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BMC Health Services Research
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Nutrition | Research

Quality improvement in public–private partnerships in low- and middle-income countries: a systematic review

Authors: Cassandra B. Iroz, Rohit Ramaswamy, Zulfiqar A. Bhutta, Paul Barach

Published in: BMC Health Services Research | Issue 1/2024

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Abstract

Background

Public–private partnerships (PPP) are often how health improvement programs are implemented in low-and-middle-income countries (LMICs). We therefore aimed to systematically review the literature about the aim and impacts of quality improvement (QI) approaches in PPP in LMICs.

Methods

We searched SCOPUS and grey literature for studies published before March 2022. One reviewer screened abstracts and full-text studies for inclusion. The study characteristics, setting, design, outcomes, and lessons learned were abstracted using a standard tool and reviewed in detail by a second author.

Results

We identified 9,457 citations, of which 144 met the inclusion criteria and underwent full-text abstraction. We identified five key themes for successful QI projects in LMICs: 1) leadership support and alignment with overarching priorities, 2) local ownership and engagement of frontline teams, 3) shared authentic learning across teams, 4) resilience in managing external challenges, and 5) robust data and data visualization to track progress. We found great heterogeneity in QI tools, study designs, participants, and outcome measures. Most studies had diffuse aims and poor descriptions of the intervention components and their follow-up. Few papers formally reported on actual deployment of private-sector capital, and either provided insufficient information or did not follow the formal PPP model, which involves capital investment for a explicit return on investment. Few studies discussed the response to their findings and the organizational willingness to change.

Conclusions

Many of the same factors that impact the success of QI in healthcare in high-income countries are relevant for PPP in LMICs. Vague descriptions of the structure and financial arrangements of the PPPs, and the roles of public and private entities made it difficult to draw meaningful conclusions about the impacts of the organizational governance on the outcomes of QI programs in LMICs. While we found many articles in the published literature on PPP-funded QI partnerships in LMICs, there is a dire need for research that more clearly describes the intervention details, implementation challenges, contextual factors, leadership and organizational structures. These details are needed to better align incentives to support the kinds of collaboration needed for guiding accountability in advancing global health. More ownership and power needs to be shifted to local leaders and researchers to improve research equity and sustainability.
Appendix
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Literature
1.
Villalobos Dintrans P, Bossert TJ, Sherry J, Kruk ME. A synthesis of implementation science frameworks and application to global health gaps. Glob Health Res Policy. 2019;4(1):1–11.CrossRef
2.
Alonge O, Rodriguez DC, Brandes N, Geng E, Reveiz L, Peters DH. How is implementation research applied to advance health in low-income and middle-income countries? BMJ Glob Health. 2019;4(2):e001257.PubMedPubMedCentralCrossRef
3.
Organization WH. Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021: accountability for the global health sector strategies 2016–2021: actions for impact. 2021.
4.
Goudet SM, Bogin BA, Madise NJ, Griffiths PL. Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low‐and middle‐income countries (LMIC). Cochr Database Syst Rev. 2019(6).
5.
Batalden PB, Davidoff F. What is “quality improvement” and how can it transform healthcare? : BMJ Publishing Group Ltd; 2007. p. 2–3.
6.
Jin J, Akau’ola S, Yip C-H, Nthumba P, Ameh EA, de Jonge S, et al. Effectiveness of quality improvement processes, interventions, and structure in trauma systems in low-and middle-income countries: a systematic review and meta-analysis. World J Surg. 2021;45(7):1982–98.PubMedCrossRef
7.
Jin J, Yip C-H, Nthumba P, Ameh EA, de Jonge S, Mehes M, et al. The impact of quality improvement interventions in improving surgical infections and mortality in low and middle-income countries: a systematic review and meta-analysis. World J Surg. 2021;45(10):2993–3006.PubMedCrossRef
8.
Hargreaves S, Rustage K, Nellums LB, Bardfield JE, Agins B, Barker P, et al. Do quality improvement initiatives improve outcomes for patients in antiretroviral programs in low-and middle-income countries? A systematic review. J Acquired Immune Deficiency Syndr (1999). 2019;81(5):487.PubMedCentralCrossRef
9.
Turner M, Carr T, John R, Ramaswamy R. A scoping review of the use of quality improvement methods by community organizations in the United States, Australia, New Zealand, and Canada to improve health and well-being in community settings. IJQHC Communications. 2022;2(1):lyab019.PubMedCentralCrossRef
10.
McIntosh N, Grabowski A, Jack B, Nkabane-Nkholongo EL, Vian T. A public-private partnership improves clinical performance in a hospital network in Lesotho. Health Aff. 2015;34(6):954–62.CrossRef
11.
Garcia-Elorrio E, Rowe SY, Teijeiro ME, Ciapponi A, Rowe AK. The effectiveness of the quality improvement collaborative strategy in low-and middle-income countries: a systematic review and meta-analysis. PLoS ONE. 2019;14(10):e0221919.PubMedPubMedCentralCrossRef
12.
Nambiar B, Hargreaves DS, Morroni C, Heys M, Crowe S, Pagel C, et al. Improving health-care quality in resource-poor settings. Bull World Health Organ. 2017;95(1):76.PubMedCrossRef
13.
