Abstract:
INTRODUCTION:Health facilities assessments are an essential instrument for health system strengthening in low- and middle-income countries. These assessments are used to conduct health facility censuses to assess the capacity of the health system to deliver health care and to identify gaps in the coverage of health services. Despite the valuable role of these assessments, there are currently no minimum standards or frameworks for these tools. METHODS:We used a structured keyword search of the MEDLINE, EMBASE and HealthStar databases and searched the websites of the World Health Organization, the World Bank and the International Health Facilities Assessment Network to locate all available health facilities assessment tools intended for use in low- and middle-income countries. We parsed the various assessment tools to identify similarities between them, which we catalogued into a framework comprising 41 assessment domains. RESULTS:We identified 10 health facility assessment tools meeting our inclusion criteria, all of which were included in our analysis. We found substantial variation in the comprehensiveness of the included tools, with the assessments containing indicators in 13 to 33 (median: 25.5) of the 41 assessment domains included in our framework. None of the tools collected data on all 41 of the assessment domains we identified. CONCLUSIONS:Not only do a large number of health facility assessment tools exist, but the data they collect and methods they employ are very different. This certainly limits the comparability of the data between different countries' health systems and probably creates blind spots that impede efforts to strengthen those systems. Agreement is needed on the essential elements of health facility assessments to guide the development of specific indicators and for refining existing instruments.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Nickerson JW,Adams O,Attaran A,Hatcher-Roberts J,Tugwell Pdoi
10.1093/heapol/czu043subject
Has Abstractpub_date
2015-06-01 00:00:00pages
675-86issue
5eissn
0268-1080issn
1460-2237pii
czu043journal_volume
30pub_type
杂志文章,评审abstract::The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compare...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.2.170
更新日期:2000-06-01 00:00:00
abstract::In low- and middle-income countries (LMICs), making the best use of scarce resources is essential to achieving universal health coverage. The design of health benefits packages creates the opportunity to select interventions on the basis of explicit objectives. Distributional cost-effectiveness analysis (DCEA) provide...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa015
更新日期:2020-07-01 00:00:00
abstract::Subsequent to recommendations from the 1994 United Nations International Conference on Population and Development, and given recent findings outlining the links between control of sexually transmitted infections (STIs) and a reduction in HIV incidence, many countries are now seeking to establish STI control programmes...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/13.2.121
更新日期:1998-06-01 00:00:00
abstract::Although logic models are now touted as an important component of health promotion planning, implementation and evaluation, there are few published manuscripts that describe the process of logic model development, and fewer which do so with community involvement, despite the increasing emphasis on participatory resear...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr001
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Afghanistan has one of the highest rates of maternal mortality in the world. We assess the health outcomes and cost-effectiveness of strategies to improve the safety of pregnancy and childbirth in Afghanistan. METHODS:Using national and sub-national data, we adapted a previously validated model that simulat...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs026
更新日期:2013-01-01 00:00:00
abstract::The private sector plays a major role in the delivery of health care in South Africa. Over the past two decades, the quality and equity of such provision has been questioned internationally. A study was conducted in Gauteng Province to explore these issues, using care for sexually transmitted disease (STD) as a case s...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.suppl_1.40
更新日期:2002-12-01 00:00:00
abstract::Ensuring financial access to health services is a critical challenge for poor countries if they are to reach the health Millennium Development Goals (MDGs). This article examines the case of Rwanda, a country which has championed innovative health care financing policies. Between 2000 and 2007, Rwanda has improved fin...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr070
更新日期:2011-11-01 00:00:00
abstract::Facing escalating health care expenditures, the governments of countries with national health insurance programs are trying to control or even to reduce health care utilization. Little research has examined the effects of decreased health care utilization on health outcomes. Applying a natural experiment design to the...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr080
更新日期:2012-10-01 00:00:00
abstract::Similar to many other countries, Chile is facing the challenges of rapid ageing and the increase in long-term care (LTC) needs for this population. Implementation of LTC systems has been the response to these challenges in other countries, however, Chile still lacks a strategy for addressing LTC needs. This article ad...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czy083
更新日期:2018-11-01 00:00:00
abstract::Recent efforts to prevent post-partum haemorrhage (PPH) in low-income countries have focused on providing women with access to oral misoprostol during home birth. The WHO recommends using lay health workers (LHWs) to administer misoprostol in settings where skilled birth attendants are not available. This review synth...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czv012
更新日期:2016-02-01 00:00:00
abstract::There is some evidence that female sex workers (FSWs) receive greater earnings for providing unprotected sex. In 2003, the landscape of the fight against HIV/AIDS dramatically changed in India with the introduction of Avahan, the largest HIV prevention programme implemented globally. Using a unique, cross-sectional bi...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz100
