Background: The adoption of improved technologies is generally associated with better economic performance and development. Despite its desirable effects, the process of technology adoption can be quite slow and market failures and other frictions may impede adoption. Interventions in market processes may be necessary to promote the adoption of beneficial technologies.
View Article and Find Full Text PDFIntroduction: The quality of clinical care can be reliably measured in multiple settings using standardised patients (SPs), but this methodology has not been extensively used in Sub-Saharan Africa. This study validates the use of SPs for a variety of tracer conditions in Nairobi, Kenya, and provides new results on the quality of care in sampled primary care clinics.
Methods: We deployed 14 SPs in private and public clinics presenting either asthma, child diarrhoea, tuberculosis or unstable angina.
Objective: To assess compliance with infection prevention and control practices in primary health care in Kenya.
Methods: We used an observational, patient-tracking tool to assess compliance with infection prevention and control practices by 1680 health-care workers during outpatient interactions with 14 328 patients at 935 health-care facilities in 2015. Compliance was assessed in five domains: hand hygiene; protective glove use; injections and blood sampling; disinfection of reusable equipment; and waste segregation.
Background: Promoting access to medicines requires concurrent efforts to strengthen quality assurance for sustained impact. Although problems of substandard and falsified medicines have been documented in low- and middle-income countries, reliable information on quality is rarely available.
Objective: The aim of this study was to validate an alternative post-market surveillance model to complement existing models.