ArticleGlobal health action2020
Measuring management practices in primary health care facilities - development and validation of management practices scorecard in Nigeria.
Article in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- A systematic review: the dimensions to evaluate health care performance and an implication during the pandemic.BMC health services research · 2022Pooled it
- Workplace management practices and quiet quitting among primary healthcare workers: a sequential-parallel mediation analysis.Frontiers in public health · 2026Article
- Assessing primary health care facilities in six prioritized Nigerian states: Linking facility readiness with service availability.PloS one · 2026Article
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- 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
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- Management capacity of primary healthcare facilities in low- and middle-income countries: A scoping review.PLOS global public health · 2025Article
- 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
- Engaging physicians and nurses in balanced scorecard evaluation-An implication at Palestinian hospitals and recommendations for policy makers.Frontiers in public health · 2023Article
- Politics or markets: The dual role of the motivation to achieve organizational legitimacy in the development of knowledge management capabilities and business model innovation.Frontiers in psychology · 2023Article
- How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1-A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- An evaluation of excellence in primary healthcare units after the introduction of a performance management innovation in two regional states of Ethiopia: a facility based comparative study.BMC health services research · 2022Article
- Health facility management and primary health care performance in Uganda.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn low- and middle-income countries, there is scarcity of validated and reliable measurement tools for health facility management, and many interventions to improve primary health care (PHC) facilities are designed without adequate evidence base on what management practices are critical.
objectiveThis article developed and validated a scorecard to measure management practices at primary health care facilities under the performance-based financing (PBF) scheme in Nigeria.
methodsRelevant management practice domains and indicators for PHC facilities were determined based on literature review and a prior qualitative study conducted in Nigeria. The domains and indicators were tested for face validity via experts review and organized into an interviewer-administered scorecard. A stratified random sampling of PHC facilities in three States in Nigeria was conducted to assess the reliability and construct validity of the scorecard. Inter-rater reliability using inter-class correlation (ICC) (1, k) was assessed with one-way ANOVA. Exploratory factor analysis (EFA) was conducted to assess the construct validity, and an updated factor structure were developed.
results32 indicators and 6 management practice domains were initially described. Ordinal responses were derived for each indicator. Data on the scorecard were obtained from 111 PHC facilities. The ICC of mean ratings for each team of judges was 0.94. The EFA identified 6 domains (Stakeholder engagement and communication; Community-level activities; Update of plan and target; Performance management; Staff attention to planning, target, and performance; and Drugs and financial management) and reduced the number of indicators to 17. The average communality of selected items was 0.45, and item per factor ratio was 17:6.
conclusionsDespite a few areas for further refinement, this paper presents a reliable and valid scorecard for measuring management practices in PHC facilities. The scorecard can be applied for routine supervisory visits to PHC facilities, and can help accumulate knowledge on facility management, how it affects performance, and how it may be strengthened.
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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.