ArticleBMJ open quality2021
Development of a framework of intervention strategies for point of care quality improvement at different levels of healthcare delivery system in India: initial lessons.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Improving quality and safety at scale.Pediatric research · 2026Article
- Enhancing General Practitioners' Compliance with Antenatal Care Standards and Pregnant Women's Satisfaction Through Point-of-Care Quality Improvement in Indonesian Community Health Centers.Patient preference and adherence · 2025Article
- Progress in achieving SDG targets for mortality reduction among mothers, newborns, and children in the WHO South-East Asia Region.The Lancet regional health. Southeast Asia · 2023Review
- Creating and sustaining a digital community of practice for quality improvement in South-East Asia during the COVID-19 pandemic.BMJ open quality · 2023Article
- Impact of Point of Care Quality Improvement Training and Coaching on Quality Perceptions of Health Care Workers: Implication for Quality Policy.Journal of multidisciplinary healthcare · 2022Article
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Authors and funding
18 authors.
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Abstract
backgroundInadequate quality of care has been identified as one of the most significant challenges to achieving universal health coverage in low-income and middle-income countries. To address this WHO-SEARO, the point of care quality improvement (POCQI) method has been developed. This paper describes developing a dynamic framework for the implementation of POCQI across India from 2015 to 2020.
methodsA total of 10 intervention strategies were designed as per the needs of the local health settings. These strategies were implemented across 10 states of India, using a modification of the 'translating research in practice' framework. Healthcare professionals and administrators were trained in POCQI using a combination of onsite and online training methods followed by coaching and mentoring support. The implementation strategy changed to a fully digital community of practice platform during the active phase of the COVID-19 pandemic. Dashboard process, outcome indicators and crude cost of implementation were collected and analysed across the implementation sites.
resultsThree implementation frameworks were evolved over the study period. The combined population benefitting from these interventions was 103 million. A pool of QI teams from 131 facilities successfully undertook 165 QI projects supported by a pool of 240 mentors over the study period. A total of 21 QI resources and 6 publications in peer-reviewed journals were also developed. The average cost of implementing POCQI initiatives for a target population of one million was US$ 3219. A total of 100 online activities were conducted over 6 months by the digital community of practice. The framework has recently extended digitally across the South-East Asian region.
conclusionThe development of an implementation framework for POCQI is an essential requirement for the initiative's successful country-wide scale. The implementation plan should be flexible to the healthcare system's needs, target population and the implementing agency's capacity and amenable to multiple iterative changes.
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