Expanded quality improvement for maternal and...

In the News

Study establishes link between gender, extramarital affairs and HIV

Dar es Salaam. A new Ifakara Health Institute study has found “a significant association between lifetime (proxy) extramarital affairs and HIV infection among women only,” with the risk being significantly …

IHI names winners of research, innovation fund

[Right-Left] Getrud, Beatrice, Theckla, and Tutu.Ifakara Health Institute (IHI) has named recipients of the 2017/18 Director’s Research and Innovation Fund. This is an internal funding mechanism aimed to support specific …

Recent Projects

Development of a new tool for malaria mosquito surveillance to improve vector control

Malaria transmission is influenced not only by vector abundance, but as well by demographic traits such as vector species and age structure, as these influence the intensity by which the …

Demonstrating complete disruption of residual malaria transmission by eliminating Anopheles funestus mosquitoes from rural Tanzanian villages

In rural south-eastern Tanzania, where malaria prevalence has reduced by >60% since 2000, low-to-moderate transmission still persists despite very high coverage with long-lasting insecticidal bednets. Like in most residual transmission …

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

© Ifakara Health Institute (IHI), 2016