Research and Evaluation

The USAID ASSIST Project supports country-led research and synthesizes learning across country programs on topics such as the validity of improvement-related data, sustainability and institutionalization, scale-up, and cost-effectiveness of improvement activities. The ASSIST Research and Evaluation unit provides technical support to these efforts and works to disseminate knowledge from these studies to encourage wider adoption of improvement methods.

How to include the denominator or "n" on charts

When we present data, why is it important to include the denominator or “n”? Knowing the “n” enables our audience to accurately interpret the data we present. The three main reasons for showing denominator values are: The denominator can...

Rationale for improving integrated service delivery: reduced cost and improved care in Georgia

In Georgia, non-communicable diseases (NCDs) constitute about 60% of total morbidity and mortality in the adult population, and acute respiratory tract infections (RTIs) are the most frequent reasons for seeking medical care among children...

USAID ASSIST Project Annual Performance Monitoring Report FY15

This annual report for the USAID ASSIST Project summarizes the project's accomplishments and results in FY15 supporting the application of modern improvement methods by host country providers and managers in USAID-assisted countries...

Indonesia hospital accreditation process impact evaluation: Midline report

In 2011, USAID Indonesia commissioned the USAID Health Care Improvement Project (HCI) to conduct an evaluation of the impact of current hospital accreditation initiatives in Indonesia. After the baseline assessment, support for the...

Color Standards for Creating USAID ASSIST Charts for Reporting

According to data visualization guru Stephanie Evergreen , the logical organization of data should be not only make sense to the creator and owner of the data, but should also be obvious to an outsider, especially to someone who has a...

Excel Databases for Improvement

These Excel databases were developed by the USAID ASSIST Project. They were designed to store indicator data from multiple facilities, pool indicator data from the facilities, and create run charts of the pooled indicator data. They will...

Impact and cost of an HIV/AIDS improvement intervention in Cote d’Ivoire

The USAID Health Care Improvement (HCI) Project supported the Ministry of Health and implementing partners in Cote d’Ivoire from 2010-2013 to implement improvement interventions at selected HIV treatment facilities. This evaluation sought...

Proudly toxic

Edward Broughton

Director, Research and Evaluation, USAID ASSIST Project/URC

In January, the Institute of Medicine’s “Committee to Support USAID’s Engagement in Health Systems Strengthening” convened an open meeting to discuss methods for improving health care in low- and middle-income countries supported by USAID. I was asked to address the issue of cost-effectiveness analysis (CEA) in improvement.  My basic message was that it’s not easy but that’s no excuse not to try do CEAs as best we can.

ICAP Webinar: Cost Effectiveness of Quality Improvement


As part of the 2015 “Introduction to Quality and Quality Improvement” training course implemented by the International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University's Mailman School of Public Health, Dr. Edward Broughton will lead this webinar on February 25 on using cost-effectiveness analysis to assess the efficiency of improvement interventions.

How do we learn about improvement?

Danika Barry

Healthcare Improvement Fellow, USAID ASSIST Project/URC

M. Rashad Massoud

Director, USAID ASSIST Project/URC

Commentary on the Quality & Performance Institute's Technical Meeting held on December 17, 2014. A full transcript is available here.

For our December Quality & Performance Institute Technical Meeting, we invited Dr. Frank Davidoff and other thought leaders in the field of improvement science to comment on the issues raised in Davidoff’s recent article, “Improvement interventions are social treatments, not pills.”