Quality (79) What does quality of care mean to you? (19)

2 July, 2021

Good morning

My name is Karen Zamboni, I am a Health Adviser at the Uk Foreign, Commonwealth and Development Office where I work on policy development to support quality health systems, and also a researcher at the London School of Hygiene and Tropical Medicine - my research focusing on evaluation of quality improvement interventions in the area of maternal and newborn care in low and middle income settings.

What is quality for me?

In my experience that definition depends on how close to patients our perspective is. Fundamentally, it is about providing the most appropriate and evidence-based care in a respectful way to meet patients' needs, and respecting their preferences, their autonomy and their dignity.

While health workers at the frontline have a primary responsibility for delivering quality services, decisions at health systems level (facility, district, regional, national) have a huge bearing on enabling or hindering such quality provision. Therefore, quality of care is also fundamentally about leadership and a decision-making mindset, that challenges the status quo in a constructive way, continuously strives to improve and to better respond to the needs of patients and health workers, so their interaction can be of quality.

Karen

HIFA profile: Karen Zamboni is a Health Adviser at the UK Foreign, Commonwealth and Development Office. She is a member of the WHO-HIFA Catalyst Group on Learning for quality health services. https://www.hifa.org/projects/learning-quality-health-services karen.zamboni AT lshtm.ac.uk