Health Care Improvement (HCI) Project

Launched in 2007, the Health Care Improvement Project (HCI) is a 5-year effort funded by the United States Agency for International Development (USAID) to assist national and local programmes to scale up evidence-based interventions and improve outcomes in child health, maternal and newborn care, HIV/AIDS, tuberculosis, malaria, and reproductive health. Drawing on interactive online processes for sharing information and facilitating knowledge exchange, HCI is working in Afghanistan, Bolivia, Cote d'Ivoire, Ecuador, El Salvador, Ethiopia, Guatemala, Honduras, Indonesia, Kenya, Madagascar, Mali, Mozambique, Namibia, Nicaragua, Niger, Nigeria, Russia, South Africa, Swaziland, Tanzania, Uganda, and Zambia. This portal site was designed to provide an open forum for sharing best practices, successes, challenges, tools, and lessons that could be useful for others to improve health care.
The HCI initiative revolves around an interactive website that is designed to not only provide information about initiatives, tools, and strategies - many of which are communication-related - but also to foster a community of practice. The HCI portal is designed to facilitate documentation and sharing of practical knowledge, best practices, tools, and implementation experiences to support improvement activities in the following topic areas: HIV/AIDS; human resources/workforce development; malaria; maternal, newborn, and child health; orphans and vulnerable children; patient safety; reproductive health; and tuberculosis. Each improvement topic page features:
- Tools for assessment and improvement - example from the HIV/AIDS topic page: "HIV/AIDS-Related Stigma, Fear, and Discriminatory Practices among Healthcare Providers in Rwanda"
- Improvement experiences that describe the interventions, results, and lessons learned from national and local health care improvement efforts - example from the orphans and vulnerable children topic page: "Changing Youth Participation from a 'Token Voice' to a Key Actor"
- Other resources on the web that offer tools or knowledge to support health care improvement.
The HCI Improvement Database makes information about tested improvement strategies and interventions available through an openly accessible, web-based knowledge management system. The database features improvement reports, which are short reports about a specific health care improvement experience; collaborative profiles, which are descriptions of actual improvement collaboratives and include tools and related information of interest to those who want to implement a similar collaborative; and publications and other types of resources related to health care improvement, including both those published by the HCI Project as well as those of other organisations working in improvement worldwide. Any registered site user may contribute improvement reports and collaborative profiles to this database.
As part of HCI and its portal, there is a CHW Central community of practice, which is designed to provide a space for information and dialogue about community health workers (CHWs) around the world. The community features resources (including training materials, tools, journal articles, etc.), discussion forums, an active blog by experts in CHWs, and news and links related to CHWs. For example, an October 2011 posting to this community of practice reads: "When you hear the term 'community health worker' you may well have in mind quite a specific profile. You may picture someone doing community talks and going house-to-house giving behavior change...Join the conversation..."
Health, Reproductive Health, HIV/AIDS, Children.
University Research Co., LLC (URC), Johns Hopkins University Center for Communication Programs (CCP), EnCompass LLC, Family Health International (FHI), Initiatives Inc., Health Research, Inc. (HRI), and The Institute for Healthcare Improvement.
Implementing Best Practices (IBP) Global Community eNewsletter, July 5 2011; and HCI portal, December 12 2011. Image credit: 2008 Joseph Kariuki, Courtesy of Photoshare
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