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The Realities of Primary Care: Variation in Quality of Care Across Nine Countries in Sub-Saharan Africa

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dc.contributor.authorConner, Ruben
dc.contributor.authorAndrews, Kathryn
dc.contributor.authorGatti, Roberta
dc.contributor.authorSharma, Jigyasa
dc.date.accessioned2021-04-08T15:50:26Z
dc.date.available2021-04-08T15:50:26Z
dc.date.issued2021-04
dc.description.abstractThe COVID-19 pandemic has highlighted the centrality of primary care in protecting people’s health and well-being during and beyond crises. It has also provided an opportunity to strengthen and redesign primary care so that it will better serve its purpose. However, to-date there is limited evidence on the quality of service delivery in primary care. Service Delivery Indicators surveys have attempted to fill this gap. Using Service Delivery Indicators surveys of 7,810 health facilities and 66,151 health care providers in nine Sub-Saharan African countries, this paper investigates the quality of care across five domains to understand a citizen’s experience of primary care in his/her country. The results indicate substantial heterogeneity in the quality of primary care service delivery between and within countries. The availability of basic equipment, infrastructure, and essential medicines varies—public facilities, facilities in rural areas, and non-hospitals are more lacking compared with private facilities, urban facilities, and hospitals. In terms of patient care, health care providers’ ability to correctly diagnose and treat common health conditions is low and variably distributed. COVID-19 has catalyzed a long overdue health system redesign effort, and the Service Delivery Indicators surveys offer an opportunity to examine carefully the quality of service delivery, with an eye toward health system reform.en
dc.identifierhttp://documents.worldbank.org/curated/en/567791617298477787/The-Realities-of-Primary-Care-Variation-in-Quality-of-Care-Across-Nine-Countries-in-Sub-Saharan-Africa
dc.identifier.doi10.1596/1813-9450-9607
dc.identifier.urihttps://hdl.handle.net/10986/35402
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 9607
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectPRIMARY HEALTH CARE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH FACILITY
dc.subjectHEALTH INDICATORS
dc.subjectSURVEYS
dc.titleThe Realities of Primary Careen
dc.title.subtitleVariation in Quality of Care Across Nine Countries in Sub-Saharan Africaen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleThe Realities of Primary Care: Variation in Quality of Care across Nine Countries in Sub-Saharan Africa
okr.date.disclosure2021-04-01
okr.date.doiregistration2025-04-10T11:23:03.108329Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/567791617298477787/The-Realities-of-Primary-Care-Variation-in-Quality-of-Care-Across-Nine-Countries-in-Sub-Saharan-Africa
okr.guid567791617298477787
okr.identifier.doi10.1596/1813-9450-9607
okr.identifier.externaldocumentum090224b088468abe_2_0
okr.identifier.internaldocumentum32967062
okr.identifier.reportWPS9607
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/567791617298477787/pdf/The-Realities-of-Primary-Care-Variation-in-Quality-of-Care-Across-Nine-Countries-in-Sub-Saharan-Africa.pdfen
okr.region.administrativeAfrica
okr.region.geographicalSub-Saharan Africa
okr.statistics.combined1396
okr.statistics.dr567791617298477787
okr.statistics.drstats1039
okr.topicHealth, Nutrition and Population::Health Indicators
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicIndustry::Health Care Services Industry
okr.unitHuman Development Global Practice
relation.isAuthorOfPublicationd9e42514-68fc-59b0-9bcc-c9866fcb7372
relation.isAuthorOfPublication80e2e087-17b5-5934-9ff6-34ceb2ef6223
relation.isAuthorOfPublication79c61287-14f4-51bd-80b6-c5f84e49319c
relation.isAuthorOfPublication.latestForDiscovery79c61287-14f4-51bd-80b6-c5f84e49319c
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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