Improvement Methods Toolkit from the USAID ASSIST Project

The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project (September 2012-June 2020) of the Office of Health Systems in the USAID Bureau for Global Health had as its goal to support health workers and service delivery...

National Standards and Guidelines for Care for Vulnerable Children, Lesotho

Evidence and experience from African countries that have been severely affected by the HIV and AIDS epidemic have shown that the loss of a productive family member exerts a financial burden on the household and can have serious...

Developing consensus for improvement competencies

Esther Karamagi

Chief of Party, Uganda, USAID ASSIST Project/URC

Kim Ethier Stover

Senior Improvement Advisor, USAID ASSIST Project/URC

Over the past couple of years, a wide range of stakeholders in East Africa have been involved in developing a framework of core competencies for quality improvement. This process was facilitated by the Regional Centre for Quality of HealthCare and the USAID ASSIST project.  An initial group of stakeholders from Ministries of Health in Kenya, Tanzania, and Burundi, nursing councils in Kenya, Uganda, Rwanda, and Tanzania, and medical and public health training institutions form Kenya, Tanzania, and Uganda gathered to brainstorm core competencies that were needed by health care worker to continuously improve the care they provide. Following the initial development, the framework went through two rounds of Delphi review by experts in quality improvement from the USAID ASSIST project, ICAP/Columbia University, WHO, Path International and the Ministry of Health in Uganda.

Decentralizing TB Services to Improve Access to Treatment in Swaziland

This short report describes the work conducted by University Research Co., LLC (URC) from 2006 to 2014, through the USAID-funded Quality Assurance, Health Care Improvement, and Applying Science to Strengthen and Improve Systems (ASSIST)...

Kenya Quality Model for Health: Quality Standards for Community Health Services

The Ministry of Health, in the Kenya Health Sector Strategic and Investment Plan 2013-2017 (KHSSIP), shifted emphasis from curative to prevention and promotion of individual and community health. This aggregates service delivery into Tiers...

Dr. Nasty: Avoid a Doctor that Treats You Like Dirt

Edward Broughton

Director, Research and Evaluation, USAID ASSIST Project/URC

Is a nasty doctor bad in other ways? Apparently, if your doctor treats you like dirt, there may be more reason to avoid him or her other than the fact that it’s not good to be treated like dirt – by your doctor or anyone else.

Standards and Evidence-Based Guidelines

Standards are explicit statements of expected quality in the performance of a health care activity. They may take the form of procedures, clinical practice guidelines, treatment protocols, critical paths, algorithms, standard operating...

The Spread of ProCONE: A Case Study in Guatemala

Between March 2007 and September 2008, the USAID-funded Calidad en Salud Project, implemented by University Research Co. LLC (URC) carried out an initiative to improve the quality of essential obstetric and newborn care services (...

Studying Spread of Best Practices for Maternal and Newborn Care from Health Centers to Health Posts in San Marcos | Guatemala

The Promotion and Essential Obstetric and Neonatal Care strategy (ProCONE) in Guatemala uses a collaborative learning methodology to improve the quality of maternal and neonatal care in health units and includes a focus on prenatal,...

Quality Improvement Team Performance in Guatemala

In collaborative improvement, participant facilities organize QI teams that meet periodically to measure and monitor indicators, plan changes oriented to improve gaps identified, test and evaluate the effects of changes to determine which...