Table of contents

  1. Front Matter
    Pages i-xvi
  2. James R. Heiby
    Pages 1-7 Open Access
  3. Joshua Bardfield, Bruce D. Agins, Margareth Jasmin, Nicasky Celestin, Nirva Duval, Jean Gabriel Balan et al.
    Pages 43-58 Open Access
  4. Nigel Livesley, Praveen Kumar Sharma
    Pages 77-88 Open Access
  5. Nicole Spieker
    Pages 89-104 Open Access
  6. Barton Smith
    Pages 105-130 Open Access
  7. Edgar Necochea, Maria da Luz Vaz, Ernestina David, Jim Ricca
    Pages 131-150 Open Access
  8. Taroub Harb Faramand
    Pages 195-208 Open Access
  9. Nilufar Rakhmanova Pollard, Igor Semenenko, Uliana Snidevych, Emily Keyes, Roman Yorick, Alyona Gerasimova et al.
    Pages 209-229 Open Access
  10. Lani Rice Marquez, Alison Lucas
    Pages 231-237 Open Access
  11. Back Matter
    Pages 239-245

About this book


This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes.  

The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:
  • Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala
  • Haiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care
  • Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India
  • Promoting Rational Use of Antibiotics in the Kyrgyz Republic
  • Strengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania
  • Improving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up Journey
Improving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development.

This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID).

The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government.


quality improvement methodology improvement science health care improvement methods case studies global health public health strengthening health systems improving health outcomes patient-centered care low- and middle-income countries (LMICs) scale-up initiatives healthcare systems quality of care healthcare access sustainability facility-level improvement community-level improvement district/regional-level improvement national-level improvement open access

Editors and affiliations

  • Lani Rice Marquez
    • 1
  1. 1.University Research Co., LLC (URC)BethesdaUSA

About the editors

Lani Rice Marquez, MHS, is the Knowledge Management Director for the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project at University Research Co., LLC (URC). A health management and evaluation specialist, Lani has worked for over 30 years in international health programs, where much of her work has focused on strengthening the performance of facility-based and community-based health workers in low- and middle-income countries through improvement methods. For the past 10 years, she has led URC’s efforts to apply knowledge management concepts and techniques to strengthen quality improvement program efficiency and impact.

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“The book is written for students and professionals interested in learning more about healthcare improvement. … The book's presentation and format make it a straightforward and informative read.” (Kathryn A Ross, Doody's Book Reviews, October 30, 2020)