Bhat L, McCammon C. The importance of quality assurance and quality improvement in low-and middle-income settings. Curr Blad Dysfunct Rep. 2021;16(1):1–5.CrossRef
14.
Maru DS-R, Andrews J, Schwarz D, Schwarz R, Acharya B, Ramaiya A, et al. Crossing the quality chasm in resource-limited settings. Glob Health. 2012;8(1):1–5.CrossRef
15.
Garcia-Elorrio E, Schneider EC. Research on health-care quality improvement in low-and middle-income countries: is it a worthy investment? : Oxford University Press; 2012. p. 550–2.
16.
Hirschhorn LR, Ramaswamy R, Devnani M, Wandersman A, Simpson LA, Garcia-Elorrio E. Research versus practice in quality improvement? Understanding how we can bridge the gap. Int J Qual Health Care. 2018;30(suppl_1):24–8.PubMedPubMedCentralCrossRef
17.
Somani NA, Marshall K, Durrani H, Tang K, Mogilevskii R, Bhutta Z. Evaluation of frameworks demonstrating the role of private sector in non-communicable disease management and control: a systematic review and thematic synthesis. BMJ Open. 2023;13(3):e061370.PubMedPubMedCentralCrossRef
18.
Gerrard M. Public-private partnerships. Finance and development. 2001;38(3):48–51.
19.
20.
Kilo CM. A framework for collaborative improvement: lessons from the Institute for healthcare improvement’s breakthrough series. Qual Manage Healthcare. 1998;6(4):1–14.CrossRef
21.
Oyeledun B, Oronsaye F, Oyelade T, Becquet R, Odoh D, Anyaike C, et al. Increasing retention in care of HIV-positive women in PMTCT services through continuous quality improvement–breakthrough (CQI-BTS) series in primary and secondary health care facilities in Nigeria: a cluster randomized controlled trial. The Lafiyan Jikin Mata study. JAIDS J Acquired Immune Def Synd. 2014;67:S125–31.CrossRef
22.
Stringer JS, Chisembele-Taylor A, Chibwesha CJ, Chi HF, Ayles H, Manda H, et al. Protocol-driven primary care and community linkages to improve population health in rural Zambia: the Better Health Outcomes through Mentoring and Assessment (BHOMA) project. BMC Health Serv Res. 2013;13(2):1–10.
23.
Mutale W, Ayles H, Bond V, Chintu N, Chilengi R, Mwanamwenge MT, et al. Application of systems thinking: 12-month postintervention evaluation of a complex health system intervention in Zambia: the case of the BHOMA. J Eval Clin Pract. 2017;23(2):439–52.PubMedCrossRef
24.
Alhassan RK, Nketiah-Amponsah E, Arhinful DK. Design and implementation of community engagement interventions towards healthcare quality improvement in Ghana: a methodological approach. Heal Econ Rev. 2016;6(1):1–13.
25.
Alhassan RK, Nketiah-Amponsah E, Spieker N, Arhinful DK, Ogink A, van Ostenberg P, et al. Effect of community engagement interventions on patient safety and risk reduction efforts in primary health facilities: evidence from Ghana. PLoS ONE. 2015;10(11):e0142389.PubMedPubMedCentralCrossRef
26.
Walker D, Otieno P, Butrick E, Namazzi G, Achola K, Merai R, et al. Effect of a quality improvement package for intrapartum and immediate newborn care on fresh stillbirth and neonatal mortality among preterm and low-birthweight babies in Kenya and Uganda: a cluster-randomised facility-based trial. Lancet Glob Health. 2020;8(8):e1061–70.PubMedPubMedCentralCrossRef
27.
Horwood C, Butler L, Barker P, Phakathi S, Haskins L, Grant M, et al. A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomised controlled trial in South Africa. Hum Resour Health. 2017;15(1):1–11.CrossRef
28.
Colbourn T, Nambiar B, Bondo A, Makwenda C, Tsetekani E, Makonda-Ridley A, et al. Effects of quality improvement in health facilities and community mobilization through women’s groups on maternal, neonatal and perinatal mortality in three districts of Malawi: MaiKhanda, a cluster randomized controlled effectiveness trial. Int Health. 2013;5(3):180–95.PubMedCrossRef
29.
Osibo B, Oronsaye F, Alo OD, Phillips A, Becquet R, Shaffer N, et al. Using small tests of change to improve PMTCT services in northern Nigeria: experiences from implementation of a continuous quality improvement and breakthrough series program. JAIDS J Acquired Immune Def Syndr. 2017;75:S165–72.CrossRef
30.
Oyeledun B, Phillips A, Oronsaye F, Alo OD, Shaffer N, Osibo B, et al. The effect of a continuous quality improvement intervention on retention-in-care at 6 months postpartum in a PMTCT program in northern Nigeria: results of a cluster randomized controlled study. JAIDS J Acquired Immune Def Syndr. 2017;75:S156–64.CrossRef
31.
Yapa HM, De Neve J-W, Chetty T, Herbst C, Post FA, Jiamsakul A, et al. The impact of continuous quality improvement on coverage of antenatal HIV care tests in rural South Africa: Results of a stepped-wedge cluster-randomised controlled implementation trial. PLoS Med. 2020;17(10):e1003150.PubMedPubMedCentralCrossRef
32.
