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This guide provides decision-makers and managers at country level with a systematic process which will allow them to design and implement effective interventions to promote quality in health systems. It focuses particular attention on people who have a strategic responsibility for quality so that they can create an enabling environment for all the quality improvement initiatives being undertaken at the medical care level and reinforce their chances of success and sustainability. It has been designed to assist self-assessment and serve as a discussion guide so that decision-makers and intereste
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