Stability of healthcare quality measures for maternal and child services: Analysis of the continuous service provision assessment of health facilities in Senegal, 2012-2018.
Senegal
child health
health services
healthcare quality
maternal health
Journal
Tropical medicine & international health : TM & IH
ISSN: 1365-3156
Titre abrégé: Trop Med Int Health
Pays: England
ID NLM: 9610576
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
pubmed:
6
12
2021
medline:
25
2
2022
entrez:
5
12
2021
Statut:
ppublish
Résumé
High-quality healthcare is essential to ensuring maternal and newborn survival. Efficient measurement requires knowing how long measures of quality provide consistent insight for intended uses. We used a repeated health facility assessment in Senegal to calculate structural and process quality of antenatal care (ANC), delivery and child health services in facilities assessed 2 years apart. We tested agreement of quality measures within facilities and regions. We estimated how much input-adjusted and process quality-adjusted coverage measures changed for each service when calculated using quality measurements from the same facilities measured 2 years apart. Over 6 waves of continuous surveys, 628 paired assessments were completed. Changes at the facility level were substantial and often positive, but inconsistent. Structural quality measures were moderately correlated (0.40-0.69) within facilities over time, more so in hospitals; correlation was <0.20 for process measures based on direct observation of ANC and child visits. Most measures were more strongly correlated once averaged to regions; process quality of child services was not (-0.32). Median relative difference in national-adjusted coverage estimates was 6.0%; differences in subnational estimates were largest for process quality of child services (19.6%). Continuous measures of structural quality demonstrated consistency at regional levels and in higher level facilities over 2 years; results for process measures were mixed. Direct observation of child visits provided inconsistent measures over time. For other measures, linking population data with health facility assessments from up to 2 years prior is likely to introduce modest measurement error in adjusted coverage estimates.
Identifiants
pubmed: 34865274
doi: 10.1111/tmi.13701
pmc: PMC9300084
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
68-80Informations de copyright
© 2021 The Authors Tropical Medicine & International Health Published by John Wiley & Sons Ltd.
Références
Am J Epidemiol. 1991 Nov 15;134(10):1233-44
pubmed: 1746532
Health Policy Plan. 2015 Jun;30(5):675-86
pubmed: 24895350
J Gerontol A Biol Sci Med Sci. 2004 Jan;59(1):79-82
pubmed: 14718490
PLoS Med. 2018 Oct 30;15(10):e1002682
pubmed: 30376581
PLoS Med. 2014 Sep 22;11(9):e1001730
pubmed: 25243780
Lancet Infect Dis. 2020 Feb;20(2):179-187
pubmed: 31843383
J Glob Health. 2017 Dec;7(2):021101
pubmed: 29163936
Curr Dev Nutr. 2018 Jan 29;2(4):nzy006
pubmed: 30019030
Lancet Glob Health. 2016 Nov;4(11):e845-e855
pubmed: 27670090
Int J Qual Health Care. 2014 Apr;26(2):184-9
pubmed: 24585857
J Glob Health. 2020 Jun;10(1):010506
pubmed: 32257160
Lancet Glob Health. 2019 May;7(5):e624-e632
pubmed: 30898495
BMJ Glob Health. 2017 Sep 04;2(3):e000424
pubmed: 29632704
Health Policy Plan. 2016 May;31(4):547-9
pubmed: 26420642
PLoS Med. 2021 Mar 31;18(3):e1003479
pubmed: 33789340
BMJ Glob Health. 2019 Jun 24;4(Suppl 4):e001297
pubmed: 31297252
BMJ Open. 2018 Oct 31;8(10):e022817
pubmed: 30385441
Bull World Health Organ. 2017 Nov 01;95(11):738-748
pubmed: 29147054
Soc Sci Med. 2006 Nov;63(9):2330-40
pubmed: 16887245
Bull World Health Organ. 2017 Jun 01;95(6):408-418
pubmed: 28603307
Trop Med Int Health. 2022 Jan;27(1):68-80
pubmed: 34865274
Matern Child Health J. 2018 Nov;22(11):1659-1667
pubmed: 29936656
BMJ Open. 2021 Aug 26;11(8):e045704
pubmed: 34446481
Int J Qual Health Care. 2001 Dec;13(6):481-8
pubmed: 11769751
Health Policy Open. 2020 Dec;1:100012
pubmed: 32905018
Child Care Health Dev. 2007 Sep;33(5):604-10
pubmed: 17725783
Trop Med Int Health. 2017 Apr;22(4):442-453
pubmed: 28094465
Med Care. 2017 Jan;55(1):79-85
pubmed: 27517331
PLoS Med. 2020 Sep 14;17(9):e1003254
pubmed: 32925906
J Glob Health. 2017 Dec;7(2):020509
pubmed: 29423186
Lancet Glob Health. 2018 Nov;6(11):e1196-e1252
pubmed: 30196093
Med Care. 1999 Jun;37(6):570-9
pubmed: 10386569
PLoS One. 2019 Jun 11;14(6):e0217853
pubmed: 31185020
Anesth Analg. 2018 May;126(5):1763-1768
pubmed: 29481436
Glob Health Sci Pract. 2017 Mar 28;5(1):90-107
pubmed: 28298338
Lancet Glob Health. 2020 May;8(5):e730-e736
pubmed: 32353320
PLoS Med. 2017 Dec 12;14(12):e1002464
pubmed: 29232377
J Clin Epidemiol. 2021 Aug;136:10-19
pubmed: 33667620
BMJ Glob Health. 2020 Jul;5(7):
pubmed: 32624502