Jayanna K, Rao S, Kar A, Gowda PD, Thomas T, Swaroop N, et al. Accelerated scale‐up of Kangaroo mother care: evidence and experience from an implementation‐research initiative in south India. Acta Paediatr. 2022;112:15–26.
33.
Barker PM, Reid A, Schall MW. A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa. Implement Sci. 2015;11(1):1–11.CrossRef
34.
Chung AM, Case P, Gosling J, Gosling R, Madinga M, Chikodzore R, et al. Scaling up malaria elimination management and leadership: a pilot in three provinces in Zimbabwe, 2016–2018. Malar J. 2020;19(1):1–14.CrossRef
35.
Jesus TS, Hoenig H. Crossing the global quality chasm in health care: where does rehabilitation stand? Arch Phys Med Rehabil. 2019;100(11):2215–7.PubMedCrossRef
36.
Joseph JP, Jerome G, Lambert W, Almazor P, Cupidon CE, Hirschhorn LR. Going beyond the vertical: leveraging a national HIV quality improvement programme to address other health priorities in Haiti. AIDS. 2015;29:S165–73.PubMedCrossRef
37.
Leader A, Cadet C, Lazala D, Roa W, Arroyo O, Jensen L. Collaborative implementation strategy for newborn resuscitation and essential care training in the Dominican Republic. Front Public Health. 2017;5:61.PubMedPubMedCentralCrossRef
38.
Mate KS, Ngubane G, Barker PM. A quality improvement model for the rapid scale-up of a program to prevent mother-to-child HIV transmission in South Africa. Int J Qual Health Care. 2013;25:373–80.
39.
Mwidunda PE, Eliakimu E. Creating a national culture of quality: the Tanzania experience. AIDS. 2015;29:S175–7.PubMedCrossRef
40.
Mwita SK, Ngonyani MM, Mvungi J, de Ven RAMv, Masenge TJ, Rumisha D, et al. Engagement of national stakeholders and communities on health-care quality improvement: experience from the implementation of the partnership for HIV-free survival in Tanzania. J Int Assoc Providers AIDS Care (JIAPAC). 2019;18:2325958219847454.PubMedCentral
41.
Ugo O, Ezinne E-A, Modupe O, Nicole S, Winifred E, Kelechi O. Improving quality of care in primary health-care facilities in rural Nigeria: successes and challenges. Health Serv Res Managerial Epidemiol. 2016;3:2333392816662581.
42.
Wu CY, Huang C-W, Yang H-C, Li Y-C. Opportunities and challenges in Taiwan for implementing the learning health system. Int J Qual Health Care. 2019;31(9):721–4.PubMed
43.
Goyet S, Broch-Alvarez V, Becker C. Quality improvement in maternal and newborn healthcare: lessons from programmes supported by the German development organisation in Africa and Asia. BMJ Glob Health. 2019;4(5):e001562.PubMedPubMedCentralCrossRef
44.
Magge H, Kiflie A, Nimako K, Brooks K, Sodzi-Tettey S, Mobisson-Etuk N, et al. The Ethiopia healthcare quality initiative: design and initial lessons learned. Int J Qual Health Care. 2019;31(10):G180–6.PubMedCrossRef
45.
Anatole M, Magge H, Redditt V, Karamaga A, Niyonzima S, Drobac P, et al. Nurse mentorship to improve the quality of health care delivery in rural Rwanda. Nurs Outlook. 2013;61(3):137–44.PubMedCrossRef
46.
Braithwaite J, Ludlow K, Churruca K, James W, Herkes J, McPherson E, et al. Systems transformation: learning from change in 60 countries. J Health Org Manag. 2019;34(3):237–53.
47.
Gueye B, Wesson J, Koumtingue D, Stratton S, Viadro C, Talla H, et al. Mentoring, task sharing, and community outreach through the TutoratPlus approach: increasing use of long-acting reversible contraceptives in Senegal. Global Health: Sci Pract. 2016;4(Supplement 2):S33–43.
48.
Leatherman S, Ferris TG, Berwick D, Omaswa F, Crisp N. The role of quality improvement in strengthening health systems in developing countries. Int J Qual Health Care. 2010;22(4):237–43.PubMedCrossRef
49.
Manyazewal T, Mekonnen A, Demelew T, Mengestu S, Abdu Y, Mammo D, et al. Improving immunization capacity in Ethiopia through continuous quality improvement interventions: a prospective quasi-experimental study. Infect Dis Poverty. 2018;7(06):35–48.
50.
McNatt Z, Linnander E, Endeshaw A, Tatek D, Conteh D, Bradley EH. A national system for monitoring the performance of hospitals in Ethiopia. Bull World Health Organ. 2015;93:719–26.PubMedPubMedCentralCrossRef
51.
52.
Sequeira D’Mello B, Bwile P, Carmone AE, Kalaris K, Magembe G, Masweko M, et al. Averting maternal death and disability in an urban network of care in Dar ES Salaam, Tanzania: a descriptive case study. Health Syst Reform. 2020;6(2):e1834303.PubMedCrossRef
53.
Sherr K, Requejo JH, Basinga P. Implementation research to catalyze advances in health systems strengthening in sub-Saharan Africa: the African Health Initiative. BMC Health Serv Res. 2013;13(2):1–3.CrossRef
54.
