Towards improved health service quality in Tanzania: contribution of a supportive supervision approach to increased quality of primary healthcare.
Adolescent
Adult
Aged
Attitude of Health Personnel
Child
Child, Preschool
Female
Health Facilities
/ standards
Health Personnel
/ standards
Humans
Infant
Infant, Newborn
Male
Middle Aged
Primary Health Care
/ organization & administration
Quality Improvement
/ standards
Quality Indicators, Health Care
Quality of Health Care
/ standards
Rural Health Services
/ standards
Tanzania
Universal Health Insurance
/ organization & administration
Young Adult
Electronic tool
Quality improvement approach
Quality of care
Supportive supervision
Tanzania
Universal health coverage
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
20 Nov 2019
20 Nov 2019
Historique:
received:
07
01
2019
accepted:
16
10
2019
entrez:
22
11
2019
pubmed:
22
11
2019
medline:
18
2
2020
Statut:
epublish
Résumé
Universal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective and inadequate routine supportive supervision of healthcare providers by council health management teams. To address this, we developed and assessed an approach to improve quality of primary healthcare through enhanced routine supportive supervision. Mixed methods were used, combining trends of quantitative quality of care measurements with qualitative data mainly collected through in-depth interviews. The former allowed for identification of drivers of quality improvements and the latter investigated the perceived contribution of the new supportive supervision approach to these improvements. The results showed that the new approach managed to address quality issues that could be solved either solely by the healthcare provider, or in collaboration with the council. The new approach was able to improve and maintain crucial primary healthcare quality standards across different health facility level and owner categories in various contexts. Together with other findings reported in companion papers, we could show that the new supportive supervision approach not only served to assess quality of primary healthcare, but also to improve and maintain crucial primary healthcare quality standards. The new approach therefore presents a powerful tool to support, guide and drive quality improvement measures within council. It can thus be considered a suitable option to make routine supportive supervision more effective and adequate.
Sections du résumé
BACKGROUND
BACKGROUND
Universal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective and inadequate routine supportive supervision of healthcare providers by council health management teams. To address this, we developed and assessed an approach to improve quality of primary healthcare through enhanced routine supportive supervision.
METHODS
METHODS
Mixed methods were used, combining trends of quantitative quality of care measurements with qualitative data mainly collected through in-depth interviews. The former allowed for identification of drivers of quality improvements and the latter investigated the perceived contribution of the new supportive supervision approach to these improvements.
RESULTS
RESULTS
The results showed that the new approach managed to address quality issues that could be solved either solely by the healthcare provider, or in collaboration with the council. The new approach was able to improve and maintain crucial primary healthcare quality standards across different health facility level and owner categories in various contexts.
CONCLUSION
CONCLUSIONS
Together with other findings reported in companion papers, we could show that the new supportive supervision approach not only served to assess quality of primary healthcare, but also to improve and maintain crucial primary healthcare quality standards. The new approach therefore presents a powerful tool to support, guide and drive quality improvement measures within council. It can thus be considered a suitable option to make routine supportive supervision more effective and adequate.
Identifiants
pubmed: 31747932
doi: 10.1186/s12913-019-4648-2
pii: 10.1186/s12913-019-4648-2
pmc: PMC6865029
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
848Subventions
Organisme : Novartis Foundation
ID : NA
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