Too complicated for the field? Measuring quality of care in humanitarian aid settings
AffiliationIndependent International Health Consultant, Berlin, Germany
MetadataShow full item record
JournalGlobal Health Action
AbstractWhile quality of care is a major concern in the western world, not many studies investigate this topic in low-income countries. Even less is known about the quality of care in humanitarian aid settings, where additional challenges from natural or manmade disasters contribute to additional challenges. This study tried to address this gap by introducing a new approach to systematically measure quality of care in a project of Médecins Sans Frontières (MSF) in Agok area, between South Sudan and Sudan. Our objective was to obtain a valid snapshot of quality of care for a MSF project in three weeks that has the potential to serve as a baseline for quality improvement strategies. The evaluation followed a cross-sectional study design to assess structural, process and outcome quality according to Donabedian's criteria of quality of care. A bundle of well-established methods for collection of quantitative and qualitative data was used to assess the project by following a triangulated mixed-methods approach. Mean structural quality scored 73% of expected performance level and mean process quality 59%. The overall mortality rate for the hospital was 3.6%. On average, less complicated cases got a better level of care than patients who were seriously ill. Significant motivational issues were discovered in staff interviews potentially affecting quality of care. The tool appeared to be quick, feasible and effective in judging quality of care in the selected project. To tap the whole potential of the approach a re-evaluation should be carried out to assess the effectiveness of implemented improvement strategies in Agok. To confirm the usefulness of the approach, more studies are needed covering the variety of different humanitarian aid settings.
- Cost-effectiveness analysis of humanitarian relief interventions: visceral leishmaniasis treatment in the Sudan.
- Authors: Griekspoor A, Sondorp E, Vos T
- Issue date: 1999 Mar
- Requirements for independent community-based quality assessment and accountability practices in humanitarian assistance and disaster relief activities.
- Authors: Kirsch TD, Perrin P, Burkle FM, Canny W, Purdin S, Lin W, Sauer L
- Issue date: 2012 Jun
- Surgical Care of Pediatric Patients in the Humanitarian Setting: The Médecins Sans Frontières Experience, 2012-2013.
- Authors: Trudeau MO, Baron E, Hérard P, Labar AS, Lassalle X, Teicher CL, Rothstein DH
- Issue date: 2015 Nov
- Seven years of telemedicine in Médecins Sans Frontières demonstrate that offering direct specialist expertise in the frontline brings clinical and educational value.
- Authors: Delaigue S, Bonnardot L, Steichen O, Garcia DM, Venugopal R, Saint-Sauveur JF, Wootton R
- Issue date: 2018 Dec
- Implementation of evidence-based humanitarian programs in military-led missions: part I. Qualitative gap analysis of current military and international aid programs.
- Authors: Reaves EJ, Schor KW, Burkle FM Jr
- Issue date: 2008 Dec