Sibley LM, Tesfaye S, Fekadu Desta B, Hailemichael Frew A, Kebede A, Mohammed H, et al. Improving maternal and newborn health care delivery in rural amhara and oromiya regions of ethiopia through the maternal and newborn health in ethiopia partnership. J Midwifery Womens Health. 2014;59(s1):S6–20.PubMedCrossRef
55.
Wagenaar BH, Hirschhorn LR, Henley C, Gremu A, Sindano N, Chilengi R. Data-driven quality improvement in low-and middle-income country health systems: lessons from seven years of implementation experience across Mozambique, Rwanda, and Zambia. BMC Health Serv Res. 2017;17(3):65–75.
56.
Chandani Y, Duffy M, Lamphere B, Noel M, Heaton A, Andersson S. Quality improvement practices to institutionalize supply chain best practices for iCCM: Evidence from Rwanda and Malawi. Res Social Adm Pharm. 2017;13(6):1095–109.PubMedPubMedCentralCrossRef
57.
El-Jardali F, Fadlallah R. A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Serv Res. 2017;17(1):1–13.CrossRef
58.
Giannitrapani KF, Satija A, Ganesh A, Gamboa R, Fereydooni S, Hennings T, et al. Barriers and facilitators of using quality improvement to foster locally initiated innovation in palliative care services in India. J Gen Intern Med. 2021;36(2):366–73.PubMedCrossRef
59.
Ikeda DJ, Basenero A, Murungu J, Jasmin M, Inimah M, Agins BD. Implementing quality improvement in tuberculosis programming: Lessons learned from the global HIV response. Elsevier; 2019. p. 100116.
60.
Waiswa P, Manzi F, Mbaruku G, Rowe A, Marx M, Tomson G, et al. Effects of the EQUIP quasi-experimental study testing a collaborative quality improvement approach for maternal and newborn health care in Tanzania and Uganda. Implement Sci. 2017;12(1):1–18.CrossRef
61.
Yilma Y, Bejiga M, Ayele T, Getachew D, Ishak N, Denbi T, et al. Implementation of quality improvement for community-based health services: what worked, what didn’t, and why? A case study in Ethiopia. Ethiopian J Health Dev. 2020;34(2):54–61.
62.
Franco LM, Marquez L. Effectiveness of collaborative improvement: evidence from 27 applications in 12 less-developed and middle-income countries. BMJ Qual Saf. 2011;20(8):658–65.PubMedCrossRef
63.
Baker U, Petro A, Marchant T, Peterson S, Manzi F, Bergström A, et al. Health workers’ experiences of collaborative quality improvement for maternal and newborn care in rural Tanzanian health facilities: A process evaluation using the integrated’Promoting Action on Research Implementation in Health Services’ framework. PLoS ONE. 2018;13(12):e0209092.PubMedPubMedCentralCrossRef
64.
Barker P, Barron P, Bhardwaj S, Pillay Y. The role of quality improvement in achieving effective large-scale prevention of mother-to-child transmission of HIV in South Africa. AIDS. 2015;29:S137–43.PubMedCrossRef
65.
Hirschhorn LR, Baynes C, Sherr K, Chintu N, Awoonor-Williams JK, Finnegan K, et al. Approaches to ensuring and improving quality in the context of health system strengthening: a cross-site analysis of the five African Health Initiative Partnership programs. BMC Health Serv Res. 2013;13(2):1–11.
66.
Kinyua K, Muange P, Makenzi B, Kimani C, Amoah AO. Applying quality improvement strategies to health services for HIV-affected mother-baby pairs in rural Kenya. J Int Assoc Providers AIDS Care (JIAPAC). 2019;18:2325958219857977.
67.
Mutale W, Chintu N, Amoroso C, Awoonor-Williams K, Phillips J, Baynes C, et al. Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative. BMC Health Serv Res. 2013;13(2):1–12.
68.
Ahmed S, Applegate JA, Mitra DK, Callaghan-Koru JA, Mousumi M, Khan AM, et al. Implementation research to support Bangladesh Ministry of Health and Family Welfare to implement its national guidelines for management of infections in young infants in two rural districts. J Health Popul Nutr. 2019;38(1):1–13.CrossRef
69.
Bazos DA, LaFave LRA, Suresh G, Shannon KC, Nuwaha F, Splaine ME. The gas cylinder, the motorcycle and the village health team member: a proof-of-concept study for the use of the microsystems quality improvement approach to strengthen the routine immunization system in Uganda. Implement Sci. 2015;10(1):1–18.CrossRef
70.
Brima N, Sevdalis N, Daoh K, Deen B, Kamara T, Wurie H, et al. Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project. Pilot Feasib Stud. 2021;7(1):1–13.CrossRef
71.
Eboreime EA, Idika O, Omitiran K, Eboreime O, Ibisomi L. Primary healthcare planning, bottleneck analysis and performance improvement: An evaluation of processes and outcomes in a Nigerian context. Eval Program Plann. 2019;77:101712.PubMedCrossRef
72.
Habonimana D, Nimako G, Ncayiyana J, Ndayisaba G, Ramaswamy R. Improving long-lasting insecticidal nets use in Kayange community of north-western Burundi: a pilot study exploring the use of quality improvement methodologies in low-resource community settings. BMJ Open Qual. 2019;8(3):e000540.PubMedPubMedCentralCrossRef
73.
