Does poor quality of delivery facilities contribute to avertable neonatal deaths in Malawi?

Leslie HH, Fink G, Nsona H, Kruk M. (2016) Obstetric Facility Quality and Newborn Mortality in Malawi: A Cross-Sectional Study. PLoS Medicine, 13(10). Despite dramatic increases in women’s access to skilled birth attendants in the past two decades, neonatal mortality has declined slowly – deaths within 28 days of birth are now the largest share of global child mortality. Malawi, one of the poorest countries in the world, achieved dramatic…

Researcher Todd Lewis: No ‘fluoride in the water’ for quality improvement?

By Todd Lewis, Working Group 3 researcher There is a great deal of room for improvement in “quality improvement”—this was a key takeaway from my first discussion with the Commissioners and researchers of Working Group 3, which focuses on quality improvement approaches. As we broached the goals of the working group, we quickly realized that while questions were abundant, clear answers were not. For example, I was surprised to find…

Commissioner Barker: Right timing, right people, and right opportunity

Commissioners Alex Rowe, Frederico Guanais, and Pierre Barker on a panel about quality improvement at scale during the inception meeting of the HQSS Commission.

By Commissioner Pierre Barker I could not be more enthusiastic about the emergence of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era and really honored to be part of this highly talented and influential group of 30 global health experts. The Commission’s timing is prescient. There is an increasing awareness that health system quality has been neglected in the urgent efforts to achieve universal…

Commissioner Rowe: My thoughts on the March 13-15 HQSS inception meeting

By Commissioner Alexander Rowe The first meeting of the Lancet Global Health Commission on High Quality Health Systems in the SDG Era got off to a strong start. I was impressed by the expertise, diversity, and energy of the Commissioners, Commission Advisory Council members, researchers, and support staff. As I looked around the room, I saw senior policy-makers (including the former Minister of Health of Nigeria), epidemiologists, program specialists, measurement…

What % of Haiti’s population has access to good quality primary care?

Gage, A.D., Leslie, H.H., Bitton, A., Jerome, J.G., Thermidor, R., Joseph, J.P. and Kruk, M.E., 2017. Assessing the quality of primary care in Haiti. Bulletin of the World Health Organization, 95(3), p.182. High quality primary health care systems are critical to improving health systems worldwide, yet there are few measures for assessing the quality of the primary care. We adopted the Primary Health Care Performance Initiative’s framework on primary care to define…

Work in progress – Health care coverage for sick children is both low and ineffective in low and middle income countries

By Hannah Leslie   Effective coverage – the fraction of health gain actually delivered by the health system to the population in need – is emerging as a critical indicator of progress towards universal health coverage. Estimates of effective coverage can be calculated based on the population in need, utilization of health services, and quality of the care delivered. Limited research has addressed effective coverage of care for children under…

Does maternal health care quality vary with poverty level in Kenya?

Sharma, J., Leslie, H.H., Kundu, F. and Kruk, M.E., 2017. Poor Quality for Poor Women? Inequities in the Quality of Antenatal and Delivery Care in Kenya. PloS One, 12(1), p.e0171236. We investigated the distributional aspects of quality of maternal healthcare, an important determinant of future progress in global health, but one that has received inadequate attention. We mapped the quality of maternal care in facilities located in poorer versus wealthier areas of…

Welcome to the HQSS Commission website!

On behalf of the HQSS Commission, we are pleased to welcome you to the HQSS Commission website. We will be updating this website frequently with new research, Commission activities, and news related to our work. Why quality? Low and middle income countries have made substantial improvements in health care delivery and coverage of care since the launch of the Millennium Development Goals (MDGs). However, emerging health systems and population research has shown that there is still much…