Expanded quality improvement for maternal and...

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Scientists: Target TB interventions on these transmission hotspots

(Dar es Salaam, September 14, 2017). Scientists at Ifakara Health Institute (IHI) have recently adapted a method for identifying tuberculosis (TB) transmission hotpots using a new technique that could revolutionize …

Research Office, Lab Technicians required

IHI is looking for suitably qualified Research Officer and Laboratory Technicians to fill vacant positions in the Laboratory Unit in Bagamoyo. To apply or share, get more details about these …

Recent Projects

Understanding and enhancing approaches to quality improvement in small and medium sized private facilities in sub-Saharan Africa

This is an evaluation study that IHI is conducting in collaboration with London school of hygiene and tropical medicine. The research takes place in the context of an innovative intervention …

Vaccine Delivery Costing Study

As countries drive towards achieving high and equitable coverage of life-saving vaccines, the availability of sustainable, equitable, and predictable financing for vaccine delivery is essential. Over the last two decades, …

Expanded Quality Improvement Using Information power

Expanded Quality Improvement Using Information power (EQUIP) is a collaborative model for quality improvement. We short-term learning approaches to support quality improvement teams (QIT). It is a district-scale, proof-of-concept study that evaluates a quality management approach for maternal and newborn health including communities, health facilities, and district health managers, supported by high-quality data from independent continuous household and health facility surveys. The study will generate robust evidence about the effectiveness of quality management and will inform future nationwide implementation approaches for health system strengthening in low-resource settings

equip-figureThe proof-of-concept for this project was initially done in Tandahimba district in Mtwara region in Tanzania and Mayuge in Uganda between 2011 and 2014. The approach has two main pillars:  1) “learning sessions” which take place about four times per year and include refresher training  on selected topics of maternal and newborn health as well as sharing of progress and obstacles in the use of quality improvement, and 2)  “mentoring and coaching” of the QIT  at their working place to support the continuous quality improvement.

The approach is flexible to accommodate any new policies and to support existing structures. EQUIP approach works at community and health facility with synergistic effects.  Village volunteers complement health facility staff, particularly to reinforce behaviour change on health facility delivery and birth preparedness through changing social norms, thus strengthening demand side and changes towards more patient-centred healthcare. It also documented improved implementation of essential interventions for maternal and newborn health, such as infection prevention, resuscitation of newborns, and active management of third stage of labor, thus documenting clear improvements in implementation and thus strengthening supply side.


Lead Scientists:

Fatuma Manzi

Godfrey Mbaruku


London School of Hygiene and Tropical Medicine
Makerere University, Kampala, Uganda


European Union

Projects Location

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