Hirschhorn LR, Magge H, Kiflie A. Aiming beyond equality to reach equity: the promise and challenge of quality improvement. BMJ. 2021;374:n939.
74.
Manyeh AK, Ibisomi L, Baiden F, Chirwa T, Ramaswamy R. Using intervention mapping to design and implement quality improvement strategies towards elimination of lymphatic filariasis in Northern Ghana. PLoS Negl Trop Dis. 2019;13(3):e0007267.PubMedPubMedCentralCrossRef
75.
Ndaba T, Taylor M, Mabaso M. Establishing a community advisory group (CAG) for partnership defined quality (PDQ) towards improving primary health care in a peri-urban setting in KwaZulu-Natal, South Africa. BMC Health Serv Res. 2020;20(1):1–7.CrossRef
76.
Odaga J, Henriksson DK, Nkolo C, Tibeihaho H, Musabe R, Katusiime M, et al. Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods. Glob Health Action. 2016;9(1):30983.PubMedCrossRef
77.
Potokar T, Bendell R, Phuyal K, Dhital A, Karim E, Falder S, et al. The development of the Delivery Assessment Tool (DAT) to facilitate quality improvement in burns services in low-middle income countries. Burns. 2022;48(6):1488–96.PubMedCrossRef
78.
Singh K, Speizer I, Handa S, Boadu RO, Atinbire S, Barker PM, et al. Impact evaluation of a quality improvement intervention on maternal and child health outcomes in Northern Ghana: early assessment of a national scale-up project. Int J Qual Health Care. 2013;25(5):477–87.PubMedPubMedCentralCrossRef
79.
Streeton A-M, Kitsell F, Gambles N, McCarthy R. A qualitative analysis of vertical leadership development amongst NHS health-care workers in low to middle income country settings. Leader Health Serv. 2021;34(3):296–312.
80.
Rombo CO, Oduor M, Mwamba PM, Tilock K, Kambale SM, Makokha E, et al. Implementing SLMTA in the Kenya national blood transfusion service: lessons learned. African J Lab Med. 2017;6(1):1–7.
81.
Webster PD, Sibanyoni M, Malekutu D, Mate KS, Venter WF, Barker PM, et al. Using quality improvement to accelerate highly active antiretroviral treatment coverage in South Africa. BMJ Qual Saf. 2012;21(4):315–24.PubMedPubMedCentralCrossRef
82.
Adeniran A, Likaka A, Knutsson A, Costello A, Daelmans B, Maliqi B, et al. Leadership, action, learning and accountability to deliver quality care for women, newborns and children. Bull World Health Organ. 2018;96(3):222.PubMedPubMedCentralCrossRef
83.
Cofie LE, Barrington C, Akaligaung A, Reid A, Fried B, Singh K, et al. Integrating community outreach into a quality improvement project to promote maternal and child health in Ghana. Glob Public Health. 2014;9(10):1184–97.PubMedPubMedCentralCrossRef
84.
Ferrelli R, Serrano CR, Balladelli PP, Cortinois A, Quinteros J. Strengthening local health care management in Bolivian districts through participatory operational research. Int J Health Plann Manage. 1997;12(1):29–50.PubMedCrossRef
85.
Tancred T, Mandu R, Hanson C, Okuga M, Manzi F, Peterson S, et al. How people-centred health systems can reach the grassroots: experiences implementing community-level quality improvement in rural Tanzania and Uganda. Health Policy Plan. 2018;33(1):e1–13.PubMedCrossRef
86.
Wereta T, Betemariam W, Karim AM, Fesseha Zemichael N, Dagnew S, Wanboru A, et al. Effects of a participatory community quality improvement strategy on improving household and provider health care behaviors and practices: a propensity score analysis. BMC Pregnancy Childbirth. 2018;18(1):31–42.
87.
Bhardwaj S, Barron P, Pillay Y, Treger-Slavin L, Robinson P, Goga A, et al. Elimination of mother-to-child transmission of HIV in South Africa: rapid scale-up using quality improvement. S Afr Med J. 2014;104(3):239–43.PubMedCrossRef
88.
Karamagi E, Sensalire S, Muhire M, Kisamba H, Byabagambi J, Rahimzai M, et al. Improving TB case notification in northern Uganda: evidence of a quality improvement-guided active case finding intervention. BMC Health Serv Res. 2018;18(1):1–12.CrossRef
89.
Kim C, Kirunda R, Mubiru F, Rakhmanova N, Wynne L. A process evaluation of the quality improvement collaborative for a community-based family planning learning site in Uganda. Gates Open Res. 2019;3:1481.
90.
Manzi A, Hirschhorn LR, Sherr K, Chirwa C, Baynes C, Awoonor-Williams JK. Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five population health implementation and training partnership projects in sub-Saharan Africa. BMC Health Serv Res. 2017;17(3):5–16.
91.
Nahimana E, Magge H, Bizimana F, Nyishime M, Lively CT, Gilbert H, et al. Sustainability Assessment of a District-Wide Quality Improvement on Newborn Care Program in Rural Rwanda: A Mixed-Method Study. Ann Glob Health. 2021;87(1):40.
92.
Obssa A, Hailemichael A, Belayihun B, Teshome L, Mvuezolo JJN, Molla Y, et al. Point of care quality improvement approach increases immediate postpartum family planning uptake: A field report from Sululta district, Oromia, Ethiopia. Ethiopian J Health Dev. 2021;35(5):27–36.
