Quality (84) What does quality of care mean to you? (24) Patient experience and health outcomes (4)

2 July, 2021

Dear Neil and Colleagues,

Very happy to contribute to the thematic discussion on quality health services and look forward to meeting the rest of the group.

I am Dr. Adanna Chukwuma, Senior Health Specialist at the World Bank Group. I lead and contribute to teams in Europe and Central Asia that support countries in designing health financing and service delivery reforms to improve access to high quality health care. My academic background is in medicine, global health, and health systems.

My interest in quality stems from my professional experience working as a physician in Northern Nigeria and seeing firsthand the gaps in infrastructure and the supply of human resource for health, due to underinvestment and rising conflict in the region. Since then, I have led and contributed to peer-reviewed research exploring the determinants of variation in quality of care in selected countries in Africa, including conflict. In Armenia, I have facilitated a twinning partnership with the Korean HIRA to work with the MoH to develop an operational roadmap for monitoring, reporting, and paying for improvements in quality of care. In other countries, I have worked with our clients to design investments that improve infrastructure, human resource for health supply and training, develop clinical guidelines and pathways, or modify purchasing arrangements to support quality improvements.

In a recent publication with my co-authors on the impact of conflict on quality, I defined health care to be of “good quality” to the extent that it increases the probability of better health outcomes. Versions of this definition have been used in reports by WHO, the Institute of Medicine, and the World Bank. In practice, this translates to care that has the right inputs (structural quality – e.g. infrastructure, equipment, health workers), the right processes (evidence-driven, person-centered, safe, timely, integrated), and the right outcomes (avoiding preventable complications, etc.).

I look forward to learning from other members of the group.

Best Wishes,


Adanna Chukwuma MD MSc ScD

Senior Health Specialist,

Health, Nutrition, and Population Global Practice,

Europe and Central Asia Region

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HIFA profile: Adanna Chukwuma is a Senior Health Specialist at the World Bank Group, United States. 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 achukwuma AT worldbank.org