Central Data Catalog

Citation Information

Type Journal Article - Health Policy and Planning
Title Levels and variations in the quality of facility-based antenatal care in Kenya: evidence from the 2010 service provision assessment
Author(s)
Volume 31
Issue 6
Publication (Day/Month/Year) 2016
Page numbers 777-784
URL https://academic.oup.com/heapol/article/31/6/777/1750676
Abstract
Quality of care is emerging as an important concern for low- and middle-income countries working to expand and improve coverage. However, there is limited systematic, large-scale empirical guidance to inform policy design. Our study operationalized indicators for six dimensions of quality of care that are captured in currently available, standardized Service Provision Assessments. We implemented these measures to assess the levels and heterogeneity of antenatal care in Kenya. Using our indicator mix, we find that performance is low overall and that there is substantial variation across provinces, management authority and facility type. Overall, facilities performed highest in the dimensions of efficiency and acceptability/patient-centeredness, and lowest on effectiveness and accessibility. Public facilities generally performed worse or similarly to private or faith-based facilities. We illustrate how these data and methods can provide readily-available, low-cost decision support for policy.

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