Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia

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  • Wagenaar, Bradley H.
    • Other Affiliation: Department of Global Health; School of Public Health; University of Washington
  • Hirschhorn, Lisa R.
    • Other Affiliation: Health
  • Henley, Catherine
    • Other Affiliation: Department of Global Health; School of Public Health; University of Washington
  • Gremu, Artur
    • Other Affiliation: Health Alliance International
  • Sindano, Ntazana
    • Other Affiliation: Centre for Infectious Disease Research in Zambia
  • Chilengi, Roma
    • University of North Carolina at Chapel Hill
    • Other Affiliation: Centre for Infectious Disease Research in Zambia
  • Hingora, Ahmed
  • Mboya, Dominic
  • Exavery, Amon
  • Tani, Kassimu
  • Manzi, Fatuma
  • Pemba, Senga
  • Phillips, James
  • Kante, Almamy Malick
  • Ramsey, Kate
  • Baynes, Colin
  • Awoonor-Williams, John Koku
  • Bawah, Ayaga
  • Nimako, Belinda Afriyie
  • Kanlisi, Nicholas
  • Jackson, Elizabeth F.
  • Sheff, Mallory C.
  • Kyei, Pearl
  • Asuming, Patrick O.
  • Biney, Adriana
  • Ayles, Helen
  • Mwanza, Moses
  • Chirwa, Cindy
  • Stringer, Jeffrey
  • Mulenga, Mary
  • Musatwe, Dennis
  • Chisala, Masoso
  • Lemba, Michael
  • Mutale, Wilbroad
  • Drobac, Peter
  • Rwabukwisi, Felix Cyamatare
  • Binagwaho, Agnes
  • Gupta, Neil
  • Nkikabahizi, Fulgence
  • Manzi, Anatole
  • Condo, Jeanine
  • Farmer, Didi Bertrand
  • Hedt-Gauthier, Bethany
  • Sherr, Kenneth
  • Cuembelo, Fatima
  • Michel, Catherine
  • Gimbel, Sarah
  • Kariaganis, Marina
  • Manuel, João Luis
  • Napua, Manuel
  • Pio, Alusio
Abstract
  • Well-functioning health systems need to utilize data at all levels, from the provider, to local and national-level decision makers, in order to make evidence-based and needed adjustments to improve the quality of care provided. Over the last 7 years, the Doris Duke Charitable Foundation’s African Health Initiative funded health systems strengthening projects at the facility, district, and/or provincial level to improve population health. Increasing data-driven decision making was a common strategy in Mozambique, Rwanda and Zambia. This paper describes the similar and divergent approaches to increase data-driven quality of care improvements (QI) and implementation challenge and opportunities encountered in these three countries.
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  • Article
Rights statement
  • In Copyright
Journal title
  • BMC Health Services Research
Journal volume
  • 17
Journal issue
  • S3
Language
  • English
ISSN
  • 1472-6963

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