ArticleBulletin of the World Health Organization2017
Service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 1 of them a synthesis that pooled it.
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Who cites it
108 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health System Capacity and Access Barriers to Diagnosis and Treatment of CVD and Diabetes in Nepal.Global heart · 2021Pooled it
- Trial
- Antenatal care service readiness and associated factors in health facilities across Afghanistan, Bangladesh, and Nepal: a comparative analysis.BMC health services research · 2026Article
- Assessments of the in vitro diagnostic kits landscape and availability from selected hospitals and health-related facilities in Addis Ababa, Ethiopia.BMC health services research · 2026Article
- Specific service readiness for sick child health services and its relationship with quality of care and user experience in eight low-and middle-income countries.BMC health services research · 2026Article
- Measures to monitor the implementation of Essential Health Benefit Packages at a national scale.npj health systems · 2026Article
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- Assessing primary health care facilities in six prioritized Nigerian states: Linking facility readiness with service availability.PloS one · 2026Article
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- Changes in Health Facility Readiness for Providing Quality Maternal and Newborn Care After Implementing the Safer Births Bundle of Care Package in Five Regions of Tanzania.Healthcare (Basel, Switzerland) · 2025Article
- Examining healthcare inequality for non-communicable diseases in Malawi: a hierarchical geospatial modelling approach.BMJ health & care informatics · 2025Article
- Inequities in effective coverage of family planning services in low- and middle-income countries: linking household and facility surveys.Journal of global health · 2025Article
- Article
- Antenatal corticosteroids for pregnant women at risk of preterm labour in low- and middle-income countries: utilisation and facility readiness.Journal of global health · 2025Article
- Facility readiness and experience of women and health care providers in receiving and delivering obstetric care in comprehensive health posts in Ethiopia: a mixed method study.BMC health services research · 2025Article
- Improving complex health systems and lived environments for maternal and perinatal well-being in urban sub-Saharan Africa: the UrbanBirth Collective.Journal of global health · 2025Article
- Assessment of healthcare facilities' readiness to provide antenatal care in Ethiopia: facility based study using service provision assessment data.Archives of public health = Archives belges de sante publique · 2025Article
- Assessment of antenatal care quality in Ethiopia: Facility-based study using service provision assessment data.PloS one · 2025Article
- Article
- Beyond facility-based births: Is Uganda delivering effective maternal and newborn care? An analysis of the 2022 demographic health survey and 2023 harmonized health facility assessment survey.PLOS global public health · 2025Article
48 more citing papers are in PubMed but not listed here.
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4 authors.
Funding
Abstract
objectiveTo evaluate the service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania.
methodsUsing existing data from service provision assessments of the health systems of the 10 study countries, we calculated a service readiness index for each of 8443 health facilities. This index represents the percentage availability of 50 items that the World Health Organization considers essential for providing health care. For our analysis we used 37-49 of the items on the list. We used linear regression to assess the independent explanatory power of four national and four facility-level characteristics on reported service readiness.
findingsThe mean values for the service readiness index were 77% for the 636 hospitals and 52% for the 7807 health centres/clinics. Deficiencies in medications and diagnostic capacity were particularly common. The readiness index varied more between hospitals and health centres/clinics in the same country than between them. There was weak correlation between national factors related to health financing and the readiness index.
conclusionMost health facilities in our study countries were insufficiently equipped to provide basic clinical care. If countries are to bolster health-system capacity towards achieving universal coverage, more attention needs to be given to within-country inequities.
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