Effectiveness of the Diagnose-Intervene- Verify-Adjust (DIVA) model for integrated primary healthcare planning and performance improvement: an embedded mixed methods evaluation in Kaduna state, Nigeria.

ABSTRACT: OBJECTIVES:This study evaluates the real-world effectiveness of Diagnose-Intervene-Verify-Adjust (DIVA), an innovative quality improvement mode, in improving primary healthcare (PHC) bottlenecks impeding health system performance in Kaduna, a northern Nigerian state. DESIGN:An embedded mixed method study design involving participant observation. SETTING:PHCs in 23 local government areas of Kaduna state, Nigeria. PARTICIPANTS:138 PHC managers across the state (PHC directors and programme managers in the 23 local governments). INTERVENTION:DIVA is a four-step improvement model in which 'Diagnose' identifies constraints to effective coverage, 'Intervene' develops/implements action plans addressing constraints, while 'Verify/Adjust' monitor performance and revise plans. PRIMARY AND SECONDARY O

SUBMITTER: Eboreime EA 

PROVIDER: S-EPMC6477390 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature