Reproductive health services in Malawi: an evaluation of a quality improvement intervention-reply to paper YMIDW-D-11-00257.

The purpose of the evaluation presented in this paper was to generate practical information for the Ministry of Health (MOH) and other program planners in Malawi as the performance and quality improvement intervention (PGI) assessed was on the verge of being expanded from the hospital level to the health center level. Although large well-funded randomized controlled trials may be the gold standard they are not always feasible or practical to conduct. Therefore evidence from applied studies such as this one should be considered among all the evidence about quality assurance interventions.