Dominic Montagu, DrPH
Professor
Epidemiology & Biostatistics
School of Medicine

In India and Kenya my colleagues and I are working to first develop a measure for person-centered quality, and then to implement rapid quality improvement cycles in multiple hospitals, working with the hospital managers, clinicians, staff, and patients to identify quality shortcomings, causes, and to brainstorm and implement solutions.

We will measure the effectiveness of those locally-developed solutions using the common quality metric we have already created. The rapid quality-improvement initiatives that work in one facility, that lead to a significant improvement on our quality scale, will then be prioritized for testing out in the subsequent rapid quality-improvement cycle in the other facilities.

Working this way will allow us to be fast, innovative, build on local ideas and knowledge, and also assess the replicability and validity of specific interventions. We will work in 6 hospitals in Uttar Pradesh, India, and in 3 hospitals in Nairobi, Kenya.

Good metrics, and a commitment to improve based on what they show, is at the core of effective, responsive, patient-centered healthcare. Responding to what matters to real patients, rather than just to scientists, providers, or managers, is the key to making quality improvements that both improve outcomes, and improve timely access, use, and follow-through on care.

• Can changes to improve person-centred maternity care be spread across public health facilities in Uttar Pradesh, India?
  Sexual and reproductive health matters 2021 Sudhinaraset M, Giessler K, Nakphong MK, Roy KP, Sahu AB, Sharma K, Montagu D, Green C
• Recognizing and mediating bureaucratic barriers: increasing access to care through small and medium-sized private providers in Kenya.
  Gates Open Research 2021 Lauren Suchman, Edward Owino, Dominic Montagu
• Recognizing and mediating bureaucratic barriers: increasing access to care through small private providers in Kenya.
  Gates open research 2021 Suchman L, Montagu D
• Providers preferences towards greater patient health benefit is associated with higher quality of care.
  International journal of health economics and management 2021 Kacker S, Aung T, Montagu D, Bishai D
• Standard Survey Data: Insights Into Private Sector Utilization.
  Frontiers in medicine 2021 Montagu D, Chakraborty N
• The Provision of Private Healthcare Services in European Countries: Recent Data and Lessons for Universal Health Coverage in Other Settings.
  Frontiers in public health 2021 Montagu D
• Translating international guidelines for use in routine maternal and neonatal healthcare quality measurement.
  Global health action 2020 Chang KT, Hossain P, Sarker M, Montagu D, Chakraborty NM, Sprockett A
• Perspectives on implementing a quality improvement collaborative to improve person-centered care for maternal and reproductive health in Kenya.
  International journal for quality in health care : journal of the International Society for Quality in Health Care 2020 Giessler K, Seefeld A, Montagu D, Phillips B, Mwangi J, Munson M, Green C, Opot J, Golub G
• Results of a person-centered maternal health quality improvement intervention in Uttar Pradesh, India.
  PloS one 2020 Montagu D, Giessler K, Nakphong MK, Roy KP, Sahu AB, Sharma K, Green C, Sudhinaraset M
• A comparison of intensive vs. light-touch quality improvement interventions for maternal health in Uttar Pradesh, India.
  BMC health services research 2020 Montagu D, Giessler K, Nakphong MK, Green C, Roy KP, Sahu AB, Sharma K, Sudhinarset M
• Measuring Service Quality and Assessing Its Relationship to Contraceptive Discontinuation: A Prospective Cohort Study in Pakistan and Uganda.
  Global health, science and practice 2020 Chang KT, Chakraborty NM, Kalamar AM, Hameed W, Bellows B, Grépin KA, Gul AX, Bradley SEK, Atuyambe LM, Montagu D
• Equity lessons from a large scale private-sector healthcare intervention in Ghana and Kenya: Results for a multi-year qualitative study.
  Gates open research 2020 Montagu D, Suchman L, Seefeld CA
• Patient-experience during delivery in public health facilities in Uttar Pradesh, India.
  Health policy and planning 2020 Montagu D, Landrian A, Kumar V, Phillips BS, Singhal S, Mishra S, Singh S, Cotter SY, Singh VP, Kajal F, Sudhinaraset M
• Is there a difference in women's experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services.
  PloS one 2019 Sudhinaraset M, Landrian A, Montagu D, Mugwanga Z
• Patient-experience during delivery in public health facilities in Uttar Pradesh, India.
  Health policy and planning 2019 Montagu D, Landrian A, Kumar V, Phillips BS, Singhal S, Mishra S, Singh S, Cotter SY, Singh VP, Kajal F, Sudhinaraset M
• Definitions, measurement and indicator selection for quality of care in abortion.
  Contraception 2019 Darney BG, Kapp N, Andersen K, Baum SE, Blanchard K, Gerdts C, Montagu D, Chakraborty NM, Powell B
