Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania

Although substantial progress has been made in reducing child and maternal deaths in the past 15 years, many women and children in low- and middle-income countries continue to die of avertable causes. To stimulate a concerted effort to narrow the gap between rich and poor countries, the United...

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Main Authors: Kruk, Margaret E., Chukwuma, Adanna, Mbaruku, Godfrey, Leslie, Hannah H.
Format: Journal Article
Published: World Health Organization 2021
Subjects:
Online Access:http://hdl.handle.net/10986/35579
id okr-10986-35579
recordtype oai_dc
spelling okr-10986-355792021-07-19T16:46:15Z Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania Kruk, Margaret E. Chukwuma, Adanna Mbaruku, Godfrey Leslie, Hannah H. PRIMARY HEALTH CARE HEALTH SERVICE DELIVERY PRENATAL HEALTH ANTENATAL CARE SICK-CHILD VISIT QUALITY OF HEALTH SERVICES Although substantial progress has been made in reducing child and maternal deaths in the past 15 years, many women and children in low- and middle-income countries continue to die of avertable causes. To stimulate a concerted effort to narrow the gap between rich and poor countries, the United Nation’s sustainable development goals (SDGs) include new targets to reduce maternal mortality to less than 70 per 100 000 live births and to reduce deaths of children younger than five years to 25 per 1000 live births by 2030. In this paper, we analyse the variation in the quality of processes of care in health facilities in seven countries in subSaharan Africa for two primary-care services: (i) antenatal care and (ii) care of sick children, using observations of clinical care, a gold standard measure of process quality. The results will inform policy-makers about current performance and provide a starting point for a broader discussion of quality measurement in the SDG era. 2021-05-14T16:30:37Z 2021-05-14T16:30:37Z 2017-06 Journal Article Bulletin of the World Health Organization http://hdl.handle.net/10986/35579 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Health Organization Publications & Research :: Journal Article Publications & Research Africa Africa Eastern and Southern (AFE) Africa Western and Central (AFW) Kenya Malawi Namibia Rwanda Senegal Tanzania Uganda
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic PRIMARY HEALTH CARE
HEALTH SERVICE DELIVERY
PRENATAL HEALTH
ANTENATAL CARE
SICK-CHILD VISIT
QUALITY OF HEALTH SERVICES
spellingShingle PRIMARY HEALTH CARE
HEALTH SERVICE DELIVERY
PRENATAL HEALTH
ANTENATAL CARE
SICK-CHILD VISIT
QUALITY OF HEALTH SERVICES
Kruk, Margaret E.
Chukwuma, Adanna
Mbaruku, Godfrey
Leslie, Hannah H.
Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
geographic_facet Africa
Africa Eastern and Southern (AFE)
Africa Western and Central (AFW)
Kenya
Malawi
Namibia
Rwanda
Senegal
Tanzania
Uganda
description Although substantial progress has been made in reducing child and maternal deaths in the past 15 years, many women and children in low- and middle-income countries continue to die of avertable causes. To stimulate a concerted effort to narrow the gap between rich and poor countries, the United Nation’s sustainable development goals (SDGs) include new targets to reduce maternal mortality to less than 70 per 100 000 live births and to reduce deaths of children younger than five years to 25 per 1000 live births by 2030. In this paper, we analyse the variation in the quality of processes of care in health facilities in seven countries in subSaharan Africa for two primary-care services: (i) antenatal care and (ii) care of sick children, using observations of clinical care, a gold standard measure of process quality. The results will inform policy-makers about current performance and provide a starting point for a broader discussion of quality measurement in the SDG era.
format Journal Article
author Kruk, Margaret E.
Chukwuma, Adanna
Mbaruku, Godfrey
Leslie, Hannah H.
author_facet Kruk, Margaret E.
Chukwuma, Adanna
Mbaruku, Godfrey
Leslie, Hannah H.
author_sort Kruk, Margaret E.
title Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
title_short Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
title_full Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
title_fullStr Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
title_full_unstemmed Variation in Quality of Primary-Care Services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania
title_sort variation in quality of primary-care services in kenya, malawi, namibia, rwanda, senegal, uganda and the united republic of tanzania
publisher World Health Organization
publishDate 2021
url http://hdl.handle.net/10986/35579
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