There has been several pieces of work published recently on how health systems are failing and how they have to evolve and focus on quality of care, to adapt to changing needs and support Universal Health Coverage (UHC).
Last month, The Lancet Global Health Commission on High Quality Health Systems in the SDG Era published its report examining what a high-quality health system should look like. A study by the National Academies of Sciences, Engineering, and Medicine looks into the global impacts of poor-quality health care and recommends ways to improve quality while expanding UHC. And a joint report by the World Health Organization (WHO), Organisation for Economic Co-operation and Development (OECD), and the World Bank Group details the economic and social costs of poor quality of care.
These publications look at the health system perspective. But Nigel Livesley, who works for the Network for Improving Quality of Care for Maternal, Newborn and Child Health suggests that to drive these system changes, we need to look at how things are done in health facilities and how quality of care can be and is improved there.
Here is why.