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Our study concerned an experience of participatory improvement of tortillero sorghum for low-input cropping systems in northern Nicaragua.
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In the Health Workers for Change program, for example, the participatory quality improvement measure improved relations between providers and patients [ 48].
A recent district-level participatory quality improvement intervention in South Africa to improve PMTCT coverage [ 17] identified poor supervision systems as a limitation to quality improvement and compensated by employing an external facilitator.
This approach could be scaled up as a model for participatory programme improvement.
We report on a data driven participatory quality improvement intervention implemented in a high HIV prevalence district in South Africa.
A participatory quality improvement intervention was implemented consisting of an initial assessment undertaken by a team of district supervisors, workshops to assess results, identify weaknesses and set improvement targets and continuous monitoring to support changes.
The project will adopt a participatory, quality improvement approach that features annual cycles of: 1) organisational system assessment and audits of clinical records; 2) feedback to and interpretation of results with participating health centre staff; 3) action planning and goal setting by health centre staff to achieve system changes; and 4) implementation of strategies for change.
Similarly, the implementation of the participatory WIND (Work Improvement in Neighborhood Development) program led to concrete improvements in the daily work life of farmers (31).
The achievement of these goals calls for new research methods such as pragmatic research trials that combine hypothesis testing with quality improvement, participatory research that engages the target community at the beginning of research design, and other quasi-experimental designs.
An evaluation of progress with participatory approaches for improvement of health knowledge and health experiences of disadvantaged people in eight Districts of Eastern Nepal has been undertaken.
A participatory approach to quality improvement and assurance, that engages children, parents and staff.
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