Effectiveness of training supervisors to improve reproductive health quality of care: a cluster-randomized trial in Kenya.
Health Policy Plan
; 23(1): 56-66, 2008 Jan.
Article
in En
| MEDLINE
| ID: mdl-17942447
ABSTRACT
Health facility supervisors are in a position to increase motivation, manage resources, facilitate communication, increase accountability and conduct outreach. This study evaluated the effectiveness of a training intervention for on-site, in-charge reproductive health supervisors in Kenya using an experimental design with pre- and post-test measures in 60 health facilities. Cost information and data from supervisors, providers, clients and facilities were collected. Regression models with the generalized estimating equation approach were used to test differences between study groups and over time, accounting for clustering and matching. Total accounting costs per person trained were calculated. The intervention resulted in significant improvements in quality of care at the supervisor, provider and client-provider interaction levels. Indicators of improvements in the facility environment and client satisfaction were not apparent. The costs of delivering the supervision training intervention totalled US$2113 per supervisor trained. In making decisions about whether to expand the intervention, the costs of this intervention should be compared with other interventions designed to improve quality.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality Assurance, Health Care
/
Program Evaluation
/
Reproductive Health Services
/
Health Facility Administrators
Type of study:
Clinical_trials
/
Evaluation_studies
/
Prognostic_studies
Aspects:
Implementation_research
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
Africa
Language:
En
Journal:
Health Policy Plan
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Year:
2008
Document type:
Article
Affiliation country:
Estados Unidos