ArticlePloS one2019
Facility management associated with improved primary health care outcomes in Ghana.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What is the relationship between hospital management practices and quality of care? A systematic review of the global evidence.Health policy and planning · 2025Pooled it
- Competencies required for the performance of primary health care managers: a systematic review.Cadernos de saude publica · 2025Pooled it
- Article
- Development and testing of the IMPRESS hospital management survey (IHMS) to measure hospital management practices in a low-income country setting.BMC health services research · 2025Article
- Organisational factors associated with implementing action plans informed by routine health information system data in Mozambique: longitudinal analyses, 2016-2020.BMJ global health · 2025Article
- Factors Influencing Primary Healthcare System in the Achievement of Universal Health Coverage in the WHO-AFRO Region: An Integrative Review.Public health challenges · 2025Review
- Assessment of quality of maternal and newborn care and its determinants: a national study of primary health care facilities in Nigeria.BMC health services research · 2025Article
- Direct health facility financing and its influence on quality compliance in primary healthcare: evidence from Tanzania.Health research policy and systems · 2025Article
- Services availability and readiness assessment of adolescent sexual and reproductive health in primary healthcare facilities: evidence from selected districts in Ghana.Reproductive health · 2025Article
- Article
- Management capacity of primary healthcare facilities in low- and middle-income countries: A scoping review.PLOS global public health · 2025Article
- How Does Management Matter for Hospital Performance? Evidence From the Global Hospital Management Survey in China.International journal of health policy and management · 2024Article
- Management practices in facilities providing HIV services to key populations in Kenya and Malawi: A descriptive analysis of management in community-based organizations.PLOS global public health · 2024Article
- Health service quality in 2929 facilities in six low-income and middle-income countries: a positive deviance analysis.The Lancet. Global health · 2023Article
- Knowledge, attitudes and practices of healthcare professionals on the use of an electronic stock visibility and management tool in a middle-income country: Implications for access to medicines.Exploratory research in clinical and social pharmacy · 2023Article
- Primary Health Care Management Effectiveness as a Driver of Family Planning Service Readiness: A Cross-Sectional Analysis in Central Mozambique.Global health, science and practice · 2022Article
- Best and worst performing health facilities: A positive deviance analysis of perceived drivers of primary care performance in Nepal.Social science & medicine (1982) · 2022Article
- Health facility management and primary health care performance in Uganda.BMC health services research · 2022Article
- An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso.International journal of health policy and management · 2022Article
- Does decentralization of health systems translate into decentralization of authority? A decision space analysis of Ugandan healthcare facilities.Health policy and planning · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStrong primary health care (PHC) is essential for achieving universal health coverage, but in many low- and middle-income countries (LMICs) PHC services are of poor quality. Facility management is hypothesized to be critical for improving PHC performance, but evidence about management performance and its associations with PHC in LMICs remains limited.
methodsWe quantified management performance of PHC facilities in Ghana and assessed the experiences of women who sought care at sampled facilities. Using multi-level models, we examined associations of facility management with five process outcomes and eight experiential outcomes.
findingsOn a scale of 0 to 1, the average overall management score in Ghana was 0·76 (IQR = 0·68-0·85). Facility management was significantly associated with one process outcome and three experiential outcomes. Controlling for facility characteristics, facilities with management scores at the 90th percentile (management score = 0·90) had 22% more essential drugs compared to facilities with management scores at the 10th percentile (0·60) (p = 0·002). Positive statistically non-significant associations were also seen with three additional process outcomes-integration of family planning services (p = 0·054), family planning types provided (p = 0·067), and essential equipment availability (p = 0·104). Compared to women who sought care at facilities with management scores at the 10th percentile, women who sought care at facilities at the 90th percentile reported 8% higher ratings of trust in providers (p = 0·028), 15% higher ratings of ease of following provider's advice (p = 0·030), and 16% higher quality rating (p = 0·020). However, women who sought care in the 90th percentile facilities rated their waiting times as worse (22% lower, p = 0·039).
interpretationHigher management scores were associated with higher scores for some process and experiential outcomes. Large variations in management performance indicate the need to strengthen management practices to help realize the full potential of PHC in improving health outcomes.
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