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Finding the best examples of healthcare quality improvement in Sub-Saharan Africa
  1. Constance Liu,
  2. Joseph Babigumira,
  3. Allan Chiunda,
  4. Achilles Katamba,
  5. Ilya Litvak,
  6. Lakisha Miller,
  7. Imelda Namagembe,
  8. Juliet Sekandi,
  9. Andrea Seicean,
  10. Sinziana Seicean,
  11. Duncan Neuhauser
  1. Department of Epidemiology & Biostatistics, Medical School, Case Western Reserve University, Cleveland, Ohio, USA
  1. Correspondence to Dr Constance Liu, 85 E Concord Ave, Boston OH 02118, USA; constance.liu{at}


Background The purpose of this study was to summarise the current state of healthcare quality improvement literature focusing on sub-Saharan Africa.

Methods Conventional methods of searching the literature were quickly found to be inadequate or inappropriate, given the different needs of practitioners in sub-Saharan Africa, and the inaccessibility of the literature.

Results The group derived a core list of what were deemed exemplary quality improvement articles, based on consensus and a search into the “grey” literature of quality improvement.

Conclusions Quality improvment articles from sub-Saharan Africa are difficult to find, and suffer from a lack of centrality and organisation of literature. Efforts to address this are critical to fostering the growth of quality improvement literature in developing country settings.

  • Healthcare quality improvement
  • Africa
  • quality improvement
  • literature review

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.