Table 1 Description of CQI intervention visit types and activities
Study phase | Visit type | Description of activities |
|---|---|---|
Intensive CQI (transition) | Induction | • Introduction to the CRH QI team • Situational analysis with preliminary appraisal of local clinic processes and pre-exposure data collection using facility data sources such as registers • Training of facility staff by CRH CQI mentors on CQI methodology and tools |
Intervention | • Mapping clinic processes and establishing priorities for process improvements through bottleneck and root-cause analyses with standardized CQI tools such as process maps, fishbone diagrams, initiation of PDSA cycles and run charts • Implementing changes and monitoring progress through PDSA cycle reviews and run charts | |
|  | Support | • Mentorship, support and ongoing assistance to monitor progress and review changes via iterative PDSA cycles and run charts • Considering to adopt the implemented changes (Change Package) |
Maintenance | Support | • Mentorship, support and ongoing assistance are provided to monitor progress and review changes via iterative PDSA cycles and run charts • Considering to adopt the implemented changes (Change Package) |
Maintenance | • As for Support visits | |
Action Learning Session | • Sharing change ideas and experiences with other facilities already randomised to the intervention |