• Toward the development of a short multi-country person-centered maternity care scale.
  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2019 Afulani PA, Feeser K, Sudhinaraset M, Aborigo R, Montagu D, Chakraborty N
• Association Between the Quality of Contraceptive Counseling and Method Continuation: Findings From a Prospective Cohort Study in Social Franchise Clinics in Pakistan and Uganda.
  Global health, science and practice 2019 Chakraborty NM, Chang K, Bellows B, Grépin KA, Hameed W, Kalamar A, Gul X, Atuyambe L, Montagu D
• Who Serves the Poor? An Equity Analysis of Public and Private Providers of Family Planning and Child Health Services in Kenya.
  Frontiers in public health 2019 Chakraborty NM, Montagu D, Wanderi J, Oduor C
• Equity in family planning access and the effects of growing urbanization in sub-Saharan Africa.
  Contraception 2018 L Suchman, D Montagu, A Seefeld
• Public-private partnerships in practice: collaborating to improve health finance policy in Ghana and Kenya.
  Health policy and planning 2018 Suchman L, Hart BA, Montagu D
• Public-private partnerships in practice: collaborating to improve health finance policy in Ghana and Kenya.
  Health policy and planning 2018 Suchman L, Hart E, Montagu D
• Predictors of person-centered maternity care: the role of socioeconomic status, empowerment, and facility type.
  BMC health services research 2018 Afulani PA, Sayi TS, Montagu D
• Quality of care and abortion: beyond safety.
  BMJ sexual & reproductive health 2018 Darney BG, Powell B, Andersen K, Baum SE, Blanchard K, Gerdts C, Montagu D, Chakraborty NM, Kapp N
• Is bigger better? Assessment of self-reported and researcher-collected data on maternal health care quality among high-case-load facilities in Uttar Pradesh: a mixed-methods study.
  The Lancet Global Health 2018 Beth Phillips, Fnu Kajal, Dominic Montagu, Aarti Kumar, Vishwajeet Kumar
• Advancing a conceptual model to improve maternal health quality: The Person-Centered Care Framework for Reproductive Health Equity.
  Gates open research 2017 Sudhinaraset M, Afulani P, Diamond-Smith N, Bhattacharyya S, Donnay F, Montagu D
• Where women go to deliver: understanding the changing landscape of childbirth in Africa and Asia.
  Health policy and planning 2017 Montagu D, Sudhinaraset M, Diamond-Smith N, Campbell O, Gabrysch S, Freedman L, Kruk ME, Donnay F
• Putting women at the center: a review of Indian policy to address person-centered care in maternal and newborn health, family planning and abortion.
  BMC public health 2017 Srivastava A, Singh D, Montagu D, Bhattacharyya S
• Clinical and perceived quality of care for maternal, neonatal and antenatal care in Kenya and Namibia: the service provision assessment.
  Reproductive health 2016 Diamond-Smith N, Sudhinaraset M, Montagu D
• Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector?
  Lancet (London, England) 2016 Montagu D, Goodman C
• Recent trends in working with the private sector to improve basic healthcare: a review of evidence and interventions.
  Health policy and planning 2016 Montagu D, Goodman C, Berman P, Penn A, Visconti A
• Lessons for social franchises from sustainability in business and public health studies: a systematic review.
  The Lancet Global Health 2016 Amy Penn, Juan Carlos Negrette, Dale Huntington, Dominic Montagu
• Improving the quality of paediatric malaria diagnosis and treatment by rural providers in Myanmar: an evaluation of a training and support intervention.
  Malaria journal 2015 Aung T, Longfield K, Aye NM, San AK, Sutton TS, Montagu D, PHSi/UCSF Global Health Group
• Availability and quality of anti-malarials among private sector outlets in Myanmar in 2012: results from a large, community-based, cross-sectional survey before a large-scale intervention.
  Malaria journal 2015 Khin HS, Chen I, White C, Sudhinaraset M, McFarland W, Littrell M, Montagu D, Aung T
• Improving uptake and use of malaria rapid diagnostic tests in the context of artemisinin drug resistance containment in eastern Myanmar: an evaluation of incentive schemes among informal private healthcare providers.
  Malaria journal 2015 Aung T, White C, Montagu D, McFarland W, Hlaing T, Khin HS, San AK, Briegleb C, Chen I, Sudhinaraset M
• A total market approach for condoms in Myanmar: the need for the private, public and socially marketed sectors to work together for a sustainable condom market for HIV prevention.
  Health policy and planning 2015 Htat HW, Longfield K, Mundy G, Win Z, Montagu D
• Cost-effectiveness of using a social franchise network to increase uptake of oral rehydration salts and zinc for childhood diarrhea in rural Myanmar.
  Cost effectiveness and resource allocation : C/E 2015 Bishai D, Sachathep K, LeFevre A, Thant HN, Zaw M, Aung T, McFarland W, Montagu D, Social Franchising Research Team
• User experiences with clinical social franchising: qualitative insights from providers and clients in Ghana and Kenya.
  BMC health services research 2015 Sieverding M, Briegleb C, Montagu D
