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Globalization and Health

, 8:41

First Online: 30 November 2012Received: 28 December 2011Accepted: 15 November 2012DOI: 10.1186-1744-8603-8-41

Cite this article as: Maru, D.SR., Andrews, J., Schwarz, D. et al. Global Health 2012 8: 41. doi:10.1186-1744-8603-8-41


Over the last decade, extensive scientific and policy innovations have begun to reduce the -quality chasm- the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1 revise global health investment mechanisms to value quality; 2 enhance human resources for improving health systems quality; 3 scale up data capacity; 4 deepen community accountability and engagement initiatives; 5 implement evidence-based quality improvement programs; 6 develop an implementation science research agenda.

KeywordsResource-limited Health system Global health Quality improvement AbbreviationsQIQuality improvement


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Electronic supplementary materialThe online version of this article doi:10.1186-1744-8603-8-41 contains supplementary material, which is available to authorized users.

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Autor: Duncan Smith-Rohrberg Maru - Jason Andrews - Dan Schwarz - Ryan Schwarz - Bibhav Acharya - Astha Ramaiya - Gregory Karelas


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