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Publications

Filtering by Tag: Gilbert Burnham

Effectiveness of a pay-for-performance intervention to improve maternal and child health services in Afghanistan: a cluster-randomized trial

Future Health Systems

Engineer C, Dale E, Agarwal A, Agarwal A, Alonge O, Edward A, Gupta S, Schuh H, Burnham G, Peters DH (2016) Effectiveness of a pay for performance intervention to improve maternal and child health services in Afghanistan: A cluster-randomized trial, International Journal of Epidemiology, doi: 10.1093/ije/dyv362

A cluster randomized trial of a pay-for-performance (P4P) scheme was implemented in Afghanistan to test whether P4P could improve maternal and child (MCH) services. The authors found that the intervention had minimal effect, possibly due to difficulties communicating with health workers and inattention to demand-side factors. P4P interventions need to consider management and community demand issues.

 

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Association between health workforce capacity and quality of care for children under five in Afghanistan

Future Health Systems

This presentation by Dr Anbrasi Edward at the 28th ISQua conference in Hong Kong was informed by a study to determine the association between health workforce capacity and quality of care in primary care facilities providing a basic package of health services (BPHS) in Afghanistan.
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Can community health workers increase coverage of reproductive health services?

Future Health Systems

Health services were severely affected during the many years of instability and conflict in Afghanistan. In recent years, substantial increases in the coverage of reproductive health services have been achieved, yet absolute levels of coverage remain very low, especially in rural areas. One strategy for increasing use of reproductive health services is deploying community health workers (CHWs) to promote the use of services within the community and at health facilities. Results show that presence of a female CHW in the community is associated with higher use of modern contraception, antenatal care services and skilled birth attendants but presence of a male CHW is not. Community-level random effects were also significant.
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Configuring Balanced Scorecards for Measuring Health System Performance: Evidence from 5 Years' Evaluation in Afghanistan

Future Health Systems

n 2004, Afghanistan pioneered a balanced scorecard (BSC) performance system to manage the delivery of primary health care services. This study examines the trends of 29 key performance indicators over a 5-year period between 2004 and 2008.
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Determinants of Skilled Birth Attendant Utilization in Afghanistan: A Cross-Sectional Study

Future Health Systems

This article seeks to identify characteristics associated with use of skilled birth attendants where health services exist in Afghanistan. It is based on a cross-sectional study in all 33 provinces in 2004.
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Determinants of primary care service quality in Afghanistan

Future Health Systems

This article identifies factors associated with service quality provided by agencies implementing a basic package of health services in Afghanistan and is based on a cross-sectional survey of outpatient health facilities, health workers, patients and caretakers.
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Client perceptions of the quality of primary care services in Afghanistan

Future Health Systems

This article identifies factors associated with client perceptions of the quality of primary care services in Afghanistan through a cross-sectional survey of outpatient health facilities, health workers, patients and caretakers.
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Infant and under-five mortality in Afghanistan: current estimates and limitations

Future Health Systems

The objective of this article is to examine historical estimates of infant and under-five mortality in Afghanistan, provide estimates for rural areas from current population-based data, and discuss the methodological challenges that undermine data quality and hinder retrospective estimations of mortality.
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Trends in the quality of health care for children aged less than 5 years in Afghanistan, 2004–2006

Future Health Systems

To study trends in the quality of the health care provided to children aged less than 5 years in Afghanistan between 2004 and 2006. In particular, to determine the effect on such quality of a basic package of health services (BPHS), including Integrated Management of Childhood Illness (IMCI), introduced in 2003.
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Contracting for health and curative care use in Afghanistan between 2004 and 2005

Future Health Systems

This study compares changes in the utilization of outpatient curative services from 2004 to 2005 between the different approaches for contracting-out services to non-governmental service providers, contracting-in technical assistance at public sector facilities, and public sector facilities that did not use contracting.
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A balanced scorecard for health services in Afghanistan

Future Health Systems

The Ministry of Public Health (MOPH) in Afghanistan has developed a balanced scorecard (BSC) to regularly monitor the progress of its strategy to deliver a basic package of health services. Although frequently used in other health-care settings, this represents the first time that the BSC has been employed in a developing country.
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