CQI teams need support to function effectively. District and facility leaders can create the enabling environment for improvement through policies, resources, and training, in addition to openness for local teams to test ways to best improve care and sometimes fail. The most sustainable coaching for improvement is built into existing government systems. This can take the form of coaches external to the VMMC site, such as a district health officer, or from within the local site, such as an enthusiastic manager or provider who has been involved in previous improvement work. Whoever the coach is, they should always approach the improvement team with an attitude of supportive problem solving rather than critical evaluation.
Coaches need competency in both basic improvement skills and in facilitation of improvement teams. This section offers tools to support coaches in helping CQI teams.