93.
Patterson J, Worku B, Jones D, Clary A, Ramaswamy R, Bose C. Ethiopian Pediatric Society Quality Improvement Initiative: a pragmatic approach to facility-based quality improvement in low-resource settings. BMJ Open Qual. 2021;10(1):e000927.PubMedPubMedCentralCrossRef
94.
Twum-Danso NA, Akanlu GB, Osafo E, Sodzi-Tettey S, Boadu RO, Atinbire S, et al. A nationwide quality improvement project to accelerate Ghana’s progress toward millennium development goal four: design and implementation progress. Int J Qual Health Care. 2012;24(6):601–11.PubMedCrossRef
95.
Twum-Danso NA, Dasoberi IN, Amenga-Etego IA, Adondiwo A, Kanyoke E, Boadu RO, et al. Using quality improvement methods to test and scale up a new national policy on early post-natal care in Ghana. Health Policy Plan. 2014;29(5):622–32.PubMedCrossRef
96.
Mogasale V, Wi TC, Das A, Kane S, Singh AK, George B, et al. Quality assurance and quality improvement using supportive supervision in a large-scale STI intervention with sex workers, men who have sex with men/transgenders and injecting-drug users in India. Sexually Transmitted Infect. 2010;86(Suppl 1):i83–8.CrossRef
97.
Sacks E, Swanson RC, Schensul JJ, Gleave A, Shelley KD, Were MK, et al. Community involvement in health systems strengthening to improve global health outcomes: a review of guidelines and potential roles. Int Q Commun Health Educ. 2017;37(3–4):139–49.CrossRef
98.
Saleh SS, Alameddine MS, Natafgi NM. Beyond accreditation: a multi-track quality-enhancing strategy for primary health care in low-and middle-income countries. Int J Health Serv. 2014;44(2):355–72.PubMedCrossRef
99.
Sensalire S, Isabirye P, Karamagi E, Byabagambi J, Rahimzai M, Calnan J. Saving mothers, giving life approach for strengthening health systems to reduce maternal and newborn deaths in 7 scale-up districts in northern Uganda. Glob Health: Sci Pract. 2019;7(Supplement 1):S168–87.PubMed
100.
Smith H, Ameh C, Godia P, Maua J, Bartilol K, Amoth P, et al. Implementing maternal death surveillance and response in Kenya: incremental progress and lessons learned. Glob Health: Sci Pract. 2017;5(3):345–54.PubMed
101.
Tancred T, Manzi F, Schellenberg J, Marchant T. Facilitators and barriers of community-level quality improvement for maternal and newborn health in Tanzania. Qual Health Res. 2017;27(5):738–49.PubMedCrossRef
102.
Streeton A-M, Kitsell F, Kung M, Oo M, Rowse V, Wadd V, et al. The Improving Global Health Programme-leadership development in the NHS through overseas placement. BMJ Glob Health. 2021;6(Suppl 6):e004533.PubMedPubMedCentralCrossRef
103.
Cosimi LA, Dam HV, Nguyen TQ, Ho HT, Do PT, Duc DN, et al. Integrated clinical and quality improvement coaching in Son La Province, Vietnam: a model of building public sector capacity for sustainable HIV care delivery. BMC Health Serv Res. 2015;15(1):1–9.CrossRef
104.
Kumar MB, Madan JJ, Achieng MM, Limato R, Ndima S, Kea AZ, et al. Is quality affordable for community health systems? Costs of integrating quality improvement into close-to-community health programmes in five low-income and middle-income countries. BMJ Glob Health. 2019;4(4):e001390.PubMedPubMedCentralCrossRef
105.
Du Mortier SP, Arpagaus M. Quality improvement programme on the frontline: an International Committee of the Red Cross experience in the Democratic Republic of Congo. Int J Qual Health Care. 2005;17(4):293–300.PubMedCrossRef
106.
Hynes M, Meehan K, Meyers J, Mashukano Maneno L, Hulland E. Using a quality improvement approach to improve maternal and neonatal care in North Kivu, Democratic Republic of Congo. Reprod Health Matters. 2017;25(51):140–50.PubMedPubMedCentralCrossRef
107.
Lazzerini M, Chhaganlal K, Macome AC, Putoto G. Nutritional services for children in Beira, Mozambique: a study reporting on participatory use of data to generate quality improvement recommendations. BMJ Open Qual. 2019;8(4):e000758.PubMedPubMedCentralCrossRef
108.
Livesley N, Coly A, Karamagi E, Nsubuga-Nyombi T, Mwita SK, Ngonyani MM, et al. Reducing mother-to-child transmission of HIV using quality improvement approaches. J Int Assoc Providers AIDS Care (JIAPAC). 2019;18:2325958219855631.
109.
Rahman AE, Iqbal A, Hoque DE, Moinuddin M, Zaman SB, Rahman QS-u, et al. Managing neonatal and early childhood syndromic sepsis in sub-district hospitals in resource poor settings: improvement in quality of care through introduction of a package of interventions in rural Bangladesh. PloS one. 2017;12(1):e0170267.PubMedPubMedCentralCrossRef
110.
