-mail icon