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Quality management : where is the evidence? Developing an indicator-based approach in Kenya

Prytherch, Helen and Nafula, Maureen and Kandie, Charles and Brodowski, Marc and Marx, Irmgard and Kubaj, Sandy and Omogi, Irene and Zurkuhlen, Alexia and Herrler, Claudia and Goetz, Katja and Szecsenyi, Joachim and Marx, Michael. (2017) Quality management : where is the evidence? Developing an indicator-based approach in Kenya. International journal for quality in health care, 29 (1). pp. 19-25.

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Official URL: http://edoc.unibas.ch/55142/

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Abstract

The 2030 Sustainable Development Agenda emphasizes the importance of quality of care in the drive to achieve universal health coverage. Despite recent progress, challenges in service delivery, efficiency and resource utilization in the health sector remain.; The Ministry of Health Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end, the European Practice Assessment (EPA) was adapted to the area of Reproductive and Maternal and Neonatal Health.; The adaptation process made use of a ten step-modified RAND Corporation/University of California Los Angeles (UCLA) Appropriateness Method. The steps included a scoping workshop, definition of five critical domains of quality in the Kenyan context ('People, Management, Clinical Care, Quality & Safety, Interface between inpatients and outpatients care'), a review of policy documents, management and clinical guidelines, grey and scientific literature to identify indicators in use in the Kenyan health system and an expert panel process to rate their feasibility and validity.; The resulting 278 indicators, clustered across the five domains, were broken-down into 29 dimensions and assigned measure specifications. A set of data collection tools were developed to furnish the indicators and piloted at two health facilities. They were subsequently finalized for use in 30 health facilities in 3 counties.; The integrative and indicator-based aspects of the EPA process could be readily adapted to facilitate the operationalization of a practical quality assurance approach in Kenya.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Swiss Centre for International Health (SCIH) > Health Systems Support (Prytherch)
UniBasel Contributors:Prytherch, Helen
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Pergamon
ISSN:1353-4505
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:04 Jul 2018 11:24
Deposited On:06 Jun 2017 12:18

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