CONTENTS

         Chapters
  1. The Importance of Quality
  2. The Quality Movement in Health Care
  3. Client-Centered Care
  4. Principles of Quality Movement
  5. Quality Design
  6. Quality Control
  7. Quality Improvement

HIGHLIGHTS

Population Reports is published by the Population Information Program, Center for Communication Programs, The Johns Hopkins School of Public Health, 111 Market Place, Suite 310, Baltimore, Maryland 21202-4012, USA


Volume XXVI, Number 3
November, 1998

Series J, Number 47

Looking to the Future

Quality assurance is a continuous, long-term process. Making quality a top priority requires fundamental changes in organizational culture, in goals and guidelines, and in daily operations. Organizations typically move forward in a series of small steps, each building on previous successes, rather than transforming themselves overnight (102, 315). Persistence is crucial: Quality initiatives often must weather periods of discouragement, confusion, cynicism, and complacency before good quality can be achieved and maintained (38, 102, 200). For example, FPAK's efforts took nearly a decade to produce results (44).

Most developing-country initiatives to improve the quality of family planning and health care are too recent to have been institutionalized or to show which approaches work best. Yet the achievements to date have demonstrated the great potential of quality assurance for family planning and other reproductive health care. Quality assurance efforts have helped organizations use resources more efficiently, solved long-standing service delivery problems, raised the quality of care, and increased client satisfaction. Quality assurance concepts and methods will continue to evolve as researchers and program managers test different approaches. With time and continued effort, health programs will learn the best ways to assure and keep improving the quality of services.


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