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Quality management: where is the evidence? Developing an indicator-based approach in Kenya

Prytherch, Helen ; Nafula, Maureen ; Kandie, Charles ; Brodowski, Marc ; Marx, Irmgard ; Kubaj, Sandy ; Omogi, Irene ; Zurkuhlen, Alexia ; Herrler, Claudia ; Goetz, Katja ; Szecsenyi, Joachim ; Marx, Michael

In: International Journal for Quality in Health Care, 2017, vol. 29, no. 1, p. 19-25

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    Titre
    • Quality management: where is the evidence? Developing an indicator-based approach in Kenya
    Auteur
    • Prytherch, Helen. evaplan at the University Hospital, Heidelberg, Germany
    • Nafula, Maureen. Institute of Health Policy, Management and Research (IHPMR), Nairobi, Kenya
    • Kandie, Charles. Head of Department of Standards and Regulatory Services, Ministry of Health, Nairobi, Kenya
    • Brodowski, Marc. Institute for Applied Quality Improvement & Research in Health Care (AQUA), Göttingen, Germany
    • Marx, Irmgard. evaplan at the University Hospital, Heidelberg, Germany
    • Kubaj, Sandy. evaplan at the University Hospital, Heidelberg, Germany
    • Omogi, Irene. Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, Health Programme,Kenya
    • Zurkuhlen, Alexia. evaplan at the University Hospital, Heidelberg, Germany
    • Herrler, Claudia. Institute for Applied Quality Improvement & Research in Health Care (AQUA), Göttingen, Germany
    • Goetz, Katja. Institute of Family Medicine, University Hospital Schleswig-Holstein, Luebeck, Germany
    • Szecsenyi, Joachim. Institute for Applied Quality Improvement & Research in Health Care (AQUA), Göttingen, Germany
    • Marx, Michael. evaplan at the University Hospital, Heidelberg, Germany
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal for Quality in Health Care, 2017, vol. 29, no. 1, p. 19-25. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:331619
    Summary
    Abstract Introduction The 2030 Sustainable Development Agenda emphasizes the importance of quality of care in the drive to achieve universal health coverage. Despite recent progress, challenges in service delivery, efficiency and resource utilization in the health sector remain. Objective The Ministry of Health Department of Standards and Regulations sought to operationalize the Kenya Quality Assurance Model for Health. To this end, the European Practice Assessment (EPA) was adapted to the area of Reproductive and Maternal and Neonatal Health. Methods The adaptation process made use of a ten step-modified RAND Corporation/University of California Los Angeles (UCLA) Appropriateness Method. The steps included a scoping workshop, definition of five critical domains of quality in the Kenyan context (‘People, Management, Clinical Care, Quality & Safety, Interface between inpatients and outpatients care'), a review of policy documents, management and clinical guidelines, grey and scientific literature to identify indicators in use in the Kenyan health system and an expert panel process to rate their feasibility and validity. Results The resulting 278 indicators, clustered across the five domains, were broken-down into 29 dimensions and assigned measure specifications. A set of data collection tools were developed to furnish the indicators and piloted at two health facilities. They were subsequently finalized for use in 30 health facilities in 3 counties. Conclusions The integrative and indicator-based aspects of the EPA process could be readily adapted to facilitate the operationalization of a practical quality assurance approach in Kenya.