Observational studyPloS one2018
The know-do gap in sick child care in Ethiopia.
Observational study in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Systematic review of the quality of care provided to sick children in Ethiopian health facilities.Journal of global health · 2024Pooled it
- Comparability of family planning quality of care measurement tools in low-and-middle income country settings: a systematic review.Reproductive health · 2021Pooled it
- Trial
- Know-do gaps in the clinical management of childhood illness: evidence from three countries in sub-Saharan Africa.BMC public health · 2025Observational
- Barriers to improving preterm newborn outcomes through effective antenatal corticosteroid use in Ethiopia.BMJ global health · 2025Article
- How personnel diversity and affective bonds affect performance-based financing: a moderator analysis of a difference-in-difference estimator.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- When a Toolkit Is Not Enough: A Review on What Is Needed to Promote the Use and Uptake of Immunization-Related Resources.Global health, science and practice · 2024Review
- Article
- Health care provider decision-making and the quality of maternity care: An analysis of postpartum care in Kenyan hospitals.Social science & medicine (1982) · 2023Article
- Costs and resource needs for primary health care in Ethiopia: evidence to inform planning and budgeting for universal health coverage.Frontiers in public health · 2023Article
- The role of teams in shaping quality of obstetrical care: a cross-sectional study in Dire Dawa, Ethiopia.BMJ open · 2022Observational
- Does high workload reduce the quality of healthcare? Evidence from rural Senegal.Journal of health economics · 2022Article
- Know-do gaps for cardiovascular disease care in Cambodia: Evidence on clinician knowledge and delivery of evidence-based prevention actions.PLOS global public health · 2022Article
- Assessing sustainment of health worker outcomes beyond program end: Evaluation results from an infant and young child feeding intervention in Bangladesh.Frontiers in health services · 2022Article
- Patient volume and quality of primary care in Ethiopia: findings from the routine health information system and the 2014 Service Provision Assessment survey.BMC health services research · 2021Article
- Characterizing health care provider knowledge: Evidence from HIV services in Kenya, Rwanda, South Africa, and Zambia.PloS one · 2021Article
- Article
- Assessing the quality of care in sick child services at health facilities in Ethiopia.BMC health services research · 2020Article
- Quality of care for children with severe disease in the Democratic Republic of the Congo.BMC public health · 2019Article
- Estimating the global impact of poor quality of care on maternal and neonatal outcomes in 81 low- and middle-income countries: A modeling study.PLoS medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile health care provider knowledge is a commonly used measure for process quality of care, evidence demonstrates that providers don't always perform as much as they know. We describe this know-do gap for malaria care for sick children among providers in Ethiopia and examine what may predict this gap.
methodsWe use a 2014 nationally-representative survey of Ethiopian providers that includes clinical knowledge vignettes of malaria care and observations of care provided to children in facilities. We compare knowledge and performance of assessment, treatment and counseling items and overall. We subtract performance scores from knowledge and use regression analysis to examine what facility and provider characteristics predict the gap. 512 providers that completed the malaria vignette and were observed providing care to sick children were included in the analysis.
resultsVignette and observed performance were both low, with providers on average scoring 39% and 34% respectively. The know-do gap for assessment was only 1%, while the gap for treatment and counseling items was 39%. Doctors had the largest gap between knowledge and performance. Only provider type and availability of key equipment significantly predicted the know-do gap.
conclusionsWhile both provider knowledge and performance in sick child care are poor, there is a gap between knowledge and performance particularly with regard to treatment and counseling. Interventions to improve quality of care must address not only deficiencies in provider knowledge, but also the gap between knowledge and action.
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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.