1. LOCALIZATION OF QUALITY IMPROVEMENT: Global and Local Picture Mbolatiana Razafimahefa, PSI Madagascar SIFPO End of Project Meeting September 18, 2015

2.  Head of QA for PSI/Madagascar and QA Regional Lead for PSI Francophone programs  Lead QA audits  Provide on-going QA support and provide QA audit follow-up support  Provide clinical updates – WHO new medical eligibility criteria QA Regional Lead Role

3.  Opportunities: –to learn and develop new clinical competencies –to bring back new QA approaches to PSI/Madagascar’s program –to provide coaching to PSI auditors-in-training What has it meant to be a QARL?

4. Leading an audit in Cameroon

5.  Local staff bring an increased understanding of the local context in a peer country  Strong inter-country collaboration  Dual effect (a peer-exchange visit and technical assistance – both countries benefit)  Sustainable approach: Builds on existing QA expertise and enhances knowledge and capacity How has PSI benefitted from localizing QA?

6.  A continuous and comprehensive training process increases local staff capacity and confidence  This approach could be applied to other FP/RH program components. PSI is also integrating this in other health areas. Lessons Learned

7. Thank you