Quality (304) Quality improvement in healthcare: comparing the approaches of 3 francophone African countries

13 October, 2021

Extracts below from an article on the web portal Healthy DEvelopments 'a joint initiative of the German Federal Ministry for Economic Cooperation and Development (BMZ), the Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH (GIZ) and the KfW Development Bank'. Comment from me below.


Moving beyond project mode: How can quality improvement in healthcare become an integral part of service delivery?

Quality in healthcare would seem essential, yet all too often remains elusive. WHO defines quality of care as ‘the degree to which health services for individuals and populations increase the likelihood of desired health outcomes.’ Staff motivation and ability to uphold prescribed standards of care are clearly central requirements for ensuring quality health services. The search for quality is a priority of all health ministries...

Guinea’s Concours Qualité (CQ) aimed to stimulate motivation and teamwork

In 2003, at the request of Guinea’s Ministry of Health, German development cooperation introduced an innovative ‘Concours Qualité’ (CQ) – also known as ‘Systemic Quality Improvement’ (SQI) – among the districts and health facilities in the three regions where it was operating. The objective of this dynamic strategy... was ‘to create a quality culture in health structures through positive competition in order to increase utilisation.’...

In 2006, CQ was adopted as official national strategy and transferred to the Ministry of Health. However, after the end of German support, the Guinean government managed to organise only one more quality cycle, before abandoning the approach as too onerous and costly...

Inspired by the approach, by 2010 several countries, including Morocco, Cameroon, Yemen and the Democratic Republic of Congo, had introduced their own versions of the CQ, as documented in this case study...


Comment (Neil): I have not had a chance to read the whole article in full, but welcome your thoughts on principles of approach to improve quality. Is this competitive approach - whereby districts and facilities compete with each other to win accolade and money - effective and, moreover, is it sustainable?

Best wishes, Neil

Neil Pakenham-Walsh, HIFA Coordinator, neil@hifa.org www.hifa.org