ReviewBMC health services research2018
Primary health Centres' performance assessment measures in developing countries: review of the empirical literature.
Review in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Performance measurement systems in primary health care: a systematic literature review.BMC health services research · 2025Pooled it
- Assessing the WHO-UNICEF primary health-care measurement framework; Bangladesh, India, Nepal, Pakistan and Sri Lanka.Bulletin of the World Health Organization · 2024Article
- Developing Iranian sub-national primary health care measurement framework: a mixed-method study.Archives of public health = Archives belges de sante publique · 2023Article
- Evolution of assisted deliveries at primary healthcare centres in an unstable security context in Mali.BMJ global health · 2023Article
- Primary health care system responses to non-communicable disease prevention and control: a scoping review of national policies in Mainland China since the 2009 health reform.The Lancet regional health. Western Pacific · 2023Article
- Providers' perspectives on the performance of primary healthcare centres in India: The missing link.The International journal of health planning and management · 2021Article
- Gaps in facilities available at Community Health Centers/Rural Hospitals as per Indian public health standards - Study from Western Maharashtra.Journal of family medicine and primary care · 2020Article
- Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study.Primary health care research & development · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is universally accepted that primary healthcare is essential for achieving public health and that assessment of its performance is critical for continuous improvement. The World Health Organization's (WHO's) framework for performance assessment is a comprehensive global standard, but difficult to apply in developing countries because of financial and data constraints. This study aims to review the empirical literature on measures for Primary Health Centre (PHC) performance assessment in developing countries, and compare them for comprehensiveness with the aspects described by the WHO Framework.
methodsResearch articles published in English scientific journals between January 1979 and October 2016 were reviewed systematically. The reporting quality of the article and the quality of the measures were assessed with instruments adapted for the purpose of this study. Data was categorized and described.
resultsFifteen articles were included in the study out of 4359 articles reviewed. Nine articles used quantitative methods, one article used qualitative methods exclusively and five used mixed methods. Fourteen articles had a good description of the measurement properties. None of the articles presented validity tests of the measures but eleven articles presented measures that were well established. Mostly studies included components of personnel competencies (skilled/ non-skilled) and centre performance (patient satisfaction/cost /efficiency).
conclusionsIn comparison to the WHO framework, the measures in the articles were limited in scope as they did not represent all service components of PHCs. Hence, PHC performance assessment should include system components along with relevant measures of personnel performance beyond knowledge of protocols. Existing measures for PHC performance assessment in developing countries need to be validated and concise measures for neglected aspects need to be developed.
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