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Variation in quality of primary-care services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania

Author

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  • Margaret E. Kruk
  • Adanna Chukwuma
  • Godfrey Mbaruku
  • Hannah H. Leslie

Abstract

Objective: To analyse factors affecting variations in the observed quality of antenatal and sick-child care in primary-care facilities in seven African countries. Methods: We pooled nationally representative data from service provision assessment surveys of health facilities in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda, and the United Republic of Tanzania (survey year range: 2006-2014). Based on World Health Organization protocols, we created indices of process quality for antenatal care (first visits) and for sick-child visits.

Suggested Citation

  • Margaret E. Kruk & Adanna Chukwuma & Godfrey Mbaruku & Hannah H. Leslie, 2017. "Variation in quality of primary-care services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania," WIDER Working Paper Series wp-2017-139, World Institute for Development Economic Research (UNU-WIDER).
    • Handle: RePEc:unu:wpaper:wp-2017-139
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    References listed on IDEAS

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    1. Kruk, M.E. & Prescott, M.R., 2012. "The role of health systems and policies in promoting safe delivery in low-and middle-income countries: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 102(4), pages 645-650.
    2. Leonard, Kenneth & Masatu, Melkiory C., 2006. "Outpatient process quality evaluation and the Hawthorne Effect," Social Science & Medicine, Elsevier, vol. 63(9), pages 2330-2340, November.
    3. Kruk, M.E. & Nigenda, G. & Knaul, F.M., 2015. "Redesigning primary care to tackle the global epidemic of noncommunicable disease," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 431-437.
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    Cited by:

    1. Kovacs, Roxanne J. & Lagarde, Mylene & Cairns, John, 2022. "Can patients improve the quality of care they receive? Experimental evidence from Senegal," World Development, Elsevier, vol. 150(C).
    2. Anna D Gage & Margaret E Kruk & Tsinuel Girma & Ephrem T Lemango, 2018. "The know-do gap in sick child care in Ethiopia," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-10, December.
    3. Lewis, Todd P. & Aryal, Amit & Mehata, Suresh & Thapa, Astha & Yousafzai, Aisha K. & Kruk, Margaret E., 2022. "Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal," Social Science & Medicine, Elsevier, vol. 309(C).
    4. Kovacs, Roxanne J. & Lagarde, Mylene & Cairns, John, 2020. "Overconfident health workers provide lower quality healthcare," Journal of Economic Psychology, Elsevier, vol. 76(C).
    5. Sandra G. Sosa-Rubí & Sergio Bautista-Arredondo & Carlos Chivardi-Moreno & David Contreras-Loya & Gina Hera-Fuentes & Marjorie Opuni, 2021. "Efficiency, quality, and management practices in health facilities providing outpatient HIV services in Kenya, Nigeria, Rwanda, South Africa and Zambia," Health Care Management Science, Springer, vol. 24(1), pages 41-54, March.
    6. Juliet Mwanga-Amumpaire & Tobias Alfvén & Celestino Obua & Karin Källander & Richard Migisha & Cecilia Stålsby Lundborg & Grace Ndeezi & Joan Nakayaga Kalyango, 2021. "Appropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Uganda," IJERPH, MDPI, vol. 18(15), pages 1-16, July.

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