by Yoko Akachi & Margaret E Kruk
Bulletin of the World Health Organization – Published online: 21 February 2017)
There is growing evidence that the impact of health interventions is undermined by poor quality of care in lower income countries. Quality of care will also be crucial to the success of universal health coverage initiatives; citizens unhappy with the quality and scope of covered services are unlikely to support public financing of health care. However, the measurement of quality today in low- and middle-income countries is inadequate to the task. Health information systems provide incomplete and often unreliable data, and facility surveys collect too many indicators of uncertain utility, focus on a limited number of services and are quickly out of date. The authors propose six policy recommendations to improve quality of care measurement and amplify its policy impact.