Topic | Change ideas tested | QI indicators | Preimplementation results (month collected) | Latest implementation results (month collected) | Implementation scope |
Infection control | Peer-to-peer monitoring of hand hygiene practices | % of times healthcare providers practiced hand hygiene correctly (measured monthly) | 43% (June 2020) | 77% (June 2021) | 11 health centres |
Medical waste management | On a weekly basis, assigned providers observe management of medical waste according to an established checklist | % of times medical waste was organised and managed correctly | 56% (June 2020) | 85% (August 2021) | 31 health centres |
General waste management | On a weekly basis, assigned providers observe management of general waste according to an established checklist | % of times general waste was organised and managed correctly | 98% (June 2020) | 85% (September 2021) | 114 health centres |
TB screening* | Ask patients presenting at outpatient departments about TB symptoms regardless of their complaints | % of outpatient cases screened for TB symptoms | 40% (October 2019) | 51.3% (June 2021) | 124 health centres; 5 referral hospitals |
Family planning | Provide thorough counselling on advantages of long-acting reversible contraception (LARC) to contribute to increased uptake of LARC methods | % of family planning clients who answered at least two-thirds of questions regarding advantages of LARC methods correctly | 72% (October 2019) | 85% (June 2021) | 44 health centres |
*Additional TB cases identified as a result of provider-initiated TB screening.
†Improvement and performance varied across health facilities though the majority of change ideas tested resulted in improvements (except one—general waste management).
QIC, quality improvement collaborative; TB, tuberculosis.