WaSH CQI: Applying continuous quality improvement methods to water service delivery in four districts of rural northern Ghana.

ABSTRACT: Continuous, safely managed water is critical to health and development, but rural service delivery faces complex challenges in low- and middle-income countries (LMICs). We report the first application of continuous quality improvement (CQI) methods to improve the microbial quality of household water for consumption (HWC) and the functionality of water sources in four rural districts of northern Ghana. We further report on the impacts of interventions developed through these methods. A local CQI team was formed and trained in CQI methods. Baseline data were collected and analyzed to identify determinants of service delivery problems and microbial safety. The CQI team randomized communities, developed an improvement package, iteratively piloted it in intervention communities, and used uptake

SUBMITTER: Fisher MB 

PROVIDER: S-EPMC7363065 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature