The WHO POCQI approach has been introduced in the in-service training of doctors and nurses in hospitals as well as in the preservice education of the nurses in Bhutan.

MOH has supported several training sessions for healthcare workers to strengthen individual competencies, but it has been realized that this alone is not enough to bring changes in workplaces to reduce the knowledge-practice gap and ensure optimal evidence-based care. With the support of the WHO the Regional Model of Point of Care Quality Improvement (POCQI) was introduced initially in the maternal and newborn health services in 2017. As a result of this training, QI project concepts were developed by the hospital teams and implemented in JDWNRH and three referral hospitals. Subsequently, a national ToT on POCQI was supported by WHO in collaboration with UNICEF and organized by KGUMSB under the leadership of the RH programme in the MoH in which teams from several hospitals and the Faculty of KGUSMB were trained in QI.

POCQI has also been introduced in the new curriculum of post-graduate students and they are expected to conduct one QI project in their 7th semester. It carries marks for their evaluation as per the new curriculum.

UPDATE December 2018


Bhutan has participated actively in the “Point of Care Quality Improvement” initiative.

Several teams across Bhutan are using quality improvement methods to improve the quality of healthcare services. Two teams have shared their QI projects in inter-country webinars.

Date Facility Name Aim Statement Result Video/Slides
14th August 2018 Jigme Dorji Wangchuck National Referral Hospital (JDWNRH), Gyaltsuen Jetsun Pema Neonatal Intensive Care Unit To increase the percentage of ‘discharges before 11am’ from 38% in NICU and 20% in Neonatal ward to 50% in both units in 8 weeks. The percentage of ‘discharges before 11am’ increased from 38% in NICU and 20% in Neonatal ward to more than 80% in both units and several other processes of care delivery also improved. Video: Webinar 4 of 14th August 2018
Slides: Webinar Bhutan improving discharge neonates (11 am POCQI Webiner_final PDF)
23rd October 2018 Central Regional Referral Hospital, Gelephu Bhutan To increase the percentage of completed partograph charting from 0% to 100% in 3 months Improved complete partograph charting to 91% Video: Webinar 7 of 23rd October 2018
Slides: Webinar Bhutan on 23rd October, 2018

Khesar Gyalpo University of Medical Sciences also organized a conference on “Improving Quality and Patient Safety in Health Care.” In November 2018. Conference was attended by more than 200 participants including international delegations from United States, Australia, Sri Lanka, Norway, India, South Korea, and Japan


Bhutan is also making efforts to include QI training in their pre-service education. Khesar Gyalpo University of Medical Sciences Bhutan introduces “Point of Care quality improvement” in PG curriculum under guidance of His Excellency Lyonpo Tandin Wangchuk, Minister for Health.