Table 3

Summary of change concepts, problems, and change ideas developed by facility type

Domain	Quality subdomain	Change concept	No of distinct problems described	No of change ideas tested	No of facilities that tested the change ideas for this concept
Domain	Quality subdomain	Change concept	No of distinct problems described	No of change ideas tested	PHC (N=6)	Public hospital (N=14)	Private facilities (N=8)
Quality impact	Better health	Strengthen complication management Strengthen complication identification	7	31	4	12	4
	Confidence in system	–	0	0	0	0	0
	Economic benefits	Increase revenue generation Ensure patient financial protection	6	12	0	0	2
Process of care	Competent care and system	Ensure disease prevention & health promotion Improve documentation Improve service uptake and continuity	21	40	3	7	6
Process of care	Positive user experience	Reduce waiting time Improve ease of accessing care Protect patients’ dignity Strengthen staff–patient relationship Ensure clean and conducive environment Provide quality meals	17	44	5	10	4
Foundations	Population	–	0	0	0	0	0
	Governance	Ensure political buy-in of the management	1	1	0	1	0
	Platform	–	0	0	0	0	0
	Workforce	Improve staff welfare Ensure staff discipline	8	11	1	2	3
	Tools	Improve availability of commodities Improve availability of equipment Ensure supply of utilities, for example, water	10	19	4	6	2
Total		19	70	158