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- Title
Levels and variations in the quality of facility-based antenatal care in Kenya: evidence from the 2010 service provision assessment.
- Authors
Lee, Elizabeth; Madhavan, Supriya; Bauhoff, Sebastian
- 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.
- Subjects
KENYA; PRENATAL care; MATERNAL health services; OBSTETRICAL research; MEDICAL care research; LOW-income countries; MIDDLE-income countries; DEVELOPING countries; HEALTH facilities; MEDICAL quality control; PRIVATE sector; PUBLIC sector; CROSS-sectional method; STANDARDS
- Publication
Health Policy & Planning, 2016, Vol 31, Issue 6, p777
- ISSN
0268-1080
- Publication type
journal article
- DOI
10.1093/heapol/czv132