Gesicho Milka B, Babic Ankica, Were Martin C
Department of Information Science and Media Studies, University of Bergen, Norway.
Institute of Biomedical Informatics, Moi University, Kenya.
Stud Health Technol Inform. 2020 Jun 16;270:1301-1302. doi: 10.3233/SHTI200412.
In low- and middle-income countries, private and public facilities tend to have highly variable characteristics, which might affect their performance in meeting reporting requirements mandated by ministries of health. There is conflicting evidence on which facility type performs better across various care dimensions, and only few studies exist to evaluate relative performance around nationally-mandated indicator reporting to Ministries of Health. In this study, we evaluated the relationship between facility ownership type and performance on HIV indicator data reporting, using the case of Kenya. We conducted Mann-Whitney U tests using HIV indicator data extracted from years 2011 to 2018 for all the counties in Kenya, from the District Health Information Software 2 (DHIS2). Results from the study reveal that public facilities have statistically significant better performance compared to private facilities, with an exception of year 2017 in reporting of counselling and testing, and prevention of mother-to-child transmission indicator categories.
在低收入和中等收入国家,私立和公立医疗机构往往具有高度可变的特征,这可能会影响它们在满足卫生部规定的报告要求方面的表现。关于哪种类型的医疗机构在各个护理维度上表现更好,存在相互矛盾的证据,而且只有少数研究评估了围绕向卫生部报告国家规定指标的相对表现。在本研究中,我们以肯尼亚为例,评估了医疗机构所有权类型与艾滋病毒指标数据报告表现之间的关系。我们使用从肯尼亚所有县的地区卫生信息软件2(DHIS2)中提取的2011年至2018年的艾滋病毒指标数据进行了曼-惠特尼U检验。研究结果表明,除了2017年咨询和检测以及预防母婴传播指标类别的报告外,公立医疗机构在统计上的表现明显优于私立医疗机构。