IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0079943.html
   My bibliography  Save this article

Perceived Quality of Care for Common Childhood Illnesses: Facility versus Community Based Providers in Uganda

Author

Listed:
  • Agnes Nanyonjo
  • Fredrick Makumbi
  • Patrick Etou
  • Göran Tomson
  • Karin Källander
  • for the inSCALE study group

Abstract

Objective: To compare caretakers’ perceived quality of care (PQC) for under-fives treated for malaria, pneumonia and diarrhoea by community health workers (CHWs) and primary health facility workers (PHFWs). Methods: Caretaker rated PQC for children aged (2-59) months treated by either CHWs or PHFWs for a bought of malaria, pneumonia or diarrhoea was cross-sectionally compared in quality domains of accessibility, continuity, comprehensiveness, integration, clinical interaction, interpersonal treatment and trust. Child samples were randomly drawn from CHW (419) and clinic (399) records from eight Midwestern Uganda districts. An overall PQC score was predicted through factor analysis. PQC scores were compared for CHWs and PHFWs using Wilcoxon rank-sum test. Multinomial logistic regression models were used to specify the association between categorized PQC and service providers for each quality domain. Finally, overall PQC was dichotomized into “high” and “low” based on median score and relative risks (RR) for PQC-service provider association were modeled in a “modified” Poisson regression model. Results: Mean (SD) overall PQC was significantly higher for CHWs 0.58 (0 .66) compared to PHFWs -0.58 (0.94), p

