Innovative Technologies

Innovative technologies like mobile devices, electronic medical records, and interventions based on human performance technology are increasingly being deployed to respond to health care delivery challenges in low-resource settings. To ensure that technologies achieve the greatest impact, they must be designed to respond to important system gaps and their introduction should be grounded in strategies that strengthen essential health system functions like health information systems, service delivery, and provider performance.

Improvement Framework for Leveraging mHealth and eHealth to Strengthen Systems

The USAID ASSIST Project is testing and evaluating how mHealth and eHealth can improve the efficiency and effectiveness of care and support processes, enhance the performance of human resources for health, and improve coordination and communication between health system levels and with clients.  The project’s Framework for Leveraging mHealth and eHealth to Strengthen Health Systems highlights critical system and quality gaps and describes how improvement science can enhance the development and testing of technologies to improve information systems and data, health workforce management, service delivery, and supply chain management

Virtual Collaboratives to Improve Maternal and Child Health

Modern quality improvement approaches offer methods to overcome common barriers related to quality of care, including in the context of weak health systems that face severe limitations in terms of materials and and human resources. Building on URC's extensive experience leading collaborates, the USAID ASSIST Project has proposed virtual improvement collaboratives as an innovative method to improve the quality of health services and share best practices in newborn health in Latin America.

mHealth for Maternal Health Meeting: Bridging the Gaps

Boston, MA

The Maternal Health Task Force (MHTF), in collaboration with Johns Hopkins Bloomberg School of Public Health and the World Health Organization, is convening a technical meeting on mHealth for maternal health: how it can be applied, who can use it, and to what effect it is needed. The meeting brings together a diverse group that includes representatives from high-, middle- and low-income countries who are  researchers, program implementers, and evaluators from both the maternal health and mHealth communities.

Leveraging mHealth to Strengthen Health Systems and Improve Care

Over the last fifteen years, mobile and electronic technologies have dramatically changed the health sector landscape. When used appropriately, mHealth technologies can help strengthen essential system functions as part of broader system strengthening efforts to improve quality of care and health outcomes. As health systems extend coverage of essential services in the era of Universal Health Coverage (UHC), it is imperative to optimize the design and use of mHealth technologies that can best augment health system and service delivery improvement efforts.

Bridging the Gaps: Leveraging m/eHealth to Achieve Strong Health Systems and High Quality Care in Low-Resource Settings

Washington, DC

This technical working group meeting was convened by the USAID ASSIST Project with key mHealth and eHealth stakeholders and experts for the purpose of reviewing a working framework for selecting technological solutions that can help bridge quality and systems gaps to improve health care in resource-limited settings.  The meeting also sought to build consensus on established, emerging, and needed mHealth and eHealth solutions that best address critical quality and systems gaps in low-resource settings and identify areas of collaboration for implementation and research.

The Potential of m/eHealth to Improve Systems, Care, and Gender Relations

Elizabeth Romanoff Silva


“Every system is perfectly designed to achieve exactly the results it achieves.” USAID Applying Science to Strengthen and Improve Systems (ASSIST) Deputy Director Kathleen Hill shared this quote from Deming with an audience of more than 40 leading experts in technology, health care, and international development that gathered on January 31st in Washington, D.C. for an m/eHealth Health System Strengthening technical working group meeting.

Computer-based Training for Tuberculosis Education in Indonesia

To support the National Tuberculosis Program (NTP) of Indonesia in its efforts to train private health care practitioners in tuberculosis (TB) directly observed treatment, the USAID Health Care Improvement Project was asked by USAID to update and adapt for Indonesia a computer-based training product that had previously been developed for Bolivia by the USAID-funded Quality Assurance Project.

Care That Counts eLearning Course for Quality Improvement in Programs for Vulnerable Children

This eLearning course is designed for in-country Ministry personnel, international non-governmental organizations (NGO), national NGOs, USAID Mission staff, or anyone interested in learning more about using quality improvement principles to strengthen programs for vulnerable children. This course can also be used to educate and advocate for quality improvement in programming for vulnerable children.


The major assumption underlying reminder interventions is that provider forgetfulness and/or lack of awareness are major barriers to performance in accordance with standards, as opposed to deficiency in knowledge or skill. Reminders consist of prompts either before or during a patient encounter that suggest a specific behavior should or should not be performed.

Tuberculosis Diagnosis and Treatment Computer-based Training Package for Indonesia

This final report details the technical assistance that the USAID Health Care Improvement Project (HCI) provided the National Tuberculosis Program (NTP) and other professional associations in Indonesia to develop and disseminate tuberculosis (TB) CD-Rom and computer-based training packages to health practitioners, particularly private providers. The objective of the computer-based training on TB was to instruct health practitioners and health workers from private, public and non-governmental sub-sectors in the modern treatment of TB based on the STOP TB Strategy.

Evaluation of an IMCI computer-based training course in Kenya

The World Health Organization (WHO) and United Nations Children's Fund (UNICEF) developed the Integrated Management of Childhood Illness guidelines (IMCI) in the mid-1990s to enable a holistic approach to the care of children presenting at developing-country healthcare facilities with symptoms of common childhood illnesses.