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Institutionalization of Improvement in 15 HCI-supported Countries

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Resource author(s): Sarah Smith, Edward Broughton, Astou Coly, Sarah Smith, Edward Broughton, Astou Coly

Key topics: Health, Monitoring, Evaluation, and Research, Technical Assistance


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In 2001, HCI developed a framework consisting of seven elements contributing to the institutionalization of improvement at the national, regional/provincial, district, and service delivery levels. This technical report presents the findings from a preliminary assessment of institutionalization across 15 HCI-supported countries, followed by a discussion of HCI’s recommendations for future research and implementation activities to promote sustained institutionalization of improvement at all levels of care in each assisted country.

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