Observational studyBMC health services research2019
Towards improved health service quality in Tanzania: contribution of a supportive supervision approach to increased quality of primary healthcare.
Observational study in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- The evolution of supportive supervision in low- and middle-income countries.BMC global and public health · 2026Review
- Community ownership of biopsychosocial model of care: a qualitative study in the Katana health district, Democratic Republic of Congo.Global health action · 2025Article
- Management Outcomes of Variceal Bleeding in Northern Tanzania: Insights From a Single-Center Retrospective Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
- Combining quality improvement and critical care training: Evaluating an ICU CPR training programme quality improvement initiative at the National Hospital in Tanzania.BMJ open quality · 2024Article
- Routine health data use for decision making and its associated factors among primary healthcare managers in dodoma region.BMC health services research · 2024Article
- Leading from the bottom: The clinical leaders roles in an HIV primary care facility in Eldoret, Kenya.PloS one · 2024Article
- Maternal interventions to decrease stillbirths and neonatal mortality in Tanzania: evidence from the 2017-18 cross-sectional Tanzania verbal and social autopsy study.BMC pregnancy and childbirth · 2023Article
- Clinical Audit for Integration of Communicable and Non-Communicable Diseases at the Primary Health Care Level in Tanzania.The East African health research journal · 2023Article
- The association between chronic disease and depression in middle-aged and elderly people: The moderating effect of health insurance and health service quality.Frontiers in public health · 2023Article
- Toward mandatory health insurance in low-income countries? An analysis of claims data in Tanzania.Health economics · 2022Article
- Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review.International journal of environmental research and public health · 2022Article
- The functionality variation among health facility governing committees under direct health facility financing in Tanzania.PLOS global public health · 2022Article
- Understanding the role of serological and clinical data on assessing the dynamic of malaria transmission: a case study of Bagamoyo district, Tanzania.The Pan African medical journal · 2022Article
- Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment.PloS one · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundUniversal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective and inadequate routine supportive supervision of healthcare providers by council health management teams. To address this, we developed and assessed an approach to improve quality of primary healthcare through enhanced routine supportive supervision.
methodsMixed methods were used, combining trends of quantitative quality of care measurements with qualitative data mainly collected through in-depth interviews. The former allowed for identification of drivers of quality improvements and the latter investigated the perceived contribution of the new supportive supervision approach to these improvements.
resultsThe results showed that the new approach managed to address quality issues that could be solved either solely by the healthcare provider, or in collaboration with the council. The new approach was able to improve and maintain crucial primary healthcare quality standards across different health facility level and owner categories in various contexts.
conclusionTogether with other findings reported in companion papers, we could show that the new supportive supervision approach not only served to assess quality of primary healthcare, but also to improve and maintain crucial primary healthcare quality standards. The new approach therefore presents a powerful tool to support, guide and drive quality improvement measures within council. It can thus be considered a suitable option to make routine supportive supervision more effective and adequate.
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