USAID Health Care Improvement Project (HCI) | El Salvador


Under a separate HCI task order from USAID/El Salvador, URC provided technical assistance to the Ministry of Health (MOH) to improve the quality of and access to maternal, reproductive, and child health care. HCI helped the MOH scale up the introduction of quality standards and improvement approaches to all 28 public maternity hospitals and to the two national referral hospitals. This project built on the results of the completed URC-managed Health Strengthening Project that implemented continuous quality improvement (CQI) activities for family planning, prenatal, delivery, immediate postpartum and neonatal care in the country’s network of public maternity hospitals.

Read more about the HCI Project or visit the ASSIST project.

Key Activities

  • Assisted the MOH to update existing quality standards related to clinical guidelines for maternal and newborn care and develop new standards in the areas of breastfeeding promotion, infection prevention, biohazardous waste management, and facility water quality
  • Built capacity to regularly monitor compliance with quality standards for maternal and newborn care and infection prevention
  • Supported in-service training of hospital personnel in the technical aspects of the quality standards
  • Helped national authorities strengthen surveillance systems for nutrition, maternal mortality, newborn outcomes, and breastfeeding promotion
  • Advised the MOH in the development of certification programs for medical and nursing personnel
  • Supported the dissemination of results from the 2008 National Health Survey
2009 to 2012
US Agency for International Development (USAID)
Regions/ Countries 
Geographic Scope 
National level and hospital level in all five health zones of the country - See more at: