• Edgar Necochea, Vandana Tripathi, Young-Mi Kim, Nabeel Akram, Yolande Hyjazi, Maria da Luz Vaz, Emmanuel Otolorin, Tsigue Pleah, Tambudzai Rashidi, and Dustan Bishanga.
• Jhpiego, Baltimore, MD, USA. Electronic address: Edgar.Necochea@jhpiego.org.
• Int J Gynaecol Obstet. 2015 Jun 1; 130 Suppl 2: S17-24.

AbstractThe Standards-Based Management and Recognition (SBM-R; Jhpiego, Baltimore, MD, USA) approach to quality improvement was developed by Jhpiego to respond to common challenges faced by health systems in low-resource settings, including poor pre-service education, lack of resources for conventional supervisory models, and weak health information systems. Since its introduction in Brazil in 1997, SBM-R has been implemented in approximately 30 countries and continues expanding to new places and service delivery areas. The present article: (1) describes key steps in the SBM-R methodology focusing on provider performance assessment using evidence-based standards; and (2) presents examples of improvements in provider performance in maternal, newborn, and child health care following SBM-R implementation derived from routine program data, quasi-experimental evaluations, and in-depth case studies. SBM-R incorporates evidence-based methods that are known to have positive effects on healthcare quality, including audit and feedback, educational outreach visits, and checklist usage; however, further rigorous research is needed to document the population-level impacts of the SBM-R approach.Copyright © 2015. Published by Elsevier Ireland Ltd.

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