TY - JOUR AU - Higgins-Steele, Ariel AU - Waller, Kathryn AU - Fotso, Jean Christophe AU - Vesel, Linda PY - 2015 DA - 2015/06/08 TI - Peer-driven quality improvement among health workers and traditional birth attendants in Sierra Leone: linkages between providers’ organizational skills and relationships JO - BMC Health Services Research SP - S4 VL - 15 IS - 1 AB - Sierra Leone has among the poorest maternal and child health indicators in the world and investments in public health have been predominately to increase demand for services, with fewer initiatives targeting supply side factors that influence health workers’ work environment. This paper uses data from the Quality Circles project in a rural district of Sierra Leone to achieve three objectives. First, we examine the effect of the intervention on organizational skills and relationships among coworkers as well as between health workers and traditional birth attendants. Second, we examine whether changes in organizational skills are associated with changes in relationships among and between formal and informal health providers and between health providers and clients. Third, we aim to further understand these changes through the perspectives of health workers and traditional birth attendants. SN - 1472-6963 UR - https://doi.org/10.1186/1472-6963-15-S1-S4 DO - 10.1186/1472-6963-15-S1-S4 ID - Higgins-Steele2015 ER -