ArticleBMC health services research2012
Improving HIV outcomes in resource-limited countries: the importance of quality indicators.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Ghanaians living with Human Immunodeficiency Virus: social determinants of quality of life.BMC public health · 2026Article
- Whose rights are being violated when receiving HIV and sexual and reproductive health services in Nigeria?BMC health services research · 2022Article
- Patient Satisfaction with HIV/AIDS Services in Health Centers of East Shoa Zone, Oromia, Ethiopia: A Cross-Sectional Study.Health services insights · 2021Article
- Continuous quality improvement in HIV and TB services at selected healthcare facilities in South Africa.Southern African journal of HIV medicine · 2021Review
- Quality of antiretroviral therapy services in Ghana: Implications for the HIV response in resource-constrained settings.SAGE open medicine · 2021Article
- Performance and trend for quality of service in a large HIV/AIDS treatment program in Nigeria.AIDS research and therapy · 2019Review
- Are health workers reduced to being drug dispensers of antiretroviral treatment? A randomized cross-sectional assessment of the quality of health care for HIV patients in northern Uganda.Health policy and planning · 2019Article
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria.PloS one · 2019Article
- HIV and early hospital readmission: evaluation of a tertiary medical facility in Lilongwe, Malawi.BMC health services research · 2018Article
- The patient-centered medical home: a reality for HIV care in Nigeria.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017Article
- Examining the influence of country-level and health system factors on nursing and physician personnel production.Human resources for health · 2016Article
- HIV, tuberculosis, and noncommunicable diseases: what is known about the costs, effects, and cost-effectiveness of integrated care?Journal of acquired immune deficiency syndromes (1999) · 2014Review
- Evaluating social outcomes of HIV/AIDS interventions: a critical assessment of contemporary indicator frameworks.Journal of the International AIDS Society · 2014Review
- Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundResource-limited countries increasingly depend on quality indicators to improve outcomes within HIV treatment programs, but indicators of program performance suitable for use at the local program level remain underdeveloped.
methodsUsing the existing literature as a guide, we applied standard quality improvement (QI) concepts to the continuum of HIV care from HIV diagnosis, to enrollment and retention in care, and highlighted critical service delivery process steps to identify opportunities for performance indicator development. We then identified existing indicators to measure program performance, citing examples used by pivotal donor agencies, and assessed their feasibility for use in surveying local program performance. Clinical delivery steps without existing performance measures were identified as opportunities for measure development. Using National Quality Forum (NQF) criteria as a guide, we developed measurement concepts suitable for use at the local program level that address existing gaps in program performance assessment.
resultsThis analysis of the HIV continuum of care identified seven critical process steps providing numerous opportunities for performance measurement. Analysis of care delivery process steps and the application of NQF criteria identified 24 new measure concepts that are potentially useful for improving operational performance in HIV care at the local level.
conclusionAn evidence-based set of program-level quality indicators is critical for the improvement of HIV care in resource-limited settings. These performance indicators should be utilized as treatment programs continue to grow.
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