ArticleHealthcare (Basel, Switzerland)2026
A Multi-Country Community of Practice to Strengthen Quality Improvement in Low- and Middle-Income Countries: A Quality Improvement Program Description.
Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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24 authors.
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Abstract
BACKGROUND/
objectivesQuality improvement (QI) is widely used in global health to improve patient outcomes, reduce costs, and strengthen service delivery. The Texas Children's Global Health Network (TCGHN) includes nine independent non-governmental organizations supporting healthcare in low- and middle-income countries (LMICs), with pediatric HIV clinical centers of excellence in six countries in sub-Saharan Africa (SSA), supported technically by Baylor College of Medicine. We describe the development of a virtual QI Community of Practice (QICoP) to connect geographically dispersed teams and strengthen local QI capacity.
methodsIn 2022, QI and global health experts convened to design the QICoP and assess site readiness. Participants were recruited from the sites based on their interest. Meetings were held via Zoom, with attendance, evaluations, and organizer notes tracked. QI tools were used to identify site strengths, challenges, and strategies to improve engagement.
resultsFrom January 2023 to September 2024, the QICoP held 15 sessions, including 3 abstract-writing workshops, averaging 35 participants per session. QI abstract submissions to the annual Network meeting doubled from 2023 to 2024. Across 15 sessions, 83% of participants reported positive experiences. Based on participant feedback and QI sessions from the 2022-2024 Network meetings, we developed a blended QI basics curriculum, recruited site champions to improve communication, and launched a WhatsApp platform to enhance engagement.
conclusionsA virtual QICoP may be a feasible model to support professional development, increase knowledge and idea sharing, and connect individuals across geographies over a shared mission to improve healthcare quality in LMICs.
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