WaSH CQI: Applying continuous quality improvement methods to water service delivery in four districts of rural northern Ghana

Autor: Jamie Bartram, Allison N Fechter, Zakaria Seidu, Michael Fisher, Kaida M Liang, Rohit Ramaswamy, Leslie Danquah, Bansaga Saga
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Quality management
Sanitation
Service delivery framework
Psychological intervention
Water supply
Surveys
Ghana
Geographical Locations
Random Allocation
0302 clinical medicine
Water Quality
Natural Resources
Product Packaging
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Statistical Data
Multidisciplinary
Statistics
Hygiene
Quality Improvement
Work (electrical)
Research Design
Physical Sciences
Water Resources
Medicine
Engineering and Technology
Water Microbiology
Environmental Health
Research Article
Environmental Engineering
Water Management
Science
030231 tropical medicine
Research and Analysis Methods
03 medical and health sciences
Water Supply
Operations management
Baseline (configuration management)
Survey Research
business.industry
Ecology and Environmental Sciences
Health Care
People and Places
Africa
Business
Water quality
Sanitary Engineering
Mathematics
Total Quality Management
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 7, p e0233679 (2020)
ISSN: 1932-6203
Popis: Continuous, safely managed water is critical to health and development, but rural service delivery faces complex challenges in low- and middle-income countries (LMICs). We report the first application of continuous quality improvement (CQI) methods to improve the microbial quality of household water for consumption (HWC) and the functionality of water sources in four rural districts of northern Ghana. We further report on the impacts of interventions developed through these methods. A local CQI team was formed and trained in CQI methods. Baseline data were collected and analyzed to identify determinants of service delivery problems and microbial safety. The CQI team randomized communities, developed an improvement package, iteratively piloted it in intervention communities, and used uptake survey data to refine the package. The final improvement package comprised safe water storage containers, refresher training for community WaSH committees and replacement of missing maintenance tools. This package significantly reduced contamination of HWC (p
Databáze: OpenAIRE
Externí odkaz: