Comparing summary measures of quality of care for family planning in Haiti, Malawi, and Tanzania.

Bibliographic Details
Title:	Comparing summary measures of quality of care for family planning in Haiti, Malawi, and Tanzania.
Authors:	Lindsay Mallick, Gheda Temsah, Wenjuan Wang
Source:	PLoS ONE, Vol 14, Iss 6, p e0217547 (2019)
Publisher Information:	Public Library of Science (PLoS), 2019.
Publication Year:	2019
Collection:	LCC:Medicine LCC:Science
Subject Terms:	Medicine, Science
More Details:	Measuring quality of care in family planning services is essential for policymakers and stakeholders. However, there is limited agreement on which mathematical approaches are best able to summarize quality of care. Our study used data from recent Service Provision Assessment surveys in Haiti, Malawi, and Tanzania to compare three methods commonly used to create summary indices of quality of care-a simple additive, a weighted additive that applies equal weights among domains, and principal components analysis (PCA) based methods. The PCA results indicated that the first component cannot sufficiently summarize quality of care. For each scoring method, we categorized family planning facilities into low, medium, and high quality and assessed the agreement with Cohen's kappa coefficient between pairs of scores. We found that the agreement was generally highest between the simple additive and PCA rankings. Given the limitations of simple additive measures, and the findings of the PCA, we suggest using a weighted additive method.
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	1932-6203
Relation:	https://doaj.org/toc/1932-6203
DOI:	10.1371/journal.pone.0217547
Access URL:	https://doaj.org/article/c9c8548e92f54b6e83d3cf6770ad24b6
Accession Number:	edsdoj.9c8548e92f54b6e83d3cf6770ad24b6
Database:	Directory of Open Access Journals
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More Details
ISSN:	19326203
DOI:	10.1371/journal.pone.0217547
Published in:	PLoS ONE
Language:	English