Evidence map›Paper›PMID 28579630›Full record

ArticleGhana medical journal2016

Quality of Health Care in Ghana: Mapping of Interventions and the Way Forward.

Blanca Escribano-Ferrer, Francoise Cluzeau, Derek Cutler, Christiana Akufo, Kalipso Chalkidou

Open access · hybridAbstract read
In one paragraph

Article in Ghana medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Blanca Escribano-FerrerFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England.
Francoise CluzeauNational Institute for Health and Care Excellence (NICE) International, London, England.
Derek CutlerNational Institute for Health and Care Excellence (NICE) International, London, England.
Christiana AkufoInstitutional Care Division, Ghana Health Service, Accra, Ghana.
Kalipso ChalkidouNational Institute for Health and Care Excellence (NICE) International, London, England.
National Institute for Health and Care Excellence · GBGhana Health Service · GHLondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGhana has made major strides in improving access to health services. Despite these improvements, Ghana did not meet the Millennium Development Goals 4 and 5. Quality of care is a major factor that could explain this shortfall.

objectiveTo understand current practice and to identify needs in the area of quality of care in Ghana for improving health outcomes and to guide the National Institute for Health and Care Excellence (NICE) in supporting the care quality improvement efforts in Ghana.

methodsThe directory of existing standards, guidelines and protocols of the Ghana Health Service was reviewed and sixteen in-depth interviews were conducted to identify interventions that addressed quality of care. Additional information was obtained during a NICE scoping visit to Accra followed by a study tour of Ghanaian stakeholders to NICE and to the National Health Service.

resultsSince 1988, 489 policy interventions have been identified that address quality of care. Among them, the development of health protocols and guidelines were the most frequent interventions (n=150), followed by health policies and strategies (n=106); interventions related to health information (n=77); development of training manuals and staff training (n=69); development of regulations (n=38) and interventions related to organisation of services (n=15).

conclusionsGhana has made significant efforts in developing guidelines, policies and conducting in-service training. Supervision, monitoring and evaluation have also received attention. However, less effort has been made in developing processes and systems and involving communities and service users. Some recommendations were made to guide the future work on quality of care.

fundingRockefeller Foundation.

Indexed as

Health PolicyHealth Services AdministrationPractice Guidelines as TopicQuality of Health CareStaff DevelopmentClinical ProtocolsGhanaHumansInservice TrainingQuality ImprovementGhanaguideline/clinical protocolin-service trainingpolicyquality of health careregulationssupervisionTechnology Assessments/biomedical

Identifiers

PMID28579630
PMCPMC5443676
OpenAlexW2575039447

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.