The USAID Mikolo Project created a new approach to assure, improve, and sustain the quality of community-based health services. This technical brief describes the Mikolo approach and assesses its impact on community health volunteer performance between 2014 and 2016.
The USAID Mikolo Project quality assurance / quality improvement approach included five key activities:
Formal training or refresher training every year
On-the-job coaching and mentorship once every two months
Monthly performance monitoring and group supervision at the health facility
Standards-based competency evaluation every quarter
Annual certication or re-certication every eight months
