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Using a Multicountry Learning Network to Harvest and Rapidly Spread Implementation Knowledge to Reduce Mother-to-Child Transmission of HIV
This article describes the value of creating a quality improvement–driven, multicountry learning network to accelerate the pace of improving care systems in Africa to reduce mother-to-child transmission of HIV.
Applying Quality Improvement Approaches to Reduce Mother-to-Child HIV Transmission and Improve Health and Nutrition Care in Five Countries
This article describes the application of quality improvement (QI) methods, as part of the Partnership for HIV-Free Survival, to support governments and facility staff in five African countries in reducing maternal-to-child transmission of HIV.
A Six-Country Collaborative Quality Improvement Initiative to Improve Nutrition and Decrease Mother-to-Child Transmission of HIV
This article is the first report of the effectiveness of using quality improvement in a large-scale multicountry effort in Africa to improve infant survifal by reducing postnatal maternal-to-child transmission of HIV in breast feeding HIV-positive mothers.
Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?
This paper discusses the impact of a scale-up phase of Project Fives Alive! to improve maternal and child health outcomes, which used quality improvement methods to identify barriers to care and care-seeking, and then 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.
WIHI: Saving Lives by Design: Lessons for All from Ghana's Project Fives Alive!
July 23, 2015 | One of the biggest ongoing challenges facing health and health care quality improvers is moving from small-scale successes to large-scale ones. That’s why it’s incredibly inspiring to learn from initiatives like Project Fives Alive! that are cracking the code.
Lessons Learned from Ghana's Project Fives Alive! A Practical Guide for Designing and Executing Large-Scale Improvement Initiatives
How do you set up a large-scale improvement project for success? After seven years of rapidly and successfully scaling up high-impact maternal and child health interventions across Ghana using a quality improvement approach, the lessons learned from Project Fives Alive! are documented in this practical guide. Topics include project design, day-to-day project management and leadership, building QI capability, managing complex partner relationships, and deploying a core set of balanced metrics.
Profiles in Improvement: Sodzi Sodzi-Tettey, MD, MPH, IHI Director of Project Fives Alive!
Dr. Sodzi Sodzi-Tettey, IHI Senior Technical Director for the Africa Region, talks about his work in Ghana with Project Fives Alive!, including the encouraging results they're seeing in reducing mortality of children under five years of age (work that is underpinned by strong technical leadership in QI), and IHI's growing portfolio of work in Africa.
Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project
This study of the early phase of Project Fives Alive! to improve key maternal and child health outcomes in Ghana demonstrates that the quality improvement (QI) approach of testing and implementing simple, low-cost, locally-inspired changes has the potential to lead to improved health outcomes at scale both in Ghana and other low- and middle-income countries.
Using Quality Improvement Methods to Test and Scale Up a New National Policy on Early Post-natal Care in Ghana
This initiative demonstrates the utility of a quality improvement (QI) approach in testing, implementing, and subsequent scaling up a national policy for early post-natal care in a resource-constrained setting, and provides a model to accelerate the achievement of the Millennium Development Goals in Ghana and other resource-poor countries.
To Russia with Health Care Improvement
Pregnancy-induced hypertension, neonatal respiratory distress syndrome, and arterial hypertension were rampant in two Russian oblasts in 1998. But an improvement project has led to dramatic declines in these conditions, and is proving that such projects can create lasting change and be scaled to large regions.