​Singh K, Speizer I, Handa S, Boadu RO, Atinbire S, Barker PM, Twum-Danso NA. Impact evaluation of a quality improvement intervention on maternal and child health outcomes in Northern Ghana: Early assessment of a national scale-up project. International Journal for Quality in Health Care. 2013 Oct;25(5):477-487.

This study of the early phase of Project Fives Alive!, which aims to improve key maternal and child health outcomes in Ghana such as early antenatal care and neonatal and infant mortality, demonstrates that the quality improvement (QI) approach of testing and implementing simple, low-cost, locally-inspired changes has the potential to improve health outcomes at scale both in Ghana and other low- and middle-income countries. 

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