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Measuring and Improving quality of Primary Care in LMICs-looking for help

By Lisa Hirschhorn Moderator | 31 Oct, 2014

We are working on a project to understand how to measure and improve the quality and effectiveness of primary care health delivery systems in low and middle income countries at the national or sub-national level (province, district or facility). Does anyone have experiences to share or places we should be looking including success stories in 1. delivering high quality delivery or 2. improvement approaches which have been proven to be effective.




Bijay Acharya Replied at 2:27 PM, 31 Oct 2014

Hi Lisa,

I am working with a team in Eastern Nepal to create a comprehensive primary care clinic for industrial workers.

Would love to discuss more.


Elizabeth Glaser Replied at 2:45 PM, 31 Oct 2014

German group GIZ , has been working on health systems in Central and East Africa. I would have to look up specifics and will but I wanted to mention their work DFID, and AustraliaAID may as well.

Lisa Hirschhorn Moderator Replied at 2:54 PM, 31 Oct 2014

Excellent! I will contact you by email (and I also promise to the community to update as we gather this information and advice)

Prasad Pasam Replied at 8:34 PM, 31 Oct 2014


Please take few minutes and watch this Video ( which I have got it done when I was working as General Manager for the India's one of the largest Government sponsored Community Health Health Insurance Scheme covering 65 Mn BPL Population. I was managing 1538 Primary health centers, connecting them for patient referral to 380 (50 bedded) multi specialty Hospitals Network (both public and private).
We conducted 32,000 Health camps in 2 years. It was studied by 24 countries. Now i have started my own consulting firm, please write to me to know about this.
Dr.Prasad Pasam, MBA, PhD

Trisha Finnegan Replied at 9:53 AM, 19 Nov 2014

We have been assisting in improving quality and effectiveness of care through technology. Our focus is in accurate identification of individuals as the starting point to quality care and measurement of outcomes. We provide electronic fingerprint on mobile devices that is designed for and effective in low-resource settings. If I can help provide more information on how biometric identification is being used to improve health care, please let me know.
Best of luck in your efforts.

Trisha Finnegan

Juliet Laverley Replied at 11:07 AM, 19 Nov 2014

Thank you. I will keep you in the loop and reach out to you at the appropriate time.


Carol Gilmore Replied at 8:10 PM, 19 Nov 2014

Hi Trisha, what you describe is really exciting because I am working on
patient safety in Argentina. Patient identification doesn't really exist.
I'd love to tell you all the gory details: medication errors, tests,
surgeries, etc. So there is a lot of discussion in government because I am
raising the red flag on this risk as I evaluate public hospitals' maternity
services. The issue is how to best use some cheap modern technology to best
identify patients throughout the hospital system. Even bar coding, coded
wristband printers, scanners, label printers would seem primitive if there
is simpler more precise technology available. How about a large public
hospital maternity service to test and show risk reduction? Carol

Beatriz Manuel Chongo Replied at 12:01 AM, 20 Nov 2014

Dear Trisha,

Can you please give me more info?

Trisha Finnegan Replied at 10:34 AM, 20 Nov 2014

Thank you for your interest, Beatriz. I will send information directly to your gmail account. Hopefully this will help determine if we might add value and help in your work.
Thank you,

Trisha Finnegan Replied at 10:58 AM, 20 Nov 2014

I applaud the work you are doing. This is occurring all around the world and truly being overlooked or ignored. Identification challenges are persistent and often there is just not priority placed and resources allocated elsewhere. We developed a low-cost model specifically for this reason. We also made sure our product worked in low-infrastructure settings spending 5 years in development and conducting rigorous field testing before launching in 2011. If you would like to discuss further feel free to email me and I can send you some information for your review. It would be great to gather your feedback.
Thanks for the efforts you are leading on this often overlooked problem.

Mwawi Nyirongo Replied at 2:14 PM, 9 Apr 2016

Dear Trisha,
It is Mwawi again after a long break without communicating. I hope you are
doing fine. I have just been involved in a new project, that is starting a
new hospital in the remote area in the Northern part of Malawi. I feel this
Biometrac system will be of great help as we start this project. The
project is initiated by the coffee growers who saw that there is great need
of health care in their community.
I will do my best to send you the background and may be it can help in best
tracking of the patients and all events.
Looking forward to hearing from you.

David Cawthorpe Replied at 8:43 AM, 10 Apr 2016

You may like this app... User-defined e-record that can measure for any disorder the effect of clinical interventions!

Treatment response and client tracking - TRACT

Attached resource:

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.