FOUNDATIONAL REQUIREMENTS

Five foundational requirements for quality health services are relevant to national, district and facility levels.

First, onsite support is required to ensure health workers receive the necessary coaching, mentoring and clinical skills support to improve quality. Second, measurement mechanisms are required to track the delivery of quality health services and promote accountability. Third, sharing and learning is required to enable exchange of experiences in improving quality between and across health system levels. Fourth, stakeholder and community engagement is required to ensure regular, active and meaningful engagement of the community in quality improvement efforts. Finally, management is required to ensure activities to improve quality are carried out within a functional support architecture.