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• Aiming Beyond Equality to Reach Equity: The Promise and Challenge of Quality Improvement
  To support achieving the quality needed for effective universal health coverage, the authors argue that quality improvement must focus on equity in addition to measuring average quality and change.
• Effect of Data Quality Improvement Intervention on Health Information Management System Accuracy
  A data quality improvement initiative embedded within woreda clinical improvement collaborative in Ethiopia improved the accuracy of data used to monitor maternal and newborn health services. The initiative was a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health.
• Ethiopia Health Care Quality Initiative: Design and Initial Lessons Learned
  The Ethiopian Federal Ministry of Health and IHI co-designed a three-pronged approach to accelerate health system improvement nationally, which included developing a national health care quality strategy, building quality improvement (QI) capability at all health system levels, and introducing scalable QI collaboratives across four regions.
• 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.
• Tanzania-Kenya Knowledge Exchange for the Partnership for HIV-Free Survival: Reflections and Recommendations
  This report describes best practices for scaling up prevention of mother-to-child transmission of HIV, identified through the work of the Partnership for HIV-Free Survival, a six-country learning network across sub-Saharan Africa.
• 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.
• A Framework for Scaling Up Health Interventions: Lessons from Large-Scale Improvement Initiatives in Africa
  Scale-up of complex health interventions to large populations is not a straightforward task. This article details a sequence of four steps for taking a health intervention to full scale, properties that facilitate adoption of the new ideas, and the infrastructure required to support the scale-up.
• 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.
• Fostering HIV Program Quality to Achieve Epidemic Impact
  The official journal of the International AIDS Society (IAS) – AIDS – has published an open access special supplement this month on the importance of quality improvement in HIV/AIDS care. The supplement was co-edited by IHI Senior Vice President, Dr. Pierre Barker, who also co-authored three articles in the issue.
• 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.