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The E-Quality programme seeks to increase educational capability in member and associate member countries: working locally, collaborating globally.

We offer small scale (seed) funding to support pilot educational projects which meet our evidence-based criteria. Applicants present and discuss their ideas with the the IPCRG Education Sub Committee as part of the selection process. We work with successful teams to ensure their success and share learning with IPCRG.

We undertook a project in 2011/2012 to explore the evidence base for educational and quality improvement approaches in healthcare and  commissioned a wide ranging literature review which explored the question - which educational interventions contribute to improved clinical behaviour with the ultimate aim of improved patient outcomes?

This is now published and a copy is available here from our journal published by Springer Nature npjPCRM.  Download pdf: Literature Review.

The review provides a framework for the development of our own educational programmes and those we endorse; it also outlines the criteria which underpin the selection process for the IPCRG  E-Quality Programme 


It also helped inform our education strategy, also published in our journal.

Applying for E-Quality Funding - The programme is not open for applications at this time.

Scope of the review

Papers and reports included in the review were identified from organisations working and/or funding health development work internationally. This included organisations concerned with the development of healthcare generally and those with a specialist interest in primary care and/or respiratory care. The review encompassed different kinds of literature - policy papers and evaluations of policy initiatives, educational and improvement methodologies, development project reports, practice guidelines, academic studies. The scope was broad and drew on diverse types of literature with the unifying theme that they were all concerned with the development of healthcare or healthcare systems and achievement of appropriate, safe and effective patient care. In addition to published accounts, we interviewed eight members of the IPCRG network to explore their knowledge and experience of practice based projects. 

E-Quality sits within a wider global health agenda – the literature suggests that in spite of progress, successive health reforms have failed to deliver desired results. Variation in the strength and functionality of health systems; weakness of health education programmes; and shortages of trained health workers are all contributing factors. The literature proposes many useful principles and strategies including empirical accounts of successful global programmes. Social accountability in international development work and the potential for whole system learning are two important principles. 

We also explored the evidence base for different educational and quality improvement approaches – including the use of guidelines; audit/feedback; education and training programmes; educational outreach and local opinion leaders; educational material /e-learning; information and communication technologies; quality improvement methodologies. Change is possible given carefully designed interventions. Most interventions have some effect; though no one type of intervention is universally effective. Different approaches are needed for different issues – and for different levels of care (individual, doctor, practice, regional care group, national health system). The context for change is thus critical. The evidence base for educational interventions is limited by poor methodological design, but also because of the difficulty in evaluating complex quality improvement interventions and social change given a wide range of topics and settings.


In the first (2011/12), second (2012/13) and third (2014/15) rounds of E-Quality we awarded funding to seven projects. More information on these projects is available here -

E-Quality Round One 2011/12

E-Quality Round Two - 2012/13

E-Quality Round Three - 2014/15

E-Quality Round Four - 2016/17