The relationship between management practices and health facility performance: Evidence from low-resource, community-based facilities providing HIV services to key populations
Rattachement africain : gb, Malawi, Kenya, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Management practices are deemed especially critical to performance in resource-constrained settings. However, empirical evidence is limited for community-based organizations (CBOs) that provide health services. We studied the association between management domains and performance among organizations delivering HIV services to key populations. We assessed organizational performance using cost efficiency, service volume, and outreach service quality. We collected data on 67 management practices from 45 CBOs in Kenya and Malawi and classified them into six domains-community engagement, financial management, operations management, people management, performance monitoring, and target setting. We calculated the scores for each domain, adjusting them for contextual characteristics to control for observed differences across organizations. Using ordinary least squares and quantile regression models, we explored the relationship between management and performance. We also estimated the relative contribution of each management domain to the explained variation of all performance indicators via a Shapley decomposition approach. Better management was associated with lower unit costs for antiretroviral therapy (ART) ($-1,124 pval<0.05), HIV testing services (HTS) ($-45 pval<0.05), and sexually transmitted infection (STI) screening, ($-30 pval<0.01). Higher management scores correlated positively with HTS volume (2,806, pval<0.001) and outreach quality (258, pval<0.05). Financial management was the most important domain, explaining 13-49% of performance indicator variation, performance monitoring explained 31% of outreach quality variation, and target setting explained 23-34% of service volume variation. These findings suggest that targeted capacity building in management practices, especially financial management, performance monitoring, and target setting, could improve the provision of HIV health services to key populations by CBOs.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The relationship between management practices and health facility performance: Evidence from low-resource, community-based facilities providing HIV services to key populations
- Date Crossref
- 28/08/2025
- Éditeur
- Public Library of Science (PLoS)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of York Centre for Health Economics pays non établi dans la noticeUniversité ou école supérieure
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University of Malawi Zomba, Malawi (code pays fourni par la source)Université ou école supérieure
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Kenyatta University Nairobi, Kenya (code pays fourni par la source)Université ou école supérieure
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African Conservation Centre Kenya (code pays fourni par la source)Organisation à but non lucratif
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Family Health International 360 pays non établi dans la noticeOrganisation à but non lucratif
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Independent Consultant Nairobi, Kenya (pays nommé en fin d’affiliation)Institution
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National Institute of Public Health (INSP) Division of Health Economics and Health Systems Innovations pays non établi dans la noticeStructure de recherche
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Lilongwe FHI 360 Lilongwe, Malawi (pays nommé en fin d’affiliation)Organisation à but non lucratif
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FHI 360 Nairobi, Kenya (pays nommé en fin d’affiliation)Institution
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Ministry of Health Economic Analysis Unit pays non établi dans la noticeOrganisme public
Centre for Health Economics — University of York, University of Malawi (Zomba, Malawi) et Kenyatta University (Nairobi, Kenya), avec 7 autres affiliations. Pays d’affiliation : Malawi, Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.