Institutionalization of Improvement in 15 HCI-supported Countries

In 2001, HCI developed a framework consisting of seven elements contributing to the institutionalization of improvement at the national, regional/provincial, district, and service delivery levels. This technical report presents the findings from a preliminary assessment of institutionalization across 15 HCI-supported countries, followed by a discussion of HCI’s recommendations for future research and implementation activities to promote sustained institutionalization of improvement at all levels of care in each assisted country.