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Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?

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.

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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.

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Can a Quality Improvement Project Impact Maternal and Child Health Outcomes at Scale in Northern Ghana?