Use of Problem-Driven Iterative Adaptation to Improve Health Facility Accountability to Clients and Quality of Care

In collaboration with IRC’s Governance Unit, this project is testing a participatory systems strengthening approach called “Problem-Driven Iterative Adaptation,” founded on four principles:

  1. focusing on specific problems as prioritized by local actors;
  2. fostering active, ongoing experimental iterations to turn ideas into solutions;
  3. establishing an “authorizing environment” for decision-making that encourages experimentation and “positive deviance”; and
  4. engaging broad sets of agents to ensure that reforms are viable, legitimate, and relevant. 

This will be tested in a subset of health facilities in Myanmar to determine whether we observe increases in accountability and quality of care.

The Airbel Impact Lab at IRC is a team of researchers, strategists and innovators committed to the accelerated design, rigorous evaluation and cost-effective scaling of the most impactful solutions supporting people affected by crisis.