Singh K, Brodish P, Speizer I, Barker P, et al. Can a quality improvement project impact maternal and child health outcomes at scale in northern Ghana? Health Research and Policy Systems. 2016 Jun 16;14(1):45. doi: 10.1186/s12961-016-0115-2.
This paper discusses the impact of a scale-up phase of Project Fives Alive!, a collaboration between IHI and Ghana’s National Catholic Health Service to improve maternal and child health outcomes, including early antenatal care, skilled deliveries, and under-five mortality. Quality improvement methods were used to first identify barriers to care and care-seeking, and then to identify, test, implement, and scale up simple and low-cost local solutions to address the barriers. The project and this approach demonstrated improved outcomes at scale.