Tesfaye S, Barry D, Gobezayehu AG, Frew AH, Stover KE, Tessema H, et al. Improving coverage of postnatal care in rural Ethiopia using a community-based, collaborative quality improvement approach. J Midwifery Womens Health. 2014;59(s1):S55–64.PubMedCrossRef
111.
Webster PD, Deka S, Ismail A, Stern AF, Barker PM. Using a multicountry learning network to harvest and rapidly spread implementation knowledge across programs aimed to reduce mother-to-child transmission of HIV and improve nutrition: perspectives and lessons learned for similar large-scale initiatives. J Int Assoc Providers AIDS Care (JIAPAC). 2019;18:2325958219847452.
112.
Jaribu J, Penfold S, Green C, Manzi F, Schellenberg J. Improving Tanzanian childbirth service quality. Int J Health Care Qual Assur. 2018;31(3):190–202.
113.
Necochea E, Tripathi V, Kim YM, Akram N, Hyjazi Y, da Luz VM, et al. Implementation of the Standards-Based Management and Recognition approach to quality improvement in maternal, newborn, and child health programs in low-resource countries. Int J Gynecol Obstet. 2015;130:S17–24.CrossRef
114.
Akulima M, Ikamati R, Mungai M, Samuel M, Ndirangu M, Muga R. Food banking for improved nutrition of HIV infected orphans and vulnerable children; emerging evidence from quality improvement teams in high food insecure regions of Kiambu, Kenya. Pan African Med J. 2016;25(Suppl 2):4.
115.
Broughton E, Hermida J, Hill K, Sloan N, Chavez M, Gonzalez D, et al. Evaluation of an intervention to improve essential obstetric and newborn care access and quality in Cotopaxi, Ecuador. Front Public Health. 2016;4:247.
116.
Gilson L. Implementing health system change: What are the lessons from the African Health Initiative? BMC Health Serv Res. 2013;13(2):1–3.MathSciNet
117.
Datta V, Srivastava S, Singh M. Formation of quality of care network in India: challenges and way forward. Indian Pediatr. 2018;55(9):824–7.PubMedCrossRef
118.
Juarez M, Dionicio C, Sacuj N, Lopez W, Miller AC, Rohloff P. Community-based interventions to reduce child stunting in rural guatemala: a quality improvement model. Int J Environ Res Public Health. 2021;18(2):773.PubMedPubMedCentralCrossRef
119.
Youngleson MS, Nkurunziza P, Jennings K, Arendse J, Mate KS, Barker P. Improving a mother to child HIV transmission programme through health system redesign: quality improvement, protocol adjustment and resource addition. PLoS ONE. 2010;5(11): e13891.PubMedPubMedCentralCrossRefADS
120.
Boyd AT, Ogbanufe O, Onyenuobi C, Mgbakor I, Bachanas P, Olupitan O, et al. Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019–2020. AIDS. 2021;35(7):1127–34.PubMedCrossRef
121.
Bryce J, Requejo JH, Moulton LH, Ram M, Black RE. A common evaluation framework for the African Health Initiative. BMC Health Serv Res. 2013;13(2):1–9.
122.
Manzi A, Magge H, Hedt-Gauthier BL, Michaelis AP, Cyamatare FR, Nyirazinyoye L, et al. Clinical mentorship to improve pediatric quality of care at the health centers in rural Rwanda: a qualitative study of perceptions and acceptability of health care workers. BMC Health Serv Res. 2014;14(1):1–9.CrossRef
123.
Kumar MB, Madan JJ, Auguste P, Taegtmeyer M, Otiso L, Ochieng CB, et al. Cost-effectiveness of community health systems strengthening: quality improvement interventions at community level to realise maternal and child health gains in Kenya. BMJ Glob Health. 2021;6(3):e002452.PubMedPubMedCentralCrossRef
124.
Manzi A, Nyirazinyoye L, Ntaganira J, Magge H, Bigirimana E, Mukanzabikeshimana L, et al. Beyond coverage: improving the quality of antenatal care delivery through integrated mentorship and quality improvement at health centers in rural Rwanda. BMC Health Serv Res. 2018;18(1):1–8.CrossRef
125.
Magge H, Anatole M, Cyamatare FR, Mezzacappa C, Nkikabahizi F, Niyonzima S, et al. Mentoring and quality improvement strengthen integrated management of childhood illness implementation in rural Rwanda. Arch Dis Child. 2015;100(6):565–70.PubMedCrossRef
126.
Hurtado E, Ramírez L, Moreira P. Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala. Improving Health Care Low- Middle-Income Countries. 2020:27–42.
127.
Broughton E, Saley Z, Boucar M, Alagane D, Hill K, Marafa A, et al. Cost‐effectiveness of a quality improvement collaborative for obstetric and newborn care in Niger. Int J Health Care Qual Assur. 2013;26(3):250–61.
128.
Broughton EI, Gomez I, Nuñez O, Wong Y. Cost-effectiveness of improving pediatric hospital care in Nicaragua. Rev Panam Salud Publica. 2011;30:453–60.PubMed
129.
Colbourn T, Pulkki-Brännström A-M, Nambiar B, Kim S, Bondo A, Banda L, et al. Cost-effectiveness and affordability of community mobilisation through women’s groups and quality improvement in health facilities (MaiKhanda trial) in Malawi. Cost Effectiveness Res Allocation. 2015;13(1):1–15.CrossRef
130.
