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The USAID Health Care Improvement Project (HCI) is a five-year task order contract issued by the U.S. Agency for International Development (USAID) to support countries in improving the quality and impact of health services. Guided by the vision that health care quality can be significantly improved by applying proven quality improvement methods, the HCI Project assists national and local programs to scale up evidence-based interventions and improve outcomes in child health, maternal and newborn care, HIV/AIDS, tuberculosis, malaria, and reproductive health. The project also seeks to help countries expand coverage of essential services; make services better meet the needs of underserved populations, especially women; improve efficiency and reduce the costs of poor quality; and improve health worker capacity, motivation, and retention. Read more about current activities of the project.

The HCI Project builds on the successes of the Quality Assurance Project (1990-2007) which adapted approaches such as continuous quality improvement, improvement collaboratives, accreditation, and pay for performance to the needs of USAID-assisted countries.

University Research Co., LLC (URC) is the prime contractor for the HCI Project and all associated task orders. HCI Task Order 1, a three-year task order, was issued to URC in September 2007 and ended in September 2011. HCI Task Orders 2 and 3 were issued to URC in September 2009. URC’s partners on Task Order 3 of the USAID Health Care Improvement Project include: EnCompass LLC, Family Health International (FHI), Health Research Inc., Initiatives, Inc., Institute for Healthcare Improvement (IHI), and Johns Hopkins University Center for Communication Programs (CCP).

Country Offices

HCI is working in Afghanistan, Bolivia, Botswana, Burundi, Cote d'Ivoire, Ecuador, Ethiopia, Georgia, Guatemala, Honduras, Indonesia, Kenya, Madagascar, Malawi, Mali, Mozambique, Namibia, Nicaragua, Niger, Nigeria, Pakistan, Russia, Senegal, South Africa, Swaziland, Tanzania, Uganda, and Zambia.

Click on the map for more information about the HCI Country Offices


HCI Resources

HCI’s technical publications describe country experiences, methods and tools, and findings from research and evaluation studies supported by the project. View HCI Resources >

QAP Resources

The Quality Assurance Project (QAP), the HCI predecessor project funded by USAID from 1990 to 2008, produced a large number of reports related to health care quality improvement interventions in specific countries, operations research, and QI methods and issues. View QAP Resources >