{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:32:13Z","timestamp":1793093533916,"version":"4.5.0"},"reference-count":79,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100001516","name":"Andrea and Charles Bronfman Philanthropies","doi-asserted-by":"publisher","award":["(20-P0001-C),"],"award-info":[{"award-number":["(20-P0001-C),"]}],"id":[{"id":"10.13039\/100001516","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Anonymous donor"},{"DOI":"10.13039\/501100001322","name":"South African Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Many maternal and neonatal deaths can be avoided if quality healthcare is provided. To this end, the South African National Department of Health implemented a quality improvement (QI) programme (2018\u20132022) to improve maternal and neonatal health services in 21 public health facilities. This study sought to identify good practices aimed at improving QI teams\u2019 performance by identifying optimal facility-level contextual factors and implementation processes. We purposively selected 14 facilities of the 21 facilities for a longitudinal qualitative process evaluation. We interviewed 17 team leaders, 47 members, and five QI advisors who provided technical support to the teams. The data were analysed using framework analysis. We choose the Consolidated Framework for Implementation Research as framework given that it explicates contexts and processes that shape programme implementation. Six quality improvement teams were assessed as well-performing, and eight as less well-performing. This research conceptualises a \u2018life course lens\u2019 for setting up and managing a QI team. We identified eight good practices, six related to implementation processes, and two contextual variables that will optimise team performance. The two most impactful practices to improve the performance of a QI team were (i) selecting healthcare workers with quality improvement-specific characteristics, and (ii) appointing advisors whose interpersonal skills match their technical quality improvement competencies.<\/jats:p>","DOI":"10.1371\/journal.pone.0314024","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T18:27:32Z","timestamp":1732040852000},"page":"e0314024","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Good practices to optimise the performance of maternal and neonatal quality improvement teams: Results from a longitudinal qualitative evaluation in South Africa, before, and during COVID-19"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3295-7283","authenticated-orcid":true,"given":"Willem","family":"Odendaal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Tomlinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ameena","family":"Goga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yages","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuaib","family":"Kauchali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogan","family":"Pillay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manala","family":"Makua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terusha","family":"Chetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xanthe","family":"Hunt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"issue":"12","key":"pone.0314024.ref001","doi-asserted-by":"crossref","first-page":"e1002990","DOI":"10.1371\/journal.pmed.1002990","article-title":"Estimating the global impact of poor quality of care on maternal and neonatal outcomes in 81 low- and middle-income countries: A modeling study","volume":"16","author":"VB Chou","year":"2019","journal-title":"PLoS Med"},{"key":"pone.0314024.ref002","doi-asserted-by":"crossref","unstructured":"Mark A. Schuster EAM, Cung B. Pham MDS, and Robert H., Brook. The Quality of Health Care in the United States: A Review of Articles Since 1987. 2001. In: Crossing the Quality Chasm: A New Health System for the 21st Century [Internet]. Washington, DC: National Academies Press; [231\u201349]. Available from: https:\/\/doi.org\/10.17226\/10027.","DOI":"10.17226\/10027"},{"issue":"7","key":"pone.0314024.ref003","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1093\/intqhc\/mzaa075","article-title":"Development and evaluation of a quality improvement framework for healthcare","volume":"32","author":"S Hamilton","year":"2020","journal-title":"International Journal for Quality in Health Care"},{"issue":"1","key":"pone.0314024.ref004","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1186\/s12913-019-4482-6","article-title":"Can quality improvement improve the quality of care? 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