Measuring Quality of Maternal, Neonatal, Child, Reproductive Health and Nutrition Care with tools developed by the Radar project and tested in Sub Saharan Africa
Bibliographic Data
| ID | 21184344 |
|---|---|
| Authors | Melissa A Marx (0000-0001-9735-6342, Johns Hopkins University, corresponding author), Emily Frost (0000-0001-9031-1029, Johns Hopkins University), Elizabeth Hazel (0000-0002-9176-3278, Johns Hopkins University), Diwakar Mohan (0000-0002-7532-366X, Johns Hopkins University) |
| Year | 2022 |
| Volume | 15 |
| Issue | sup1 |
| Pages | 2006469-2006469 |
| Publication date | 2022-06-30 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2021.2006469 |
| PMID | 36098957 |
| OpenAlex | W4295454555 |
| Language | EN |
| Citations received | 2 |
| References cited | 22 |
Increasing coverage of evidence-based maternal, neonatal, child, reproductive health and nutrition (MNCRHN) programs in low- and middle-income countries has coincided with dramatic improvements in health despite variable quality of implementation. Comprehensive evaluation to inform program improvement requires standardized but adaptable tools, which the Real Accountability, Data Analysis for Results (RADAR) project has developed. To inform selection of tools and methods packages ('packages') to measure program quality of care (QoC), we documented experiences testing the packages, which were developed and adapted based on global and local expertise, and pre- and pilot-testing. We conducted cross-sectional studies in 2018-2019 on the quality of 1) integrated community case management, 2) counseling on maternal, infant, and young child feeding, 3) intrapartum care, and 4) family planning counseling in Mali, Mozambique, Tanzania, and Malawi. Herein we describe package performance and highlight experiences that inform their selection and use. Direct observation packages provided high-quality, immediately applicable results but they required specialized expertise, in-person collection, adequate patient volume, reasonable wait times, and unambiguously 'correct' provision of care. General satisfaction questions from exit interview packages produced unvaryingly positive responses despite variable observed quality of care. Variation increased when questions were more targeted, but findings on caregiver and client's recall of recommendations were more actionable. When interactive, clinical vignettes can capture knowledge of clinical care. But for conditions that can be simulated, like provision of family planning counseling, we could capture provider practice from simulated clients. Clinicians could more easily demonstrate tactile aspects of intrapartum care using observed structured clinical examinations, but this method required storage and transport of the required mannequins. Based on our findings we recommend ten questions upon which evaluators can base package selection. Findings from these packages inform programs and, in the context of comprehensive program evaluation enable us to link programs with impact
Child health · Environmental health · Health services · Maternal health · Population · Reproductive health · Child Nutrition and Water Access · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Pediatrics
From Millennium Development Goals to Sustainable Development Goals
High-quality health systems in the Sustainable Development Goals era
Quality of family planning services for women of reproductive age in Lao PDR
Building coherent monitoring and evaluation plans with the Evaluation Planning Tool for global health
Strengthening effectiveness evaluations to improve programs for women, children and adolescents
Accuracy of Standard Measures of Family Planning Service Quality
| Citations per year | 0.5 |
|---|---|
| Citation span | 2022 - 2023 (2) |
| Highly cited | No |