Networks of care to strengthen primary healthcare in resource constrained settings

Service delivery redesign is a process, not a model of care

“…Quality improvement interventions are not SDR unless they affect the organisation of a health system. Similarly, reorganisation programmes-such as the development of networks of care 6 -may not be SDR if reorganisation is not intended to equitably overcome "quality ceilings" at a given level of the health system.…”

“…Sanam Roder-DeWan, associate professor of community and family medicine 1,2 Supriya Madhavan, senior health specialist 1 Savitha Subramanian, senior programme officer 3 Kojo Nimako, senior health specialist 4 Talib Lashari, technical adviser 5 Amith Nagaraj Bathula, senior operations officer 6 Ramkumar Sathurappan, additional secretary 7 Sampath Kumar, principal secretary 7 Mickey Chopra, global solutions lead for service delivery 1…”

Enable, engage, and innovate for quality

“…Training and continuous professional development, effective leadership, teamwork, and a culture of learning and accountability enable healthcare providers to embrace change for quality, share best practices, learn from mistakes, and improve health outcomes. Examples such as Ghana’s networks of care approach, integrated within primary healthcare, show that relationship building and shared learning among health providers and health service organisations improves quality 6…”

Overcoming the barriers between resource constraints and healthcare quality

“…16 Other important suggestions include the engagement of patients themselves in the design, delivery, evaluation of health services and service delivery redesign with development of innovative solutions and optimization of networks of care. [17][18][19] Such will obviously influence and support quality improvement, and national surgical policies. 20,21 And finally, implementation science is especially important in low-resource settings to ensure novel solutions are translated into routine practice and benefit the largest possible number of people.…”

“…Other important suggestions include the engagement of patients themselves in the design, delivery, evaluation of health services and service delivery redesign with development of innovative solutions and optimization of networks of care. 17–19 Such will obviously influence and support quality improvement, and national surgical policies. 20,21…”