Assessing the Quality of Tuberculosis Laboratory Services in Selected Public and Private Health Facilities in Western Amhara, Ethiopia

2014 ◽  
Vol 03 (02) ◽  
Author(s):  
Mulusew Andualem Asemahagn
Keyword(s):  
Health Facilities ◽  
Public And Private ◽  
Laboratory Services

scholarly journals Health system capacity for tuberculosis care in Ethiopia: evidence from national representative survey

2020 ◽  
Vol 32 (5) ◽  
pp. 306-312
Author(s):  
Amare Deribew ◽  
Tariku Dejene ◽  
Atkure Defar ◽  
Della Berhanu ◽  
Sibhatu Biadgilign ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
Health Facilities ◽  
Public Hospitals ◽  
Health Centers ◽  
System Capacity ◽  
Public And Private ◽  
Southwestern Ethiopia ◽  
Care Capacity

Abstract Objective The objective of this study was to evaluate the tuberculosis (TB) health system capacity and its variations by location and types of health facilities in Ethiopia. Design We used the Service Provision Assessment plus (SPA+) survey data that were collected in 2014 in all hospitals and randomly selected health centers and private facilities in all regions of Ethiopia. We assessed structural, process and overall health system capacity based on the Donabedian quality of care model. Multiple linear regression and spatial analysis were done to assess TB capacity score variation across regions. Setting The study included 873 public and private health facilities all over Ethiopia. Participants None. Intervention(s) None. Main outcome measure(s) None. Results A total of 873 health facilities were included in the analysis. The overall TB care capacity score was 76.7%, 55.9% and 37.8% in public hospitals, health centers and private facilities, respectively. The health system capacity score for TB was higher in the urban (60.4%) facilities compared to that of the rural (50.0%) facilities (β = 8.0, 95% CI: 4.4, 11.6). Health centers (β = −16.2, 95% CI: −20.0, −12.3) and private health facilities (β = −38.3, 95% CI: −42.4, −35.1) had lower TB care capacity score than hospitals. Overall TB care capacity score were lower in Western and Southwestern Ethiopia and in Benishangul-Gumuz and Gambella regions. Conclusions The health system capacity score for TB care in Ethiopia varied across regions. Health system capacity improvement interventions should focus on the private sectors and health facilities in the rural and remote areas to ensure equity and improve quality of care.

scholarly journals Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manon Haemmerli ◽  
Timothy Powell-Jackson ◽  
Catherine Goodman ◽  
Hasbullah Thabrany ◽  
Virginia Wiseman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Poor Quality ◽  
Health Facilities ◽  
Quality Health Care ◽  
Public And Private ◽  
The Poor ◽  
Service Readiness ◽  
Quality Health

Abstract Background For many low and middle-income countries poor quality health care is now responsible for a greater number of deaths than insufficient access to care. This has in turn raised concerns around the distribution of quality of care in LMICs: do the poor have access to lower quality health care compared to the rich? The aim of this study is to investigate the extent of inequalities in the availability of quality health services across the Indonesian health system with a particular focus on differences between care delivered in the public and private sectors. Methods Using the Indonesian Family Life Survey (wave 5, 2015), 15,877 households in 312 communities were linked with a representative sample of both public and private health facilities available in the same communities. Quality of health facilities was assessed using both a facility service readiness score and a knowledge score constructed using clinical vignettes. Ordinary least squares regression models were used to investigate the determinants of quality in public and private health facilities. Results In both sectors, inequalities in both quality scores existed between major islands. In public facilities, inequalities in readiness scores persisted between rural and urban areas, and to a lesser extent between rich and poor communities. Conclusion In order to reach the ambitious stated goal of reaching Universal Health Coverage in Indonesia, priority should be given to redressing current inequalities in the quality of care.

scholarly journals Structural Quality of Labour and Delivery Care in Government Hospitals of Ethiopia: A Descriptive Analysis

2021 ◽  
Author(s):  
Negalign B Bayou ◽  
Liz Grant ◽  
Simon C Riley ◽  
Elizabeth H Bradley
Keyword(s):  
Health Facilities ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
Structural Quality ◽  
Delivery Care ◽  
Essential Drugs ◽  
Laboratory Services ◽  
Government Hospitals ◽  
Safe Blood

Abstract Background Ethiopia has low skilled birth attendance rates coupled with low quality of care within health facilities contributing to one of the highest maternal mortality rates in Sub-Saharan Africa, at 412 deaths per 100,000 live births. There is lack of evidence on the readiness of health facilities to deliver quality labour and delivery (L&D) care. This paper describes the structural quality of routine L&D care in government hospitals of Ethiopia. Methods A facility-based cross-sectional study design, involving census of all government hospitals in Southern Nations Nationalities and People’s Region (SNNPR) (N = 20) was conducted in November 2016 through facility audit using a structured checklist. Data collectors verified the availability and functioning of the required items through observation and interview with the heads of labour and delivery case team. An overall mean score of structural quality was calculated considering domain scores such as general infrastructure, human resource and essential drugs, supplies, equipment and laboratory services. Summary statistics such as proportion, mean and standard deviation were computed to describe the degree of adherence of the hospitals to the standards related to structural quality of routine labour and delivery care. Results One third of hospitals had low readiness to provide quality routine L&D care, with only two approaching near fulfilment of all the standards. Hospitals had fulfilled 68.5% of the standards for the structural aspects of quality of L&D care. Of the facility audit criteria, the availability of essential equipment and supplies for infection prevention scored the highest (88.8%), followed by safety, comfort and woman friendliness of the environment (78.9%). Availability skilled health professionals and quality management practices scored 72.5% each, while availability of the required items of general infrastructure was 64.6%. The two critical domains with the lowest score were availability of essential drugs, supplies and equipment (52.2%); and laboratory services and safe blood supply (50%). Conclusion Substantial capacity gaps were observed in the hospitals challenging the provision of quality routine L&D care services, with only two thirds of required resources available. The largest gaps were in laboratory services and safe blood, and essential drugs, supplies and equipment. The results suggest the need to ensure that all public hospitals in SNNPR meet the required structure to enable the provision of quality routine L&D care with emphases on the identified gaps.

