PMID- 25134414
OWN - NLM
STAT- MEDLINE
DCOM- 20141112
LR  - 20140917
IS  - 1365-3156 (Electronic)
IS  - 1360-2276 (Linking)
VI  - 19
IP  - 10
DP  - 2014 Oct
TI  - Assessing the quality of care in a new nation: South Sudan's first national 
      health facility assessment.
PG  - 1237-48
LID - 10.1111/tmi.12363 [doi]
AB  - OBJECTIVES: We adapted a rapid quality of care monitoring method to a fragile 
      state with two aims: to assess the delivery of child health services in South 
      Sudan at the time of independence and to strengthen local capacity to perform 
      regular rapid health facility assessments. METHODS: Using a two-stage lot quality 
      assurance sampling (LQAS) design, we conducted a national cross-sectional survey 
      among 156 randomly selected health facilities in 10 states. In each of these 
      facilities, we obtained information on a range of access, input, process and 
      performance indicators during structured interviews and observations. RESULTS: 
      Quality of care was poor with all states failing to achieve the 80% target for 14 
      of 19 indicators. For example, only 12% of facilities were classified as 
      acceptable for their adequate utilisation by the population for sick-child 
      consultations, 16% for staffing, 3% for having infection control supplies 
      available and 0% for having all child care guidelines. Health worker performance 
      was categorised as acceptable in only 6% of cases related to sick-child 
      assessments, 38% related to medical treatment for the given diagnosis and 33% 
      related to patient counselling on how to administer the prescribed drugs. Best 
      performance was recorded for availability of in-service training and supervision, 
      for seven and ten states, respectively. CONCLUSIONS: Despite ongoing instability, 
      the Ministry of Health developed capacity to use LQAS for measuring quality of 
      care nationally and state-by-state, which will support efficient and equitable 
      resource allocation. Overall, our data revealed a desperate need for improving 
      the quality of care in all states.
CI  - (c) 2014 John Wiley & Sons Ltd.
FAU - Berendes, Sima
AU  - Berendes S
AD  - Liverpool School of Tropical Medicine, International Public Health Department, 
      Liverpool, UK.
FAU - Lako, Richard L
AU  - Lako RL
FAU - Whitson, Donald
AU  - Whitson D
FAU - Gould, Simon
AU  - Gould S
FAU - Valadez, Joseph J
AU  - Valadez JJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140818
PL  - England
TA  - Trop Med Int Health
JT  - Tropical medicine & international health : TM & IH
JID - 9610576
SB  - IM
MH  - Child
MH  - Child Health Services/standards
MH  - Cross-Sectional Studies
MH  - Delivery of Health Care/*standards
MH  - Health Care Surveys
MH  - Health Facilities/*standards
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Infection Control
MH  - Lot Quality Assurance Sampling
MH  - *Quality Assurance, Health Care/methods
MH  - Sudan
OTO - NOTNLM
OT  - Africa
OT  - Afrique
OT  - South Sudan
OT  - Sud-Soudan
OT  - Sudan del Sur
OT  - calidad de cuidados
OT  - capacity building
OT  - encuesta nacional
OT  - estado fragil
OT  - formacion
OT  - fragile state
OT  - lot quality assurance sampling
OT  - monitoring and evaluation
OT  - monitorizacion y evaluacion
OT  - muestreo de aceptacion de lotes (LQAS)
OT  - national survey
OT  - quality of care
OT  - qualite des soins
OT  - renforcement des capacites
OT  - surveillance et evaluation
OT  - surveillance nationale
OT  - Africa
OT  - echantillonnage par assurance de la qualite du lot
OT  - etat fragile
EDAT- 2014/08/20 06:00
MHDA- 2014/11/13 06:00
CRDT- 2014/08/20 06:00
PHST- 2014/08/20 06:00 [entrez]
PHST- 2014/08/20 06:00 [pubmed]
PHST- 2014/11/13 06:00 [medline]
AID - 10.1111/tmi.12363 [doi]
PST - ppublish
SO  - Trop Med Int Health. 2014 Oct;19(10):1237-48. doi: 10.1111/tmi.12363. Epub 2014 
      Aug 18.