1 Department of Epidemiology and Demography KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
2 Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
3 Jhpiego, Baltimore, Maryland 21231, USA.
4 Department of Maternal Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202 Geneva, Switzerland.
5 School of Public Health, University of the Western Cape, Bellville, South Africa.
6 Data and Analytics Section, Unicef, New York, USA.
7 World Health Organization Country Office, Free Town, Sierra Leone.
8 Department of Maternal Newborn, Child, and Adolescent Health, and Ageing, World Health Organization, Avenue Appia 20, 1202 Geneva, Switzerland muzigabam@who.int.
Ambrose Agweyu and colleagues argue that large scale improvements in quality of healthcare require strong change management as well as health information systems that can provide continuous and rapid feedback