Title:
Contributing Factors to Implementation of Quality Improvement Methods for Maternal, Neonatal and Child Health Services in Lower-Middle Income Countries, Using Ghana as a Case Study
Authors:
Teviu, Emmanuel Akwoulo Agyigewe
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
x, 54
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Quality Improvement, Contributing factors, Ghana, LMIC, MNCH
Abstract:
Quality Improvement (QI) in health is the continuous effort to improving population health through the application of tools such as Plan Do Study Act (PDSA) to iteratively generate and test change ideas to produce evidence. Since its spread from High Income Countries to Lower Middle Income Countries (LMIC), several countries have experimented with QI in their health systems, particularly for Maternal, Neonatal and Child Health (MNCH), including Ghana’s QI initiative by Project Five Alive (PFA). Additionally, little evidence exists on sustainable implementation of QI, though recognised as a viable strategy to improving MNCH in Ghana and other LMIC. The objective of this study sought to review the common QI methods used in health care and explore the determinants (facilitators, inhibitors and sustainability) influencing QI implementation for MNCH in LMIC using Ghana’s experience in QI as a case study in order to make recommendations to relevant stakeholders in QI and other LMIC who want to adopt or improve QI intervention in their health systems. A qualitative exploratory design and a systematised and desk review aided by the Consolidated Framework for Implementation Research (CFIR) and the author’s field experience were used. Five QI approaches were identified and the collaborative type was the commonest used in LMIC for MNCH. QI can be measured by structure, process and outcome. Cross cutting issues such external policy environment, leadership commitment and resource availability influenced QI implementation. Recommendations such as improvement in the policy environment, advocacy for resources and further sustainability research in LMIC is proposed.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Ghana
Region:
West Africa
Training:
Master of Public Health
Category:
Research
Right:
© 2017 Teviu
Document type:
Thesis/dissertation
File:
zJF1NjiP8E_20180404112310255.pdf