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Performance Improvement: Stages, Steps and Tools

Performance Improvement (PI) is a method for analyzing performance problems and setting up systems to ensure good performance. PI is applied most effectively to groups of workers within the same organization or performing similar jobs. While PI principles are relevant to workers in any field, this publication focuses on primary providers of reproductive health and family planning (RH/FP) care services. The PRIME II Performance Improvement Approach (PIA) is not a new intervention. Nor is it intended to replace other successful interventions or programs such as USAID's Maximizing Access and Quality (MAQ) initiative, EngenderHealth's Client-Oriented Provider-Efficient (COPE) services, Quality Assurance, Situation Analysis or Whole Site Training, one or more of which may already be in place when PI is implemented. Rather, the PI methodology offers a set of tools that can be used independently or in conjunction with other interventions to improve the accessibility and quality of RH/FP services.