Learn more about the areas being addressed by the commission by expanding the panes below.
Working group 1: Definition and scoping
Defining high quality health systems and describing burden of low quality.
a. Propose a quality conceptual framework: appropriate framework for technical and non-technical quality (respect, patient experience) in lower-income settings
b. Identify SDG health conditions that are more and less quality sensitive
c. Review size of the quality impact: what are the effects of poor/good quality on health, financial protection, utilization, remaining in care, satisfaction
d. Estimate effective coverage for sentinel SDG conditions (MCH, NCD, mental health, injury): revise estimates of coverage with quality-corrected coverage and assess the global burden of low quality
Working group 2: Measurement
Identifying robust measures of heath system-wide quality that are feasible for use in LMICs.
a. Review of existing measures (gold standards, routine data, others) and assessment of their utility
b. Survey existing data sources and what these can tell us (coordinate with HDC)
c. Propose new measures, instruments—test, validate?
d. Develop quality indicators for the SDGs (4-6)
Working group 3: Improving quality
Finding entry points for quality improvement across the health system continuum
a. Review evidence on quality improvement at the micro, meso, macro levels of the health system in low resource settings and its costs
b. Identify typology of local contexts for QI approaches through implementation science; propose sequencing (expansion path) of QI efforts bases on local resources and context
c. Model scenarios for quality improvement in focus countries and estimate number of lives that can be saved with better quality and costs
Working group 4: Ethics
What level of quality do citizens of LMICs have a right to expect?
a. Explore the right to health in the context of partial effectiveness of care and/or disrespectful care; accountability framework
b. Review minimum standards for quality of primary care
c. Measure the equity distribution of high quality care: what is the spatial distribution of quality vs. poverty?