Assessing the WHO-UNICEF primary health-care measurement framework; Bangladesh, India, Nepal, Pakistan and Sri Lanka.

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI:10.2471/BLT.23.290655
Neha Purohit, Navneet Kaur, Syed Rm Zaidi, Lalini Rajapaksa, Malabika Sarker, Shiva R Adhikari, Shankar Prinja
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Abstract

Objective: To assess the availability of information on indicators of the World Health Organization and United Nations Children's Fund primary health-care measurement framework in Bangladesh, India, Nepal, Pakistan and Sri Lanka and to outline the opportunities for and challenges to using the framework in these countries.

Methods: We reviewed global and national data repositories for quantitative indicators of the framework and conducted a desk review of country documents for qualitative indicators in February-April 2023. We assessed data sources and cross-sectional survey tools to suggest possible sources of information on framework indicators that were not currently reported in the countries. We also identified specific indicators outside the framework on which information is collected in the countries and which could be used to measure primary health-care performance.

Findings: Data on 54% (32/59) of the quantitative indicators were partially or completely available for the countries, ranging from 41% (24/59) in Pakistan to 64% (38/59) in Nepal. Information on 41% (66/163) of the qualitative subindicators could be acquired through desk reviews of country-specific documents. Information on input indicators was more readily available than on process and output indicators. The feasibility of acquiring information on the unreported indicators was moderate to high through adaptation of data collection instruments.

Conclusion: The primary health-care measurement framework provides a platform to readily assess and track the performance of primary health care. Countries should improve the completeness, quality and use of existing data for strengthening of primary health care.

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评估世界卫生组织-联合国儿童基金会初级保健衡量框架;孟加拉国、印度、尼泊尔、巴基斯坦和斯里兰卡。
目标:评估世界卫生组织和联合国儿童基金会初级卫生保健衡量框架指标信息在孟加拉国、印度、尼泊尔、巴基斯坦和斯里兰卡的可用性,并概述在这些国家使用该框架的机遇和挑战:2023 年 2 月至 4 月,我们审查了全球和国家数据储存库中的框架定量指标,并对国家文件中的定性指标进行了案头审查。我们评估了数据来源和横向调查工具,以提出各国目前尚未报告的框架指标的可能信息来源。我们还确定了框架外的具体指标,这些指标的信息已在各国收集,可用于衡量初级卫生保健绩效:结果:54%(32/59)的定量指标数据在各国部分或完全可用,从巴基斯坦的 41%(24/59)到尼泊尔的 64%(38/59)不等。41%(66/163)的定性分指标的信息可通过对具体国家文件的案头审查获得。投入指标的信息比过程和产出指标的信息更容易获得。通过调整数据收集工具,获取未报告指标信息的可行性从中等到高等不等:初级保健衡量框架为随时评估和跟踪初级保健绩效提供了一个平台。各国应提高现有数据的完整性、质量和使用率,以加强初级保健。
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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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