scholarly journals Comparison of the Level of Adherence to Laboratory Quality Management System between Public and Private Secondary Health Facilities in Southern Nigeria

2020 ◽  
Vol 12 (12) ◽  
pp. 27
Author(s):  
Emma Akpan ◽  
Surajudeen Abiola Abdulrahman ◽  
Nne Pepple
Keyword(s):  
Quality Management ◽  
Repeated Measures ◽  
Quality Management System ◽  
Health Facilities ◽  
External Support ◽  
Internal Quality ◽  
Public And Private ◽  
Laboratory Services ◽  
Southern Nigeria ◽  
Over Time

BACKGROUND: To achieve improved health outcomes of HIV positive patients receiving ART services, quality laboratory services must form an essential part of the services provided. The aim of this study was to compare service quality by assessing the level of adherence to quality system essentials (QSEs) in laboratory services delivered by public and private health institutions in Southern Nigeria. METHODS: This was an analytical cross-sectional study conducted among 50 health facilities’ laboratories in 5 Southern States (Akwa Ibom, Anambra, Cross River, Edo and Rivers) of Nigeria. Randomly selected sample of secondary health facilities’ laboratories (ten per state, and a total of 25 public and 25 private health facilities) receiving equal level of support from the same USAID/PEPFAR implementing partner and had been providing ART services to clients for a minimum of one year, were included in the study. Quarterly Internal quality audit was conducted in the ART Laboratory section of the selected health facilities spanning July 2015 to September 2016. 200 audit reports were checked, cleaned, and analyzed using SPSS version 23. We analyzed changes in mean performance scores over time across 6 quality management essentials using Repeated Measures ANOVA. Results were considered significant at P<0.05. RESULTS: The result of the study showed that the private health facilities laboratory achieved a significantly higher improvement in Facility and Safety score over time (p=0.019) compared to public health facilities. Overall, temporal improvements were recorded in all facilities in three out of the six QSEs (document and record, p=0.045; organization and personnel, p=0.020; equipment, p<0.001) and total laboratory quality score (p=0.004). But there was no significant quarterly difference in performances on QSEs between public and private health facilities laboratories. CONCLUSION: Our findings indicate that despite receiving the same level of external support, private hospital laboratories adhere better to the quality standards on Facility and safety than public hospital laboratories in Southern Nigeria.

scholarly journals Quality of Care in Modern Contraceptive Service Delivery in the Public and Private Sector: A Cross Sectional Study in Indonesia

2020 ◽  
Vol 12 (7) ◽  
pp. 102
Author(s):  
Ekoriano Mario ◽  
Ardiana Irma
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Facilities ◽  
Modern Contraceptive ◽  
Health Providers ◽  
Family Planning Services ◽  
Public And Private ◽  
The Public ◽  
Six Elements

The Government of Indonesia has established a set of program interventions to enhance the quality of family planning services. The program gives preferences to the acceptance of family planning services and the readiness of the supply side. This study is intended to better understand the extent to which the public and private sectors deliver quality family planning services in 4 selected provinces within Indonesia. The six elements of quality of care (Bruce, 1990) were utilized as the study framework. The study confirmed that the mean of all six elements of quality of care are significant (alpha =0,05) in two out of the four study sites. From the clients’ point of view, information on contraceptive choices was the most neglected aspect in the public health facilities, while ‘follow up and a continuity mechanism’ was most neglected in the private health facilities. The equity index showed a substantial difference in the overall quality of care between the two types of health facilities (public= 4.53 versus private= 5.34). As far as health providers are concerned, quality of care is still below the optimum standard. Emphasis should be given to formally shape the desired health provider behavior and find a way to create an ‘after-sales-service’ scheme. The concept of quality goals need to be mindful of program maturity across regions. Periodic monitoring and evaluation is required to ensure more client satisfaction which leading to more sustained use of modern contraceptives.

SERVICE QUALITY OF PUBLIC AND PRIVATE PHYSIOTHERAPY INSTITUTES: A COMPARATIVE STUDY IN LAHORE

2019 ◽  
Author(s):  
Roohi Abbas
Keyword(s):  
Physical Therapy ◽  
Service Quality ◽  
Cross Sectional Study ◽  
Quality Of Services ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Quality Dimensions ◽  
Service Quality Dimensions

Background: Ever since quality of services is gaining importance in every industry as it is the indicator of consumer/customer satisfaction, it is of utmost importance to measure service quality of educational institutes to determine the satisfaction of students. Thus, the study aimed to determine the important factors in service quality dimensions which contribute to the satisfaction of students. Methods: This was a Comparative Cross Sectional study in which final year department of physical therapy (DPT) students were included from three private and three public physiotherapy institutes. Results: The largest mean Positive Gap scores for Public Physiotherapy Institutes was 0.18 for accessibility and affordability 0.18. The largest negative mean gap score for Private Physiotherapy domain was “Accessibility and Affordability” found to be -1.96. Conclusion: Students were satisfied with service quality of private institutes in all domains except for the “Accessibility and Affordability” whereas, in Public Institutes largest negative quality gaps were found in “Empathy” and “Assurance”.

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