Neill Rachel, Fernandez Pablo Amor, Bhatia Ruchika, Sharma Jigyasa, Andrews Kathryn, Neelsen Sven, Pinder Etoile, Abdullaev Marifat, Safarova Firuza, Latypova Mutriba, Sjoblom Mirja Channa, Ahmed Tashrik, Peters Michael A, Sheffel Ashley, Hashemi Tawab, Hansen Peter M, Muhsinzoda Ghafur, Shapira Gil
The Global Financing Facility for Women, Children, and Adolescents, Washington, District of Columbia, United States of America.
The World Bank, Washington, District of Columbia, United States of America.
PLoS One. 2025 May 29;20(5):e0309570. doi: 10.1371/journal.pone.0309570. eCollection 2025.
Health facility assessments provide important data to measure the quality of health services delivered to populations. These assessments are comprehensive, resource intensive, and periodic to inform medium- to-longer-term policies. However, in absence of other reliable data sources, country decision makers often rely on outdated data to address service delivery challenges that change more frequently. High-frequency phone surveys are a potential option to improve the efficiency and timeliness of collecting time-sensitive service delivery indicators in-between comprehensive in-person assessments. The objectives of this study are to assess the reliability, concurrent criterion validity, and non-response rates in a rapid phone-based health facility assessment developed by the Global Financing Facility's FASTR initiative compared to a comprehensive in-person health facility assessment developed by the World Bank's Service Delivery Indicators Health Program. The in-person survey and corresponding in-person item verification will serve as the gold standard. Both surveys will be administered to an identical sample of 500 health facilities in Tajikistan using the same data collection entity. To assess reliability, percent agreement, Cohens Kappa, and prevalence and bias adjusted Kappa will be calculated. To assess concurrent criterion validity, sensitivity and specificity will be calculated, with a cut-off of.7 used for adequate validity. The study will further compare response rates and dropout rates of both surveys using simple t-tests and balance tests to identify if the characteristics of the phone-based and in-person survey samples are similar after accounting for any differences in survey response rates. The results of this study will provide important insights into the reliability and validity of phone-based data collection approaches for health facility assessments. This is critical as Ministries of Health seek to establish and sustain more continuous data collection, analysis, and use of health facility-level data to complement periodic in-person assessments to improve the quality of services provided to their populations.
卫生设施评估提供重要数据，以衡量向民众提供的卫生服务质量。这些评估全面、资源密集且定期进行，为中长期政策提供信息。然而，在缺乏其他可靠数据来源的情况下，国家决策者往往依赖过时数据来应对变化更为频繁的服务提供挑战。高频电话调查是一种潜在的选择，可提高在全面的面对面评估之间收集对时间敏感的服务提供指标的效率和及时性。本研究的目的是评估全球融资机制的快速评估卫生设施和应对危机（FASTR）倡议开发的基于电话的快速卫生设施评估与世界银行服务提供指标卫生项目开发的全面面对面卫生设施评估相比的可靠性、并行标准效度和无应答率。面对面调查及相应的面对面项目核查将作为金标准。两项调查将由同一数据收集实体针对塔吉克斯坦500家卫生设施的相同样本进行。为评估可靠性，将计算百分比一致性、科恩kappa系数以及患病率和偏差调整kappa系数。为评估并行标准效度，将计算敏感度和特异度，效度充足的截断值为0.7。本研究还将使用简单t检验和平衡检验比较两项调查的应答率和失访率，以确定在考虑调查应答率的任何差异后，基于电话的调查样本和面对面调查样本的特征是否相似。本研究结果将为基于电话的数据收集方法用于卫生设施评估的可靠性和效度提供重要见解。这至关重要，因为各国卫生部力求建立并维持更持续的数据收集、分析和使用卫生设施层面的数据，以补充定期的面对面评估，从而提高向民众提供的服务质量。
