Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda

Belardi, Paolo; Corazza, Ilaria; Bonciani, Manila; Manenti, Fabio; Vainieri, Milena

doi:10.3390/ijerph20010041

Cited by 3 publications

(5 citation statements)

References 42 publications

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“…Eight studies that analysed various information and monitoring interventions are included in this review 215–222. In Mexico, the study involved benchmarking by measuring effective coverage to monitor progress, foster accountability and create a culture of evidence.…”

Section: Resultsmentioning

confidence: 99%

“…A dashboard-driven patient safety programme in India showed significant improvements in composite quality scores and compliance with patient safety protocols 220. Healthcare performance evaluation in three districts of Ethiopia, Tanzania and Uganda showed improved quality and better governance in decision-making, accountability and allocation of resources 222…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Eight studies that analysed various information and monitoring interventions are included in this review. [215][216][217][218][219][220][221][222] In Mexico, the study involved benchmarking by measuring effective coverage to monitor progress, foster accountability and create a culture of evidence. This improved effective coverage of maternal and child health services, though some inequities remained unchanged.…”

Section: Information and Monitoringmentioning

confidence: 99%

“…220 Healthcare performance evaluation in three districts of Ethiopia, Tanzania and Uganda showed improved quality and better governance in decision-making, accountability and allocation of resources. 222 Holding quality contests among health facilities in Morocco improved the quality scores of the primary healthcare facilities participating. 219 In Kenya, the intervention to apply data-driven prioritisation at the health facilities contributed to significant improvements in structural readiness, better infection prevention and control, compliance with clinical protocols, reduced waiting times and reduced neonatal mortality.…”

Section: Open Accessmentioning

confidence: 99%

See 4 more Smart Citations

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

George,

Jack,

Gauld

et al. 2023

BMJ Open

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IntroductionImproving healthcare quality in low-/middle-income countries (LMICs) is a critical step in the pathway to Universal Health Coverage and health-related sustainable development goals. This study aimed to map the available evidence on the impacts of health system governance interventions on the quality of healthcare services in LMICs.MethodsWe conducted a scoping review of the literature. The search strategy used a combination of keywords and phrases relevant to health system governance, quality of healthcare and LMICs. Studies published in English until August 2023, with no start date limitation, were searched on PubMed, Cochrane Library, CINAHL, Web of Science, Scopus, Google Scholar and ProQuest. Additional publications were identified by snowballing. The effects reported by the studies on processes of care and quality impacts were reviewed.ResultsThe findings from 201 primary studies were grouped under (1) leadership, (2) system design, (3) accountability and transparency, (4) financing, (5) private sector partnerships, (6) information and monitoring; (7) participation and engagement and (8) regulation.ConclusionsWe identified a stronger evidence base linking improved quality of care with health financing, private sector partnerships and community participation and engagement strategies. The evidence related to leadership, system design, information and monitoring, and accountability and transparency is limited.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Information and Monitoringmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

See 3 more Smart Citations

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

George,

Jack,

Gauld

et al. 2023

BMJ Open

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A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country

Mohammed,

Saleh,

AbdelSalam

et al. 2023

IJQHC Communications

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Background The ability to adapt clinical management of trauma in many lower- and middle- income countries (LMICs) has been historically constrained by nonexistent or inadequate data registries. These registries suffer from a variety of issues including administrative, logistical, educational, feasibility, and financial barriers. Objective The present study aimed to survey physicians at a representative hospital with documented trauma record deficiencies regarding their experiences with the current registry system, barriers that affect the current system, and recommendations for improvement. Methods This study was a qualitative analysis of the experiences and opinions of trauma physicians in the Emergency Department of Beni-Suef University Hospital. Eight participants underwent a semi-structured interview covering the aforementioned topics. The interviews were then coded to identify prominent themes, from which quotes that epitomized these themes were selected. Results The participants identified issues with the current data registry system that corroborates prior quantitative data at the location, particularly stressing the lack of critical information affecting patient care and safety including mechanisms of injury, patient identification information, and time courses. Clinical duties and staffing were identified as primary barriers as the large patient volume seen in under-resourced hospitals precludes the ability of the physician to adequately complete documentation. Simplicity and practical workflow modification in conjunction with increased data utilization in the form of research output were stressed as desirable features that could facilitate the improvement of the current system. Conclusion Data registries enable hospitals and public health systems to engage in primary and secondary interventions, thereby reducing clinical volume loads and increasing clinical efficacy. After engaging in constructive discussion with physicians on the trauma care team at Beni-Suef University Hospital, the goal of workflow modification within existing resources was established as the primary guiding principle for subsequent interventional stages in improving the current trauma registry.

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Nursing and midwifery simulation training with a newly developed low-cost high-fidelity placenta simulator: a collaboration between Italy and Ethiopia

Ferrari,

Maglio,

Tamirat

et al. 2024

BMC Med Educ

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Background Simulation training provides safe environment for skill acquisition and retention. This study addresses a critical challenge in Africa – umbilical cord and placenta management after childbirth – aiming to bridge theoretical learning with practical experiences through simulation. We realized a new low-cost high-fidelity simulator of placenta and umbilical cord. We conducted a needs-based training course for nursing and midwifery students at St. Luke Hospital of Wolisso, Ethiopia, to validate our new simulator and compare its acceptability and teaching effectiveness with other two simulators (conventional low-fidelity model and human placenta). Methods We surveyed St. Luke Hospital medical experts to obtain their feedback on the new simulator’s face, content, and usability. We carried out a simulation training course for 67 students who received theoretical lectures and simulation courses being divided into three groups according to the simulator used. We assessed the simulators’ user acceptability using the Technology Acceptance Model (TAM) and compared the final objective evaluations by tutors between groups. Results Experts confirmed the new simulator’s fidelity, material quality, and usability. Students training on the new simulator demonstrated higher objective scores and perceived it as more useful and user-friendly compared to human placenta, while there was no difference between conventional simulator and human placenta in the TAM items. Conclusion We validated a new high-fidelity simulator developed by the Sant’Anna School of Advanced Studies in Pisa, Italy, using the TAM scale and robust statistical methods, thanks to a successful collaboration with St. Luke’s Hospital in a simulation training course where students achieved higher objective scores and perceived the simulator as more useful and easier to use than a real human placenta, suggesting significant educational benefits and potential for future research. Supplementary Information The online version contains supplementary material available at 10.1186/s12909-024-06152-0.

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Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda

Cited by 3 publications

References 42 publications

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

Impact of health system governance on healthcare quality in low-income and middle-income countries: a scoping review

A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country

Nursing and midwifery simulation training with a newly developed low-cost high-fidelity placenta simulator: a collaboration between Italy and Ethiopia

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