Suggested Citation

  • Agnes Nanyonjo & Fredrick Makumbi & Patrick Etou & Göran Tomson & Karin Källander & for the inSCALE study group, 2013. "Perceived Quality of Care for Common Childhood Illnesses: Facility versus Community Based Providers in Uganda," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    • Handle: RePEc:plo:pone00:0079943
    DOI: 10.1371/journal.pone.0079943
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0079943
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0079943&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0079943?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. World Bank, 2010. "Africa Development Indicators 2010 : Silent and Lethal, How Quiet Corruption Undermines Africa's Development," World Bank Publications - Books, The World Bank Group, number 2431.
    2. Gouws, Eleanor & Bryce, Jennifer & Pariyo, George & Armstrong Schellenberg, Joanna & Amaral, João & Habicht, Jean-Pierre, 2005. "Measuring the quality of child health care at first-level facilities," Social Science & Medicine, Elsevier, vol. 61(3), pages 613-625, August.
    3. Jennifer L Brenner & Jerome Kabakyenga & Teddy Kyomuhangi & Kathryn A Wotton & Carolyn Pim & Moses Ntaro & Fred Norman Bagenda & Ndaruhutse Ruzazaaza Gad & John Godel & James Kayizzi & Douglas McMilla, 2011. "Can Volunteer Community Health Workers Decrease Child Morbidity and Mortality in Southwestern Uganda? An Impact Evaluation," PLOS ONE, Public Library of Science, vol. 6(12), pages 1-9, December.
    4. Haddad, Slim & Fournier, Pierre & Machouf, Nimâ & Yatara, Fassinet, 1998. "What does quality mean to lay people? Community perceptions of primary health care services in Guinea," Social Science & Medicine, Elsevier, vol. 47(3), pages 381-394, August.
    5. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    6. Jensen, Hanne Irene & Ammentorp, Jette & Kofoed, Poul-Erik, 2010. "User satisfaction is influenced by the interval between a health care service and the assessment of the service," Social Science & Medicine, Elsevier, vol. 70(12), pages 1882-1887, June.
    7. World Bank, 2010. "World Development Indicators 2010," World Bank Publications - Books, The World Bank Group, number 4373.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Vujicic, Marko & Shengelia, Bakhuti & Alfano, Marco & Thu, Ha Bui, 2011. "Physician shortages in rural Vietnam: Using a labor market approach to inform policy," Social Science & Medicine, Elsevier, vol. 73(7), pages 970-977.
    2. Friend-du Preez, Natalie & Cameron, Noël & Griffiths, Paula, 2013. "“So they believe that if the baby is sick you must give drugs…” The importance of medicines in health-seeking behaviour for childhood illnesses in urban South Africa," Social Science & Medicine, Elsevier, vol. 92(C), pages 43-52.
    3. Hussein S. Lufunyo & William Amos Pallangyo, 2017. "Institutional Characteristics and Its Effect on Public Health Service Delivery under Decentralization in Local Government Authorities in Tanzania," Noble International Journal of Business and Management Research, Noble Academic Publsiher, vol. 1(1), pages 31-48, January.
    4. Li, Aijun & Du, Nan & Wei, Qian, 2014. "The cross-country implications of alternative climate policies," Energy Policy, Elsevier, vol. 72(C), pages 155-163.
    5. Das Gupta, Monica & Bongaarts, John & Cleland, John, 2011. "Population, poverty, and sustainable development : a review of the evidence," Policy Research Working Paper Series 5719, The World Bank.
    6. Liverpool-Tasie, Lenis Saweda, 2012. "Targeted Subsidies and Private Market Participation: An Assessment of Fertilizer Demand in Nigeria:," IFPRI discussion papers 1194, International Food Policy Research Institute (IFPRI).
    7. Minh Quang Dao, 2012. "Government expenditure and growth in developing countries," Progress in Development Studies, , vol. 12(1), pages 77-82, January.
    8. Khusrav Gaibulloev & Todd Sandler, 2013. "Determinants of the Demise of Terrorist Organizations," Southern Economic Journal, John Wiley & Sons, vol. 79(4), pages 774-792, April.
    9. Andersson, Fredrik N.G. & Edgerton, David L. & Opper, Sonja, 2013. "A Matter of Time: Revisiting Growth Convergence in China," World Development, Elsevier, vol. 45(C), pages 239-251.
    10. Augustin Kwasi Fosu, 2010. "The Global Financial Crisis and Development: Whither Africa," WIDER Working Paper Series wp-2010-124, World Institute for Development Economic Research (UNU-WIDER).
    11. Jeni Klugman & Francisco Rodríguez & Hyung-Jin Choi, 2011. "The HDI 2010: new controversies, old critiques," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 9(2), pages 249-288, June.
    12. Çakır, Mustafa Yavuz & Kabundi, Alain, 2013. "Trade shocks from BRIC to South Africa: A global VAR analysis," Economic Modelling, Elsevier, vol. 32(C), pages 190-202.
    13. Markus Brueckner & Ngo Van Long & Joaquin L. Vespignani, 2020. "Non-Gravity Trade," Globalization Institute Working Papers 388, Federal Reserve Bank of Dallas.
    14. Maertens, Miet & Verhofstadt, Ellen, 2013. "Horticultural exports, female wage employment and primary school enrolment: Theory and evidence from Senegal," Food Policy, Elsevier, vol. 43(C), pages 118-131.
    15. Bofinger, Peter & Franz, Wolfgang & Schmidt, Christoph M. & Weder di Mauro, Beatrice & Wiegard, Wolfgang, 2010. "Chancen für einen stabilen Aufschwung. Jahresgutachten 2010/11 [Chances for a stable upturn. Annual Report 2010/11]," Annual Economic Reports / Jahresgutachten, German Council of Economic Experts / Sachverständigenrat zur Begutachtung der gesamtwirtschaftlichen Entwicklung, volume 127, number 201011.
    16. Rabah Arezki & Markus Brückner, 2011. "Food Prices and Political Instability," CESifo Working Paper Series 3544, CESifo.
    17. Garfield O. Blake, 2015. "Using Increases in Criminal Deportees from the US to Estimate the Effect of Crime on Economic Growth and Development in Latin America and the Caribbean," Laws, MDPI, vol. 4(4), pages 1-18, November.
    18. DeCanio, Stephen J. & Fremstad, Anders, 2011. "Economic feasibility of the path to zero net carbon emissions," Energy Policy, Elsevier, vol. 39(3), pages 1144-1153, March.
    19. Fabre, Alice & Pallage, Stéphane, 2015. "Child labor, idiosyncratic shocks, and social policy," Journal of Macroeconomics, Elsevier, vol. 45(C), pages 394-411.
    20. Aleksynska, Mariya & Tritah, Ahmed, 2013. "Occupation–education mismatch of immigrant workers in Europe: Context and policies," Economics of Education Review, Elsevier, vol. 36(C), pages 229-244.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0079943. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.