Ciheb Nigeria Toolkit
The guide is informed by UMB’s and Ciheb’s collective CQI implementation experience over a nearly 15 year period across six low-resource countries and has been adapted to the Nigeria context. Stakeholder engagement has been emphasized throughout the application of our CQI approach to ensure buy-in to the assessment, implementation process, monitoring of CQI initiatives, and sustainability for maintenance.
Below, we share evidence-based resources developed to support the implementation of quality improvement projects. Included in the materials are valuable external resources that our teams have utilized for successful implementation of CQI. We also recommend the Aurum Institute's How to Guide for Quality Improvement, which is an easy-to-read guide and provides examples and methods for administering quality improvement.
Step 1: Conducting a rapid assessment of the facility through review of data and process mapping
Activity 3: Developing CQI skills for the team.
Tools: CQI Curriculum
Step 2: Capacity Building Tools
Step 3: Identification of the opportunity for improvement
Activity 6: Conduct a root cause analysis to identify the problem (e.g. fishbone diagram and five whys).
Tools: Fishbone Diagram
Step 3: Planning and prioritizing
Activity 7: Use priority methodology, e.g., CQI prioritization matrix.
Tools: Problem Prioritization Matrix
Activity 8: Prioritize interventions depending on gap and other contextual factors to determine the change package.
Tools: Documentation Audit Form ART, Documentation audit form Child and Maternal FU, Documentation Audit Form Delivery, Documentation audit form General ANC and PMTCT HCT regular, Documentation Audit Form HCT
Activity 9: Use data to identify gaps in service delivery.
Tools: NigeriaQual Adult QoC Tool, NigeriaQual Financial Management QoC Tool, NigeriaQual Logistics QoC Tool, NigeriaQual Pediatric QoC Tool, NigeriaQual PMTCT QoC Tool, NigeriaQual Program Management QoC Tool