scholarly journals Family and provider perceptions of quality of care in the management of sick young infants in primary health care settings in four counties of Kenya.

2020 ◽  
Author(s):  
Samuel Mbugua ◽  
Jesse Gitaka ◽  
Tabither Gitau ◽  
George Odwe ◽  
Peter Mwaura ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Health Providers ◽  
Health Care Settings ◽  
Young Infants ◽  
Primary Health ◽  
Primary Health Care Settings

Background: Understanding the perceptions of quality of care given to sick young infants in primary health care settings is key for developing strategies for effective uptake and utilization of PSBI guidelines. The purpose of this study is to assess families' and providers' perceptions of care given to sick young infants at primary healthcare facilities in four diverse counties in Kenya. Methods: A cross-sectional qualitative design involving in-depth interviews (23) and focus group discussions (25) with very young (15-18 years), young (19-24 years) and older (25-45 years) caregivers of young infants 0-59 days; and key informant interviews with community- and facility-based frontline health providers (14) in primary health care facilities. Qualitative data were captured using audio tapes and field notes, transcribed, translated, and exported into QSR NVivo 12 for analysis. A thematic framework approach was adopted to classify and analyze data. Results: Perceived care given to SYIs was described around six domains of WHO's framework for the quality of maternal and newborn health care: evidence-based practices for routine and emergency care; functional referral systems; effective communication; respect and preservation of dignity; availability of competent, motivated human resources; and availability of physical resources. Views of caregivers and providers regarding SYIs care at PHCs were similar across the four sites. Main hindrance to SYI care includes stockout of essential drugs, limited infrastructure, lack of functional referral system, inadequate providers which led to delays in receiving treatment, inadequate provider skills and poor provider attitudes. Despite these challenges, motivation and teamwork of health providers were key tenets in care provision. Conclusion: The findings underscore the need to prioritize improving quality of SYIs services at PHCs by building capacity of providers through training, ensuring continuous supply of essential medicines and equipment, improving infrastructure including referral. Keywords: Quality of care, Sick young infants, Caregivers, Providers

Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa

2002 ◽  
Vol 32 (4) ◽  
pp. 33-40 ◽  
Author(s):  
Nokuthula Shabalala ◽  
Anna Strebel ◽  
Tammy Shefer ◽  
Leickness Simbayi ◽  
Tanya Wilson ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Workers ◽  
Health Providers ◽  
Sexually Transmitted ◽  
Primary Health ◽  
Depth Interviews

Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care for STIs at 24 primary health care (PHC) centres in four provinces of South Africa (SA). Semi-structured interviews were conducted with STI patients and health providers. In addition, in-depth interviews were conducted with a sample of STI patients, and focus group discussions were held with diverse community groupings. Simulated patients also completed questionnaires on the care they received at the centres. Frequencies were computed on close-ended questions in order to describe patterns and trends in the data. Cross-tabulations were calculated to check for gender, provincial and urban-rural differences. Composite scores were also generated for the purpose of comparing quality of care across the different participating groups. Finally, the depth interviews and focus groups were analysed thematically. The results show that PHC centres in SA are relatively well-resourced. However, problems were found in the actual encounter between health workers and STI patients, which severely undermines the quality and effectiveness of treatment. It is strongly recommended that attention be given to health providers, in particular through the provision of further training and support in relation to effective STI management.

scholarly journals Improving Quality of Care in Primary Health-Care Facilities in Rural Nigeria

2016 ◽  
Vol 3 ◽  
pp. 233339281666258 ◽  
Author(s):  
Okoli Ugo ◽  
Eze-Ajoku Ezinne ◽  
Oludipe Modupe ◽  
Spieker Nicole ◽  
Ekezie Winifred ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Care Facilities ◽  
Primary Health ◽  
Rural Nigeria ◽  
Care Facilities ◽  
Primary Health Care Facilities

The Performance Measurement Frameworks in Healthcare: Scopus Study

2021 ◽  
Vol 23 (2) ◽  
pp. 275-293
Author(s):  
B. Zaadoud ◽  
Y. Chbab ◽  
A. Chaouch
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Performance Measurement ◽  
Conceptual Framework ◽  
Relevant Information ◽  
Health Care Facilities ◽  
Research Quality ◽  
Primary Health

Object: The purpose of this article is to analyse and compare the frameworks of performance measurement in primary health care in the world. The objective is to determine whether the frameworks of performance measurement in primary health care have an influence on the performance of health centres. Method: We conducted a systematic review of the literature to: (a) identify a conceptual framework for measuring quality management systems; and (b) assess the effects of the conceptual framework on quality improvement and quality of care outcomes. We chose frameworks highly cited in the literature and analysed and compared these frameworks. Results: Eight dimensions were identified for assessing performance in primary health care facilities (PHCFs) in more than 50% frameworks: effectiveness, safety, accessibility, equity, efficiency, acceptability, patient-centredness and timeliness. Conclusion: Even if the links are not established within the framework of a scientific research, quality approaches are generally recognised as an essential tool to help establishments improve their quality of care and the safety of their patients. Until now, the evaluation of the quality of care in the 'PHCF' is not yet in place, a blatant need for performance measurement tools, relevant information, coherence between the operational and strategic levels, integration of organizational objectives in the measurement of performance in order to direct the structures towards a true management by quality..

Sign in / Sign up

Export Citation Format

Share Document