Olaniran, AA;
Oludipe, M;
Hill, Z;
Ogunyemi, A;
Umar, N;
Ohiri, K;
Schellenberg, J;
(2021)
From Theory to Implementation: Adaptations to a Quality Improvement Initiative According to Implementation Context.
Qualitative Health Research
10.1177/10497323211058699.
(In press).
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Abstract
As countries continue to invest in quality improvement (QI) initiatives in health facilities, it is important to acknowledge the role of context in implementation. We conducted a qualitative study between February 2019 and January 2020 to explore how a QI initiative was adapted to enable implementation in three facility types: primary health centres, public hospitals and private facilities in Lagos State, Nigeria. Despite a common theory of change, implementation of the initiative needed to be adapted to accommodate the local needs, priorities and organisational culture of each facility type. Across facility types, inadequate human and capital resources constrained implementation and necessitated an extension of the initiative’s duration. In public facilities, the local governance structure was adapted to facilitate coordination, but similar adaptations to governance were not possible for private facilities. Our findings highlight the importance of anticipating and planning for the local adaptation of QI initiatives according to implementation environment.
| Type: | Article |
|---|---|
| Title: | From Theory to Implementation: Adaptations to a Quality Improvement Initiative According to Implementation Context |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/10497323211058699 |
| Publisher version: | https://doi.org/10.1177%2F10497323211058699 |
| Language: | English |
| Additional information: | © 2021 by SAGE Publications. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/). |
| Keywords: | quality improvement, maternal health, neonatal health, low- and middle-income countries |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10139873 |
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