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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Effectiveness of training supervisors to improve reproductive health quality of care: A cluster-randomized trial in Kenya
Health Policy and Planning, Volume 23, No. 1, Year 2008
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Description
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. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2007; all rights reserved.
Authors & Co-Authors
Reynolds, Heidi
United States, Research Triangle Park
Health Services Research
Toroitich-Ruto, C.
Kenya, Nairobi
Africa Regional Office
Nasution, M.
United States, Durham
Biostatistics Division
Beaston-Blaakman, Aaron
United States, Research Triangle Park
Health Services Research
Janowitz, Barbara K.
United States, Research Triangle Park
Health Services Research
Statistics
Citations: 30
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1093/heapol/czm037
e-ISSN:
14602237
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Case-Control Study
Study Locations
Kenya