Hagaman AK, Singh K, Abate M, Alemu H, Kefale AB, Bitewulign B, et al. The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions. BMC Health Serv Res. 2020;20(1):1–12.CrossRef
131.
Manzi A, Mugunga JC, Iyer HS, Magge H, Nkikabahizi F, Hirschhorn LR. Economic evaluation of a mentorship and enhanced supervision program to improve quality of integrated management of childhood illness care in rural Rwanda. PLoS ONE. 2018;13(3):e0194187.PubMedPubMedCentralCrossRef
132.
133.
Atherton F, Mbekem G, Nyalusi I. Project report. Improving service quality: experience from the Tanzania family health project. Int J Qual Health Care. 1999;11(4):353–6.PubMedCrossRef
134.
Johnson MC, Schellekens O, Stewart J, van Ostenberg P, de Wit TR, Spieker N. SafeCare: an innovative approach for improving quality through standards, benchmarking, and improvement in low-and middle-income countries. Joint Commission J Qual Patient Safety. 2016;42(8):350–AP11.CrossRef
135.
Ruelas E, Gómez-Dantés O, Leatherman S, Fortune T, Gay-Molina JG. Strengthening the quality agenda in health care in low-and middle-income countries: questions to consider. Int J Qual Health Care. 2012;24(6):553–7.PubMedCrossRef
136.
Ngongo Bahati P, Kidega W, Ogutu H, Odada J, Bender B, Fast P, et al. Ensuring quality of services in HIV prevention research settings: findings from a multi-center quality improvement pilot in East Africa. AIDS Care. 2010;22(1):119–25.PubMedCrossRef
137.
Singh K, Brodish P, Speizer I, Barker P, Amenga-Etego I, Dasoberi I, et al. Can a quality improvement project impact maternal and child health outcomes at scale in northern Ghana? Health Res Policy Syst. 2016;14(1):1–13.CrossRef
138.
Bardfield J, Palumbo M, Geis M, Jasmin M, Agins BD. A National Organizational Assessment (NOA) to build sustainable quality management programs in low-and middle-income countries. Jt Comm J Qual Patient Saf. 2016;42(7):325–30.PubMed
139.
Barach P, Phelps G. Clinical sensemaking: a systematic approach to reduce the impact of normalised deviance in the medical profession. J R Soc Med. 2013;106(10):387–90.PubMedPubMedCentralCrossRef
140.
Weick KE. Sensemaking in organizations: Sage; 1995.
141.
Swanson JO, Plotner D, Franklin HL, Swanson DL, Bolamba VL, Lokangaka A, et al. Web-based quality assurance process drives improvements in obstetric ultrasound in 5 low-and middle-income countries. Glob Health: Sci Pract. 2016;4(4):675–83.PubMed
142.
Establishing a critical care network in Asia to improve care for critically ill patients in low-and middle-income countries. Springer; 2020. p. 608.
143.
Lukas CV, Holmes SK, Cohen AB, Restuccia J, Cramer IE, Shwartz M, et al. Transformational change in health care systems: An organizational model. Health Care Manage Rev. 2007;32(4):309–20.PubMedCrossRef
144.
Kaplan HC, Brady PW, Dritz MC, Hooper DK, Linam WM, Froehle CM, et al. The influence of context on quality improvement success in health care: a systematic review of the literature. Milbank Q. 2010;88(4):500–59.PubMedPubMedCentralCrossRef
145.
Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf. 2012;21(1):13–20.PubMedCrossRef
146.
Dickersin K, Chan S, Chalmersx T, Sacks H, Smith H Jr. Publication bias and clinical trials. Control Clin Trials. 1987;8(4):343–53.PubMedCrossRef
147.
Vian T, McIntosh N, Grabowski A, Nkabane-Nkholongo EL, Jack BW. Hospital public–private partnerships in low resource settings: Perceptions of how the Lesotho PPP transformed management systems and performance. Health Systems & Reform. 2015;1(2):155–66.CrossRef
148.
Ramaswamy R, Shidhaye R, Nanda S. Making complex interventions work in low resource settings: developing and applying a design focused implementation approach to deliver mental health through primary care in India. Int J Ment Heal Syst. 2018;12(1):1–12.
149.
Hamid M, Rasheed MA. A new path to mentorship for emerging global health leaders in low-income and middle-income countries. Lancet Glob Health. 2022;10(7):e946–8.PubMedCrossRef
150.
151.
Abimbola S, Asthana S, Montenegro C, Guinto RR, Jumbam DT, Louskieter L, et al. Addressing power asymmetries in global health: imperatives in the wake of the COVID-19 pandemic. PLoS Med. 2021;18(4):e1003604.PubMedPubMedCentralCrossRef
152.
Muller ME. Quality improvement in health care–A fundamental analysis and South African perspective. Curationis. 1996;19(4):67–74.PubMedCrossRef
153.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Bmj. 2008;337:a1655.
154.
Health IoMCftSotFoP. The future of public health: National Academy Press; 1988.
Metadata
Title
Quality improvement in public–private partnerships in low- and middle-income countries: a systematic review
Authors
Cassandra B. Iroz
Rohit Ramaswamy
Zulfiqar A. Bhutta
Paul Barach
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Nutrition
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10802-w

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