Health service quality in 2929 facilities in six low-income and middle-income countries: a positive deviance analysis.

ABSTRACT:

Background

Primary care is of insufficient quality in many low-income and middle-income countries. Some health facilities perform better than others despite operating in similar contexts, although the factors that characterise best performance are not well known. Existing best-performance analyses are concentrated in high-income countries and focus on hospitals. We used the positive deviance approach to identify the factors that differentiate best from worst primary care performance among health facilities across six low-resource health systems.

Methods

This positive deviance analysis used nationally representative samples of public and private health facilities from Service Provision Assessments of the Democratic Republic of the Congo, Haiti, Malawi, Nepal, Senegal, and Tan

SUBMITTER: Lewis TP 

PROVIDER: S-EPMC10205971 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature