Harnessing the health systems strengthening potential of quality improvement using realist evaluation : an example from southern Tanzania
‘Realist evaluation’ begins by establishing an initial programme theory, then identifying opportunities that support skill- and confidence-strengthening for optimising quality improvement (QI) as an implementation research approach. In this paper QI refers to participatory approaches through which stakeholders identify context-specific problems, and create and implement solutions. Local data are collected to determine whether improvements have been made; the entire process is data-driven. The realist evaluation process can generate better understanding about how health systems building blocks may be strengthened through QI processes.
Auteur ou autrice(s) : Manzi, F., Marchant, T., Hanson, C., Schellenberg, J., Mkumbo, E., Mlaguzi, M., Tancred, T.
Langage : Anglais