@article {1396259,
	title = {Service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania},
	journal = {Bull World Health Organ},
	volume = {95},
	year = {2017},
	month = {2017 Nov 01},
	pages = {738-748},
	abstract = {Objective: To evaluate the service readiness of health facilities in Bangladesh, Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Uganda and the United Republic of Tanzania. Methods: Using existing data from service provision assessments of the health systems of the 10 study countries, we calculated a service readiness index for each of\&nbsp;8443 health facilities. This index represents the percentage availability of 50\&nbsp;items that the World Health Organization considers essential for providing health care. For our analysis we used 37-49 of the items on the list. We used linear regression to assess the independent explanatory power of four national and four facility-level characteristics on reported service readiness. Findings: The mean values for the service readiness index were 77\% for the 636 hospitals and 52\% for the 7807 health centres/clinics. Deficiencies in medications and diagnostic capacity were particularly common. The readiness index varied more between hospitals and health centres/clinics in the same country than between them. There was weak correlation between national factors related to health financing and the readiness index. Conclusion: Most health facilities in our study countries were insufficiently equipped to provide basic clinical care. If countries are to bolster health-system capacity towards achieving universal coverage, more attention needs to be given to within-country inequities.},
	keywords = {Bangladesh, Capacity Building, Equipment and Supplies, Haiti, Health Care Surveys, Health Facilities, kenya, Malawi, Namibia, Nepal, Quality of Health Care, Rwanda, Senegal, Tanzania, Uganda},
	issn = {1564-0604},
	doi = {10.2471/BLT.17.191916},
	author = {Leslie, Hannah H and Spiegelman, Donna and Zhou, Xin and Margaret E Kruk}
}
