Touring Cambodia: Assessment of process quality in health facilities

After 3 years, our quality assessment system was finally endorsed by the Ministry of Health [yey]! Then came the task to collect baseline data in all USAID-supported areas by year's end [gulp]! That's 33 questionnaires to administer, 80 enumerators fresh out of medical, midwifery and nursing schools to train, and over 601(!) public health facilities across 9 provinces to assess. It's an enormous logistical feat, and my team made it happen just in time for tonight's countdown at Angkor Wat! Having a proud professional moment :-) Happy new year indeed! … [Read more...]

Testing for Inter-rater reliability

I haven't used a stats package in a long time. I remember back in grad school how interesting my Biostats and BioInformatics courses were, especially Janet Hughes' classes. But in my professional life, I hardly ventured beyond the first five tasks in the function button on the standard Excel toolbar. My QI (Quality Improvement) team has been pre-testing some clinical assessment questionnaires for Health Centers. The questionnaires consist of a checklist and a rating, for two assessors to fill out while observing a specific consultation eg an Antenatal Care visit. The checklist scores are weighted with qualitative ratings. For example, of the items which the midwife conducted during the Physical Examination, the assessors rate the … [Read more...]