Levels and variations in the quality of facility-based antenatal care in Kenya
Evidence from the 2010 service provision assessment
Bibliographic Data
| ID | 11490667 |
|---|---|
| Authors | Elizabeth Lee (0000-0001-5404-1447), Elizabeth H Lee (0000-0003-2094-6445, University Research Co (United States)), Supriya Madhavan (United States Agency for International Development), Sebastian Bauhoff (0000-0001-6017-4991, Center for Global Development, corresponding author) |
| Year | 2016 |
| Volume | 31 |
| Issue | 6 |
| Pages | 777-784 |
| Publication date | 2016-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czv132 |
| PMID | 26879091 |
| OpenAlex | W2297799831 |
| Language | EN |
| Citations received | 6 |
| References cited | 8 |
Quality of care is emerging as an important concern for low- and middle-income countries working to expand and improve coverage. However, there is limited systematic, large-scale empirical guidance to inform policy design. Our study operationalized indicators for six dimensions of quality of care that are captured in currently available, standardized Service Provision Assessments. We implemented these measures to assess the levels and heterogeneity of antenatal care in Kenya. Using our indicator mix, we find that performance is low overall and that there is substantial variation across provinces, management authority and facility type. Overall, facilities performed highest in the dimensions of efficiency and acceptability/patient-centeredness, and lowest on effectiveness and accessibility. Public facilities generally performed worse or similarly to private or faith-based facilities. We illustrate how these data and methods can provide readily-available, low-cost decision support for policy.
Business · Economics · Empirical evidence · Geography · Operationalization · Political science · Program evaluation · Public economics · Quality (philosophy) · Quality management · Scale (ratio) · Service (business) · Service delivery framework · Global Maternal and Child Health · Healthcare Policy and Management · Marketing · Patient Satisfaction in Healthcare
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| Unique citing works | 6 |
|---|---|
| Citations per year | 0.67 |
| Citation span | 2017 - 2023 (7) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |