Understanding and enhancing approaches to quality improvement in small and medium sized private facilities in sub-Saharan Africa.
The research takes place in the context of an innovative intervention developed by the international NGO PharmAccess that offers clinical standards and stepwise certification to small and medium-sized facilities in LMIC, using standards developed with international accreditation bodies. The PharmAccess model seeks to improve the quality of care that facilities provide, as well as to shape the broader healthcare and finance markets and policy environment. The components of the pharmAccess model include: Health facilities are assessed on a set of “SafeCare” structural quality standards, trained on quality improvement and business skills, and assisted in the development of a quality and business improvement plan. They receive regular mentoring visits and are also connected with the PharmAccess Medical Credit Fund, a social investment fund which facilitates access to bank loans to finance implementation of the plan.