The role of district level structure for improving quality of health service depends on their respective responsibility in the tier of health service delivery: primary, secondary and tertiary levels. Often districts have role for the primary level service delivery which is at the base of the pyramid and involves community level services. The activities in this regard involve capacity building, supportive supervision, monitoring and auditing in relation to service deliver standards, recognition of best performing facilities and support in structure and infrastructures including provision of WASH facilities.

The sub-national and province structures could have wide-ranging roles in relation to the service delivery tier depending on the country contexts. The WHO quality of care planning guide ¬†highlights five foundational requirements for quality health services: onsite support, measurement, sharing and learning, stakeholder and community engagement and management, which are applicable to all levels of the structure…more