Dataset: Factors that influence the implementation of quality improvement programs (HEALTHQUAL Program)

Access to poor quality care has adverse effects in terms of morbidity and mortality. Hence the need to find strategies to improve processes and systems in order to satisfy patients and enable access to good quality care. In Haiti, the Ministry of Public Health and Population, donors as well as technical and financial partners emphasize quality improvement programs such as the HEALTHQUAL program. It has become an essential approach in the health system in Haiti. Quality improvement programs are new to the context of Haiti. However, very little data is available on the factors that can facilitate or hinder the implementation of these quality improvement initiatives. Evaluative research (implementation analysis) with a multiple case study was carried out using a qualitative research design. Thirty-eight semi-structured interviews, observations were made, and documents analyzed. Data analysis was performed using the constant comparative methods and a synthetic analysis framework with predefined categories (program components, facilitating factors, inhibiting factors, mechanisms, consequences and interactions between model elements). Subsequently, these categories were analyzed inductively using the “Atlas ti” software and adding other emerging codes in the pre-defined categories. Memos and a “research journal” were used during data collection and analysis. Those data shed light on the main facilitators and obstacles to the implementation of quality improvement programs in the context of Haiti.