1. Effectiveness of a quality improvement collaborative to accelerate elimination of mother to child transmission: Key outcomes and determinants, South Africa
A. Chirowodza1, D. Williams1, C. Diergaardt1, O. Adetokunboh1, S. Gede2, N. Gobodo2, N. Makeleni2, N. Tuswa2, M. Eckard3, L. Koekemoer3, T. O'rie4, N. Shingwenyana1, B. Green1 & I. Oluwatimilehin1
Affiliation and address
1South to South Programme for Comprehensive Family HIV Care and Treatment, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Cape Town, South Africa,
2Amathole District, Department of Health, East London, South Africa,
3Pixley Ka Seme District, Department of Health, De Aar, South Africa,
4Cape Winelands District, Department of Health, Worcester, South Africa

2. Baseline versus Post Learning Session median rates: Time 1 versus Time 2 (2012 – 2015)
Impact in the Eastern Cape Province
Impact in the Western Cape Province
Eastern Cape: #supported sub-district performance reported. Fewer data points for post learning session period for last 3 indicators. (*p<001 for difference between median rates for baseline vs post learning using Wilcoxon Rank Sum Test, 6/8 indicators)
Western Cape: (*p<001 for difference between median rates for baseline vs post learning using Wilcoxon Rank Sum Test, 5/7 indicators)

3. Key Determinants: *Quality Improvement Maturity (Leadership and buy-in, QI Capacity and Integration)
Contextual factors matter in impact of QI interventions
Support and buy-in for QI already exists and was basis for rapid improvement.
Geographic and system level difference in QI maturity
Address lowest scores ASAP (authority, integration, skills & methods)
Enhance training and coaching for QI teams
Notes: *Validated measure for quality improvement context (Joly, B., M. Booth, et al. (2012)).

4. Take home message…
“You choose the best tool which you think can be most useful to help us raise our standards. For example: the fishbone; we do health talks; and we have posters that encourage people to book early. We also have community health workers who go out to dig these people for us. Out of these strategies we choose one which works best for us…” QI Team Member, EC “We were all involved-PN [Professional Nurse], Lay counsellor, Community Health Workers-and there was no difficulty organising the team…” QI Team Member, EC “I attended the first Learning Session. I was surprised. I did not believe that what they presented was achieved as shown in the data in such a short space. I was so surprised at how facilities were able to present as a group what they had achieved together”. DMT Member, NC Province
Quote 1: highlights the utility of quality improvement to use systematic methods to identify root causes.
Quote 2: team work and planning are enhanced.
Quote 3: the ability for rapid improvement as a results of the quality improvement.

5. Abstract Number: TUPDE0102
Acknowledgements 
Special thanks to the District Management Teams and Staff of Primary Health Care Facilities that participated in the Eastern Cape, Northern Cape and Western Cape Provincial Department of Health.
Abstract Number: TUPDE0102