ArticleGlobalization and health2018
Does quality influence utilization of primary health care? Evidence from Haiti.
Article in Globalization and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Systematic review of the quality of care provided to sick children in Ethiopian health facilities.Journal of global health · 2024Pooled it
- Effect of a maternal and newborn health system quality improvement project on the use of facilities for childbirth: a cluster-randomised study in rural Tanzania.Tropical medicine & international health : TM & IH · 2019Trial
- 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
- Bypassing primary healthcare facilities for maternal and child health services in low- and middle-income countries: a scoping review.Reproductive health · 2026Article
- Article
- Development of a survey tool to measure pediatric experience of care: Cognitive testing and validation in the Laos.PLOS global public health · 2026Article
- Patient satisfaction with ambulatory care services delivery and respect for patient rights: findings from 2022 national survey in Rwanda.BMC health services research · 2025Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Determinants of treatment-seeking behaviour and healthcare provider choice in Afghanistan in 2018: a cross-sectional study.BMJ public health · 2024Article
- Men's Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi: A Community-Representative Survey.AIDS and behavior · 2024Article
- Healthcare professionals' experience of teenage pregnancy and motherhood in Haiti.International journal of adolescent medicine and health · 2024Article
- Regional determinants of quality of care for sick children: A multilevel analysis in four countries.Journal of global health · 2024Article
- Health system utilization and perceived quality among adults in Lao PDR: evidence from a nationally representative phone survey.BMC public health · 2024Article
- Disparities in health and nutrition between semi-urban and rural mothers and birth outcomes of their newborns in Bukavu, DR Congo: a baseline assessment.Primary health care research & development · 2023Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Barriers to the Utilization of Primary Health Centers (PHCs) in Iraq.Epidemiologia (Basel, Switzerland) · 2023Article
- Observational
- Preference and willingness to receive non-communicable disease services from primary healthcare facilities in Bangladesh: A qualitative study.BMC health services research · 2022Article
- Factors associated with men's health facility attendance as clients and caregivers in Malawi: a community-representative survey.BMC public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundExpanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti.
methodsWe constructed two composite measures of quality for all Haitian facilities using the 2013 Service Provision Assessment survey. We geographically linked population clusters from the Demographic and Health Surveys to nearby facilities offering primary health care services. We assessed the cross-sectional association between quality and utilization of four primary care services: antenatal care, postnatal care, vaccinations and sick child care, as well as one more complex service: facility delivery.
resultsFacilities performed poorly on both measures of quality, scoring 0.55 and 0.58 out of 1 on infrastructure and service delivery quality respectively. In rural areas, utilization of several primary cares services (antenatal care, postnatal care, and vaccination) was associated with both infrastructure and quality of service delivery, with stronger associations for service delivery. Facility delivery was associated with infrastructure quality, and there was no association for sick child care. In urban areas, care utilization was not associated with either quality measure.
conclusionsPoor quality of care may deter utilization of beneficial primary health care services in rural areas of Haiti. Improving health service quality may offer an opportunity not only to improve health outcomes for patients, but also to expand coverage of key primary health care services.
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