1. Towards improved health service quality in Tanzania: contribution of a supportive supervision approach to increased quality of primary healthcare
- Author
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Christopher J. Charles, Dominick Mboya, Christopher Mshana, Iddy Mayumana, Constanze Pfeiffer, Christian Lengeler, Tracy R. Glass, Sabine Renggli, Flora Kessy, Alexander Schulze, and Ann Aerts
- Subjects
Male ,Quality management ,Tanzania ,Health informatics ,Health administration ,Electronic tool ,Supportive supervision ,0302 clinical medicine ,Health facility ,Universal Health Insurance ,Universal health coverage ,Medicine ,030212 general & internal medicine ,Child ,media_common ,lcsh:Public aspects of medicine ,030503 health policy & services ,Health Policy ,Nursing research ,Middle Aged ,Quality Improvement ,Child, Preschool ,Female ,0305 other medical science ,Research Article ,Adult ,medicine.medical_specialty ,Adolescent ,Attitude of Health Personnel ,Health Personnel ,media_common.quotation_subject ,Young Adult ,03 medical and health sciences ,Nursing ,Humans ,Quality (business) ,Aged ,Quality Indicators, Health Care ,Quality of Health Care ,Primary Health Care ,Health management system ,business.industry ,Public health ,Infant, Newborn ,Quality of care ,Infant ,lcsh:RA1-1270 ,Quality improvement approach ,Health Facilities ,Rural Health Services ,business - Abstract
Background Universal Health Coverage only leads to the desired health outcomes if quality of health services is ensured. In Tanzania, quality has been a major concern for many years, including the problem of ineffective and inadequate routine supportive supervision of healthcare providers by council health management teams. To address this, we developed and assessed an approach to improve quality of primary healthcare through enhanced routine supportive supervision. Methods Mixed methods were used, combining trends of quantitative quality of care measurements with qualitative data mainly collected through in-depth interviews. The former allowed for identification of drivers of quality improvements and the latter investigated the perceived contribution of the new supportive supervision approach to these improvements. Results The results showed that the new approach managed to address quality issues that could be solved either solely by the healthcare provider, or in collaboration with the council. The new approach was able to improve and maintain crucial primary healthcare quality standards across different health facility level and owner categories in various contexts. Conclusion Together with other findings reported in companion papers, we could show that the new supportive supervision approach not only served to assess quality of primary healthcare, but also to improve and maintain crucial primary healthcare quality standards. The new approach therefore presents a powerful tool to support, guide and drive quality improvement measures within council. It can thus be considered a suitable option to make routine supportive supervision more effective and adequate.
- Published
- 2019
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