Comparing summary measures of quality of care for family planning in Haiti, Malawi, and Tanzania.

ABSTRACT: Measuring quality of care in family planning services is essential for policymakers and stakeholders. However, there is limited agreement on which mathematical approaches are best able to summarize quality of care. Our study used data from recent Service Provision Assessment surveys in Haiti, Malawi, and Tanzania to compare three methods commonly used to create summary indices of quality of care-a simple additive, a weighted additive that applies equal weights among domains, and principal components analysis (PCA) based methods. The PCA results indicated that the first component cannot sufficiently summarize quality of care. For each scoring method, we categorized family planning facilities into low, medium, and high quality and assessed the agreement with Cohen's kappa coefficient between

SUBMITTER: Mallick L 

PROVIDER: S-EPMC6555515 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature