| Levels and variations in the quality of facility based antenatal care in Kenya: evidence from the 2010 service provision assessment |
| Authors: |
Elizabeth Lee, Supriya Madhavan, and Sebastian Bauhoff |
| Source: |
Health Policy and Planning, 31(6):777–784; DOI: 10.1093/heapol/czv132 |
| Topic(s): |
Antenatal care
|
| Country: |
Africa
Kenya
|
| Published: |
FEB 2016 |
| Abstract: |
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. |
| Web: |
https://projectspace.icfi.com/hesp/ihd-dhs/DHS7-Reporting/DHS%207%20Midterm%20Evaluation/Shared%20Documents/3)%20Other%20Technical%20Documents/Peer-reviewed%20articles/Lee%20et%20al%202016.pdf |
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