• Presumptive treatment of malaria from formal and informal drug vendors in Nigeria.
  PloS one 2014 Isiguzo C, Anyanti J, Ujuju C, Nwokolo E, De La Cruz A, Schatzkin E, Modrek S, Montagu D, Liu J
• How do risk preferences relate to malaria care-seeking behavior and the acceptability of a new health technology in Nigeria?
  BMC health services research 2014 Liu J, Modrek S, Anyanti J, Nwokolo E, De La Cruz A, Schatzkin E, Isiguzo C, Ujuju C, Montagu D
• Further advances in knowledge on the role of the private sector in health systems.
  Health policy and planning 2014 Forsberg BC, Montagu D
• SMS messages increase adherence to rapid diagnostic test results among malaria patients: results from a pilot study in Nigeria.
  Malaria journal 2014 Modrek S, Schatzkin E, De La Cruz A, Isiguzo C, Nwokolo E, Anyanti J, Ujuju C, Montagu D, Liu J
• Impact of a social franchising program on uptake of oral rehydration solution plus zinc for childhood diarrhea in myanmar: a community-level randomized controlled trial.
  Journal of tropical pediatrics 2014 Aung T, Montagu D, Su Su Khin H, Win Z, San AK, McFarland W, ORS + Zinc Study Group
• The cost of service quality improvements: tracking the flow of funds in social franchise networks in Myanmar.
  Cost effectiveness and resource allocation : C/E 2013 Bishai D, LeFevre A, Theuss M, Boxshall M, Hetherington JD, Zaw M, Montagu D
• Applying the disability-adjusted life year to track health impact of social franchise programs in low- and middle-income countries.
  BMC public health 2013 Montagu D, Ngamkitpaiboon L, Duvall S, Ratcliffe A
• The impact of clinical social franchising on health services in low- and middle-income countries: a systematic review.
  PloS one 2013 Beyeler N, York De La Cruz A, Montagu D
• What is the role of informal healthcare providers in developing countries? A systematic review.
  PloS one 2013 Sudhinaraset M, Ingram M, Lofthouse HK, Montagu D
• Equity and the Sun Quality Health Private Provider Social Franchise: comparative analysis of patient survey data and a nationally representative TB prevalence survey.
  International journal for equity in health 2013 Montagu D, Sudhinaraset M, Lwin T, Onozaki I, Win Z, Aung T
• Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises.
  BMC health services research 2013 Schlein K, De La Cruz AY, Gopalakrishnan T, Montagu D
• The scale of faith based organization participation in health service delivery in developing countries: systematic [corrected] review and meta-analysis.
  PloS one 2012 Kagawa RC, Anglemyer A, Montagu D
• Incidence of pediatric diarrhea and public-private preferences for treatment in rural Myanmar: a randomized cluster survey.
  Journal of tropical pediatrics 2012 Aung T, McFarland W, Khin HS, Montagu D
• Scaling up oral rehydration salts and zinc for the treatment of diarrhoea.
  BMJ (Clinical research ed.) 2012 Sabot O, Schroder K, Yamey G, Montagu D
• Piloting the Affordable Medicines Facility-malaria: what will success look like?
  Bulletin of the World Health Organization 2012 Yamey G, Schäferhoff M, Montagu D
• Validation of a new method for testing provider clinical quality in rural settings in low- and middle-income countries: the observed simulated patient.
  PloS one 2012 Aung T, Montagu D, Schlein K, Khine TM, McFarland W
• A zebra or a painted horse? Are hospital PPPs infrastructure partnerships with stripes or a separate species?
  World hospitals and health services : the official journal of the International Hospital Federation 2012 Montagu D, Harding A
• Moving towards in-depth knowledge on the private health sector in low- and middle-income countries.
  Health policy and planning 2011 Forsberg BC, Montagu D, Sundewall J
• Pay-for-performance and the Millennium Development Goals.
  Lancet (London, England) 2011 Montagu D, Yamey G
• Where do poor women in developing countries give birth? A multi-country analysis of demographic and health survey data.
  PloS one 2011 Montagu D, Yamey G, Visconti A, Harding A, Yoong J
• Equity and financing for sexual and reproductive health service delivery: current innovations.
  The journal of family planning and reproductive health care 2009 Montagu D, Graff M
• The Private Sector in Health Care Provision, The Role of.
  International Encyclopedia of Public Health 2008 A. Harding, D. Montagu
• Reaching youth through franchise clinics: assessment of Kenyan private sector involvement in youth services.
  The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2006 Decker M, Montagu D
• Private sector, human resources and health franchising in Africa.
  Bulletin of the World Health Organization 2005 Prata N, Montagu D, Jefferys E
• Innovations in access to TB and HIV/AIDS care in sub-Saharan Africa: dynamic engagement of the private sector.
  Applied health economics and health policy 2003 Montagu D, Elzinga G
• Franchising of health services in low-income countries.
  Health policy and planning 2002 Montagu D