Workshop on Improving Quality of Care in Low- and Middle-Income Countries

When: January 28, 2015 - January 29, 2015 (9:00 AM Eastern)
Where: Keck Center (100) • 500 Fifth St. NW, Washington, DC 20001

Topics Global Health, Public Health, Quality and Patient Safety
Activity: Standing Committee to Support USAID’s Engagement in Health Systems Strengthening in Response to the Economic Transition of Health
Board: Board on Global Health

As the demand for health services increases in low- and middle-income countries, concern about quality of care grows. Increased demand, especially on health systems already stretched thin, can lead to losses in quality of care. Although USAID and its implementing partners have been investing in quality improvement for many years, these efforts have not been systematic. There are many interventions and tools available—competing for limited attention and resources—but few have been rigorously evaluated or compared to one another. This range of choices coupled with a lack of clear evidence makes it difficult to invest wisely. Donors, partner country governments, and program managers need better information on how to improve quality and which investments have the greatest returns.

To address this need, the Institute of Medicine convened a two-day public workshop examining the six tools that comprise the bulk of USAID’s quality improvement portfolio: in-service training; supervision; improvement collaborative; accreditation; client-oriented, provider-efficient (COPE); and standards-based management and recognition (SBM-R). Workshop participants discussed these six approaches, looking at the theories of change and the evidence for what works while identifying knowledge gaps and future directions for quality improvement.

The objectives of the workshop were to:

  • Understand six widely-used approaches to improving quality in low- and middle-income countries;
  • Examine evidence for the effectiveness and cost-effectiveness of these quality improvement methods;
  • Consider how improvements in quality are measured and what kind of evaluation framework could be used;
  • Synthesize the available evidence and identify gaps for future work; and
  • Explore cross-cutting approaches to improve quality through policy, practice, and research.

The workshop was free and open to the public. All presentations and videos from the webcast will be available on this page within a week of the event.

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