Fostering Change

This Guideis a product of a joint effort between USAID’s Maximizing Access and Quality (MAQ)
Initiative (www.maqweb.org) and a team of partners from the IBP Consortium, including the WHO
Department of Reproductive Health and Research, Chemonics, EngenderHealth, Pathfinder Inter-
national, Johns Hopkins University/Center for Communications Programs, IntraHealth Internation-
al, Management Sciences for Health, Public Health Institute, University Research Co., LLC, and the
United States Agency for International Development. 

The IBP partners identified the missing link between introducing and effectively implementing best
practices as the ability to foster, lead, and manage the change process required to implement effective
practices, and to improve performance and the quality of services.  There is a large body of knowl-
edge on change management; to avoid duplication of effort, the IBP Task Team has undertaken a
consultative and collaborative process to share experience and review existing published guidelines
and tools detailing different approaches to the management of change. The outcome of this extensive
review process was the development of this Guide. The Guide provides a clear pathway that links
proven change practices to “how to” steps for successful change. In addition, the partners identified
key managerial tools produced by IBP partners referenced in the Guide that will support the imple-
mentation of the change process.