아프리카ㆍ중동

This report provides findings and recommendations based on the process monitoring evaluation of the continuous quality improvement (CQI) intervention being implemented under the World Bank financed Health Sector Development Support (HSDS) Project. This report includes both qualitative and quantitative components of the process evaluation to understand the extent to which the CQI initiative has improved quality of care structures and processes and facilities, and to identify the enablers and barriers to change. This report addresses three primary research questions on the CQI intervention: what is the effect of a quality improvement model on quality of care?; what are the factors that influenced observed changes?; and what is the effect of a quality improvement model on how health facility teams organize to improve quality of care? Quantitative methods were used to explore the first question, while qualitative work addresses the second and third questions. The purpose of the report is to inform future directions of the CQI intervention by documenting implementation factors that may contribute to its success or challenges and by offering a synthesis of the quantitative evidence on the effect of the CQI intervention.