Quality (16) Introduction: Lani Marquez, USA - Case book: Improving Health Care in Low- and Middle-Income Countries

3 May, 2021

Dear HIFA members,

I am really pleased to join the WHO/HIFA joint project on “Learning for Quality Health Services” and to join the HIFA community. I am a public health professional who has focused for the past 20 years on using knowledge management techniques to improve learning about how to improve health care quality, working for a series of USAID-funded health systems strengthening projects. I am passionate about how knowledge management approaches can add value to health care improvement efforts and am eager to contribute to the HIFA community.

One of our legacy products from the USAID Applying Systems to Strengthen and Improve Systems (ASSIST) Project, which ended in June 2020, was an open-access book of 12 case studies on specific applications of quality improvement methods in 11 low- and middle-income countries. The book, freely available at https://link.springer.com/book/10.1007%2F978-3-030-43112-9 , includes case studies written by implementers in Kenya, Mozambique, Tanzania, Uganda, India, Kyrgyz Republic, Georgia, Ukraine, Guatemala, Haiti, and Honduras. The chapters of the book describe applications of a range of quality improvement methods, including accreditation, audit and feedback, certification, collaborative improvement, electronic medical records and performance analysis, incentives/recognition, quality improvement linked to financing mechanisms, evidence-based standards, and team-based problem-solving. Each case presents the aim of the improvement intervention, describes the efforts to address that aim, and results of those efforts. Cases end with a discussion of efforts to scale-up/spread/institutionalize successes and a reflection on lessons learned from the work.

This book was the brainchild of Dr. James Heiby, who dedicated his career at USAID to promoting the use of improvement methods in low- and middle-income countries. Jim said, “It is my hope that this sample of improvement case studies will show the reader the power of improvement methods, expand their evidence base, and most importantly, encourage a better understanding of the culture and practice for improvement in order to achieve better health outcomes for all.”

I feel this book is a fitting resource to share through HIFA. Look forward to interacting with you.



Knowledge Management Director

C 301-275-0755

lmarquez@urc-chs.com | www.urc-chs.com

University Research Co., LLC

5404 Wisconsin Avenue, Suite 800

Chevy Chase, MD 20815 USA

Lani Rice Marquez works with the University Research Company and is based in USA. Interests: Quality improvement, knowledge management. Extensive experience with technical writing and editing and facilitation of webinars and peer-to-peer learning activities.