<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Swanson, Jonathan O</style></author><author><style face="normal" font="default" size="100%">Plotner, David</style></author><author><style face="normal" font="default" size="100%">Franklin, Holly L</style></author><author><style face="normal" font="default" size="100%">Swanson, David L</style></author><author><style face="normal" font="default" size="100%">Lokomba Bolamba, Victor</style></author><author><style face="normal" font="default" size="100%">Lokangaka, Adrien</style></author><author><style face="normal" font="default" size="100%">Sayury Pineda, Irma</style></author><author><style face="normal" font="default" size="100%">Figueroa, Lester</style></author><author><style face="normal" font="default" size="100%">Garces, Ana</style></author><author><style face="normal" font="default" size="100%">Muyodi, David</style></author><author><style face="normal" font="default" size="100%">Esamai, Fabian</style></author><author><style face="normal" font="default" size="100%">Kanaiza, Nancy</style></author><author><style face="normal" font="default" size="100%">Mirza, Waseem</style></author><author><style face="normal" font="default" size="100%">Naqvi, Farnaz</style></author><author><style face="normal" font="default" size="100%">Saleem, Sarah</style></author><author><style face="normal" font="default" size="100%">Mwenechanya, Musaku</style></author><author><style face="normal" font="default" size="100%">Chiwila, Melody</style></author><author><style face="normal" font="default" size="100%">Hamsumonde, Dorothy</style></author><author><style face="normal" font="default" size="100%">McClure, Elizabeth M</style></author><author><style face="normal" font="default" size="100%">Goldenberg, Robert L</style></author><author><style face="normal" font="default" size="100%">Nathan, Robert O</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Web-Based Quality Assurance Process Drives Improvements in Obstetric Ultrasound in 5 Low- and Middle-Income Countries</style></title><secondary-title><style face="normal" font="default" size="100%">Global Health: Science and Practice</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2016</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2016-12-23 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">675-683</style></pages><doi><style  face="normal" font="default" size="100%">10.9745/GHSP-D-16-00156</style></doi><volume><style face="normal" font="default" size="100%">4</style></volume><issue><style face="normal" font="default" size="100%">4</style></issue><abstract><style  face="normal" font="default" size="100%">Newly trained sonographers improved performance through a quality assurance process that merged (1) evaluation by remote experts of images uploaded to a website, with (2) periodic in-person skill tests. To promote sustainability, in-country supervisors gradually assumed more responsibility for image evaluation. The user-friendly and efficient interface used simple menus and forms, customized based on the user's role.High quality is important in medical imaging, yet in many geographic areas, highly skilled sonographers are in short supply. Advances in Internet capacity along with the development of reliable portable ultrasounds have created an opportunity to provide centralized remote quality assurance (QA) for ultrasound exams performed at rural sites worldwide. We sought to harness these advances by developing a web-based tool to facilitate QA activities for newly trained sonographers who were taking part in a cluster randomized trial investigating the role of limited obstetric ultrasound to improve pregnancy outcomes in 5 low- and middle-income countries. We were challenged by connectivity issues, by country-specific needs for website usability, and by the overall need for a high-throughput system. After systematically addressing these needs, the resulting QA website helped drive ultrasound quality improvement across all 5 countries. It now offers the potential for adoption by future ultrasound- or imaging-based global health initiatives.</style></abstract></record></records></xml>