The Gas Cylinder, the Motorcycle and the Village Health Team Member: A Proof-of-Concept Study for the Use of the Microsystems Quality Improvement Approach to Strengthen the Routine Immunization System in Uganda
Geisel School of Medicine
Although global efforts to support routine immunization (RI) system strengthening have resulted in higher immunization rates, the World Health Organization (WHO) estimates that the proportion of children receiving recommended DPT3 vaccines has stagnated at 80% for the past 3 years (WHO Fact sheet-Immunization coverage 2014, WHO, 2014). Meeting the WHO goal of 90% national DPT3 coverage may require locally based strategies to support conventional approaches. The Africa Routine Immunization Systems Essentials-System Innovation (ARISE-SI) initiative is a proof-of-concept study to assess the application of the Microsystems Quality Improvement Approach for generating local solutions to strengthen RI systems and reach those unreached by current efforts in Masaka District, Uganda. The ARISE-SI intervention had three components: health unit (HU) advance preparations, an action learning collaborative, and coaching of improvement teams. The intervention was informed and assessed using qualitative and quantitative methods. Data collection focused on changes and outcomes of improvement efforts among five HUs and one district-level team during the intervention (June 2011-February 2012) and five follow-up months.
Dartmouth Digital Commons Citation
Bazos, Dorothy A.; LaFave, Lea R. Ayers; Suresh, Gautham; Shannon, Kevin C.; Nuwaha, Fred; and Splaine, Mark E., "The Gas Cylinder, the Motorcycle and the Village Health Team Member: A Proof-of-Concept Study for the Use of the Microsystems Quality Improvement Approach to Strengthen the Routine Immunization System in Uganda" (2015). Dartmouth Scholarship. 906.