Walimu's quality improvement program is based on around the latest research on what works in behavior change. Below are several of the studies and insights we draw on to design our approach.
Our program is built around behavioral change interventions that target the essential conditions for change as described by Michie et. al. (2011): capability, opportunity and motivation.
Implementation Science 2011, 6:42 DOI: 10.1186/1748-5908-6-42
A Cochrane systematic review found audit-feedback improves clinical practice, especially in resource-constrained settings.
Cochrane Database Syst Rev. 2012 Jun 13;6:CD000259 DOI: 10.1002/14651858.CD000259.pub3
Collaborative improvement meetings
In Nepal, the introduction of structured M&M conferences, a similar approach, improved quality.
BMJ Qual Saf 2011;20:1082-1088 DOI: 10.1136/bmjqs-2011-000273
Process improvement fund
A systematic review found that routine vital signs measurement, one of the things enabled by the process improvement fund, improves diagnosis.
Storm-Versloot MN. J Nurs Scholarsh. 2013 Oct. DOI: 10.1111/jnu.12048
In Tanzania, access to guidelines on a phone increased adherence to best practice.
ACM 2008;CHI 2008:753-762 DOI: 10.1145/1357054.1357174