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Sustainability of Improvements in Maternal and Child Care and Institutionalization of Continuous Quality Improvement in Nicaragua


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This study measures the level of sustainability of improvements in maternal and child care and the institutionalization of continuous quality improvement (CQI) in Nicaragua's Ministry of Health (MINSA) following 10 years (2000-2010) of USAID-supported technical assistance. The study explores whether approaches to improving key health care processes through CQI initiatives have been incorporated and are used on a daily basis by health care workers in MINSA health facilities. This study is the first of its kind for USAID in Nicaragua.


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