ArticleBulletin of the World Health Organization2015
A national system for monitoring the performance of hospitals in Ethiopia.
Article in Bulletin of the World Health Organization, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Quality improvement in public-private partnerships in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- Increasing the rate of nursing process implementation: a quality improvement project at Wollega University Comprehensive Specialized Hospital, 2025.BMJ open quality · 2025Article
- Statistical Analysis and Forecasts of Performance Indicators in the Romanian Healthcare System.Healthcare (Basel, Switzerland) · 2025Article
- Measuring Organizational Culture in Ethiopia's Primary Care System: Validation of a Practical Survey Tool for Managers.International journal of health policy and management · 2022Article
- Factors Influencing the Efficiency of Public Hospitals in Saudi Arabia: A Qualitative Study Exploring Stakeholders' Perspectives and Suggestions for Improvement.Frontiers in public health · 2022Article
- Strategic human resource management and performance in public hospitals in Ethiopia.Frontiers in public health · 2022Article
- The development of hospital accreditation in low- and middle-income countries: a literature review.Health policy and planning · 2020Review
- Is bed turnover rate a good metric for hospital scale efficiency? A measure of resource utilization rate for hospitals in Southeast Nigeria.Cost effectiveness and resource allocation : C/E · 2020Article
- Preliminary validation of the PRImary care facility Management Evaluation tool (PRIME-Tool), a national facility management survey implemented in Ghana.BMC health services research · 2019Article
- Article
- Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak.BMC health services research · 2018Article
- A quality improvement study of the emergency centre triage in a tertiary teaching hospital in northern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
- Professionalizing Healthcare Management: A Descriptive Case Study.International journal of health policy and management · 2017Article
- Identifying Key Performance Indicators for Holistic Hospital Management with a Modified DEMATEL Approach.International journal of environmental research and public health · 2017Article
- Maternal and neonatal services in Ethiopia: measuring and improving quality.Bulletin of the World Health Organization · 2017Article
- Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008-2012.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2017Article
- Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities.Archives of public health = Archives belges de sante publique · 2017Article
- Use of a national collaborative to improve hospital quality in a low-income setting.International health · 2016Article
- Race to the Top: evaluation of a novel performance-based financing initiative to promote healthcare delivery in rural Rwanda.Global health actionArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many countries struggle to develop and implement strategies to monitor hospitals nationally. The challenge is particularly acute in low-income countries where resources for measurement and reporting are scarce. We examined the experience of developing and implementing a national system for monitoring the performance of 130 government hospitals in Ethiopia. Using participatory observation, we found that the monitoring system resulted in more consistent hospital reporting of performance data to regional health bureaus and the federal government, increased transparency about hospital performance and the development of multiple quality-improvement projects. The development and implementation of the system, which required technical and political investment and support, would not have been possible without strong hospital-level management capacity. Thorough assessment of the health sector's readiness to change and desire to prioritize hospital quality can be helpful in the early stages of design and implementation. This assessment may include interviews with key informants, collection of data about health facilities and human resources and discussion with academic partners. Aligning partners and donors with the government's vision for quality improvement can enhance acceptability and political support. Such alignment can enable resources to be focused strategically towards one national effort - rather than be diluted across dozens of potentially competing projects. Initial stages benefit from having modest goals and the flexibility for continuous modification and improvement, through active engagement with all stakeholders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.