ASSESSMENT OF DETERMINANTS OF QUALITY IMPROVEMENT PROJECT IMPLEMENTATION IN SELECTED HOSPITALS, ADDIS ABABA CITY ADMINISTRATION

Abstract

This study examined the implementation status and determinants of quality improvement (QI) projects in selected hospitals within Addis Ababa City Administration. A descriptive crosssectional design was employed from November 20 to December 20, 2024, involving 104 participants from 10 hospitals selected through purposive sampling. Data were analyzed using SPSS Version 27 and MAXQDA 2020, with multivariate logistic regression identifying factors significantly associated with QI outcomes at a 95% confidence interval and a p-value threshold of 0.05. The findings revealed that adequacy of resources (AOR: 0.04, CI: 1.04–8.64, P=0.042), effective communication channels (AOR: 0.022, CI: 1.20–10.44), and a culture of continuous improvement (AOR: 0.003, CI: 1.69–12.72) were pivotal for successful implementation. Qualitative analysis highlighted barriers such as limited leadership engagement, resource constraints, and insufficient QI training. The study concludes that a multifaceted approach emphasizing strong leadership, organizational culture, resource adequacy, and staff capacity building is essential for sustaining QI initiatives. Targeted strategies, including leadership development programs and improved resource allocation, are recommended for policymakers and healthcare administrators to enhance QI efforts in healthcare settings.