ArticleResearch in social & administrative pharmacy : RSAP2017
Quality improvement practices to institutionalize supply chain best practices for iCCM: Evidence from Rwanda and Malawi.
Article in Research in social & administrative pharmacy : RSAP, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality improvement in public-private partnerships in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- A realist systematic review of evidence from low- and middle-income countries of interventions to improve immunization data use.BMC health services research · 2021Pooled it
- Tracking health commodity inventory and notifying stock levels via mobile devices: a mixed methods systematic review.The Cochrane database of systematic reviews · 2020Pooled it
- Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review.PLOS global public health · 2024Article
- Supply-chain factors and antimicrobial stewardship.Bulletin of the World Health Organization · 2023Article
- The Quality Management Improvement Approach: Successes and Lessons Learned From a Workforce Development Intervention in Rwanda's Health Supply Chain.Global health, science and practice · 2023Article
- The procurement and supply chain strengthening project: improving public health supply chains for better access to HIV medicines, Uganda 2011-2016.Journal of pharmaceutical policy and practice · 2022Article
- The building blocks of community health systems: a systems framework for the design, implementation and evaluation of iCCM programs and community-based interventions.BMJ global health · 2022Review
- Health supply chain system in Uganda: current issues, structure, performance, and implications for systems strengthening.Journal of pharmaceutical policy and practice · 2022Review
- Institutionalization of integrated community case management into national health systems in low- and middle-income countries: a scoping review of the literature.Global health action · 2019Article
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Authors and funding
6 authors.
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Abstract
backgroundSupply chain bottlenecks that prevent community health workers (CHWs) from accessing essential medicines significantly increase under-5 child mortality, particularly in poor and rural areas.
objectiveUsing implementation research, interventions aimed at improving supply chain practices and access to medicines were tested in Malawi and Rwanda. These interventions included simple demand-based resupply procedures, using mobile technology and traditional methods for communication, and multilevel, performance-driven quality improvement (QI) teams.
methodsMixed-method evaluations were conducted at baseline (2010), midline (2013), and endline (2014). Baseline assessments identified common bottlenecks and established performance levels. Midline assessments identified which intervention package had the greatest impact. Endline surveys measured the progress of scale-up and institutionalization of each innovation.
resultsIn both Rwanda and Malawi CHWs, health center staff, and district managers all cited many benefits of the establishment of resupply procedures and QI teams: such as providing structure and processes, a means to analyze and discuss problems and enhance collaboration between staff.
conclusionsImplementing simple, streamlined, demand-based resupply procedures formed the basis for informed and regular resupply, and increased the visibility of appropriate and timely community logistics data. QI teams played a critical role in reinforcing resupply procedures and routinely unlocking the bottlenecks that prevent the continuous flow of critical health products. While simple, streamlined, demand-based resupply procedures provide the basis for regular, functional, and efficient resupply of CHWs, the procedures alone are not sufficient to create consistent change in product availability. Supporting these procedures with multilevel QI teams reinforces the correct and consistent use of resupply procedures.
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