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Understanding quality improvement

Quality Improvement (QI) is the term used for a group of methods that adopts a problem-solving approach to improve health worker performance through review of service delivery processes, planning for improvement and acting upon those plans.

QI is a part of several Bill & Melinda Gates Foundation’s investments in low-income settings, including in Nigeria, Ethiopia and India. But little is yet known about how QI works through, for example, leadership, quality of teamwork, supportive supervision or organisational culture.

In Lagos, Nigeria our research aims to understand the way in which quality improvement in the public and private sectors is influenced by health system context.

In Ethiopia, IDEAS uses novel qualitative and quantitative methods to understand how QI approaches can influence health worker behaviours to improve care and how they affect both the delivery and the utilisation of services by patients. We also partner with the UCL Institute for Global Health on a multi-country project designed to understand how the Quality of Care Network operates at country level. Working with the Ethiopian Public Health Institute (EPHI), IDEAS applies a country case study approach to study the national and local level experience of the network to improve maternal and newborn health outcomes in Ethiopia.

Published content

Past event
Seminar: The use of social network analysis to study health care provider advice and performance

This review of databases and articles by IDEAS team members, spanning over 26 years and sought to analyse whether and how social network methods...

Past event
Quality of Community Based Newborn Care in Ethiopia

Community-Based Newborn Care (CBNC) is an Ethiopian national initiative launched in March 2013 as a means of bringing life-saving care to mothers...

Report
Changes in maternal and newborn health care in Ethiopia

The aim of this study was to estimate changes in maternal and newborn health care in areas of Ethiopia where implementation projects funded by the Bill & Melinda Gates Foundation were operating.