更新日期:2019-12-01 00:00:00
abstract::Although some methods for eliciting preferences to assist participatory priority setting in health care in developed countries are available, the same is not true for poor communities in developing countries whose preferences are neglected in health policy making. Existing methods grounded on self-interested, monetary...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv022
更新日期:2016-02-01 00:00:00
abstract::Given the demonstrated efficacy of vitamin A supplements in reducing childhood mortality, health officials now have to decide whether it would be efficient to target the supplements to high risk children. Decisions about targeting are complex because they depend on a number of factors; the degree of clustering of prev...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.1.29
更新日期:1997-03-01 00:00:00
abstract::Smoking and drinking constitute two risk factors contributing to the rising burden of non-communicable diseases in low- and middle-income countries. Both issues have gained increased international attention, but tobacco control has made more sustained progress in terms of international and domestic policy commitments,...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv125
更新日期:2016-04-01 00:00:00
abstract::While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi017
更新日期:2005-05-01 00:00:00
abstract::There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czm048
更新日期:2008-03-01 00:00:00
abstract::The question of why some immunization programmes in sub-Saharan Africa are more successful than others is an intriguing one, but not one that is frequently raised or investigated. Borrowing techniques from both performance benchmarking and positive deviance inquiry, we explored this question in six countries. We first...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn028
更新日期:2008-11-01 00:00:00
abstract::The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuelled...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/10.4.362
更新日期:1995-12-01 00:00:00
abstract::There is increasing interest in the prospects for managed market reforms in developing countries, stimulated by current reforms and policy debates in developed countries, and by perceptions of widespread public sector inefficiency in many countries. This review examines the prospects for such reforms in a developing c...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/9.3.237
更新日期:1994-09-01 00:00:00
abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw123
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:In Nepal, women residing in rural areas tend to bypass local birth centres and deliver at urban hospitals, despite the availability of obstetric care in these centres. This study investigated the incidence of bypassing, characteristics of bypassers and their reasons for bypassing the birth centres. METHODS:...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt090
更新日期:2015-02-01 00:00:00
abstract::This paper explores changes to budget allocations for health during the decentralization process in UGANDA: When the districts were given the authority to allot their own budgets, allocations for health were reduced considerably. The rationale for this by district leaders is investigated and analyzed. Their criteria f...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.2.187
更新日期:2001-06-01 00:00:00
abstract::At the start of the United Nations International Drinking Water Supply and Sanitation Decade in the 1980s, guinea worm disease was targeted as the major indicator of the success of the Decade's efforts to promote safe water. By the late 1980s, most of the guinea worm endemic countries in Africa and South Asia had esta...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.4.354
更新日期:1997-12-01 00:00:00
abstract::Adequate supervision is critical to maintain the performance of health workers who provide essential maternal and child health services in low-resource areas. Supportive supervision emphasizing problem-solving, skill development and mentorship has been shown to improve the motivation and effectiveness of health worker...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa167
更新日期:2020-12-22 00:00:00
abstract::Past efforts to promote family planning in Pakistan have been disappointing, but between 1990-91 and 2000-01 contraceptive use has more than doubled. This rise has coincided with a concerted effort on the part of the Pakistani government to increase access to contraceptive services, particularly in rural areas. The La...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi014
更新日期:2005-03-01 00:00:00
abstract::Since 2001 substantial resources have been allocated to the reproductive, maternal, newborn and child health sector (RMNCH) in Pakistan. Many new programmes have been started and coverage of some existing programmes has been extended to un-served and rural areas. Despite these efforts the Millennium Development Goals ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx021
更新日期:2017-07-01 00:00:00
abstract::Evidence suggests that a regular and reliable transfer of cash to households with orphaned and vulnerable children has a strong and positive effect on child outcomes. However, conditional cash transfers are considered by some as particularly intrusive and the question on whether or not to apply conditions to cash tran...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt060
更新日期:2014-10-01 00:00:00
abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx152
更新日期:2018-03-01 00:00:00
abstract::The 1993 World Development Report is proving to be an influential document for the development of the health sector policies in developing countries. One important aspect of the Report concerns its proposals for Disability Adjusted Life Years as a measure of health change and hence effectiveness of interventions. This...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/11.2.179
更新日期:1996-06-01 00:00:00
abstract::Injury is a growing public health concern worldwide. Since severe injuries require urgent treatment, involving smooth, timely patient referral between facilities, strengthening of the referral system would reduce injury mortality. Smooth referral consists of identification of severe cases, organization of transportati...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp063
更新日期:2010-07-01 00:00:00