2nd International Quality Forum 2015

"Quality Improvement Mechanisms in Health System Strengthening: Where is the Evidence?"

2015 marked the start of the ‘post-MDG’ era and while the Millennium Development Goals could not reach all their targets, health system strengthening (HSS) is key to all programme interventions in health. It is also increasingly recognized that quality improvement (QI) mechanisms in health care are a determinant of health system strengthening. At a time when the next generation of priorities for global health is being defined, however, it appears that it is crucial to examine the evidence of this impact.

In particular, the 2nd International Quality Forum specifically discussed how QI mechanisms can contribute to health system strengthening and how this contribution can be best measured. This was illustrated by five aspects affecting health systems: disease outbreaks – with a focus on Ebola; post-conflict settings; patient safety; accreditation and, finally, the linkages of QI mechanisms within a facility as well as between levels of health systems.

The aim of the Forum was therefore to critically analyse QI mechanisms and approaches against HSS targets and to formulate recommendations to ensure QI mechanisms have an impact on upcoming health system strengthening measures.