Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010

Nandita Thatte, Yoonjoung Choi

Research output: Contribution to journalArticle

Abstract

Introduction Human resource (HR) management is a priority for health systems strengthening in developing countries, yet few studies have empirically examined associations with service quality. The purpose of this study was to assess the relationship between HR management and family planning (FP) service quality. Methods Data came from the 2010 Kenya Service Provision Assessment, a nationally representative health facility assessment. In total, 912 FP consultations from 301 facilities were analysed. Four indices were created to measure quality on reproductive history taking, physical examination, sexually transmitted infections prevention and pill/injectable specific counselling. HR management variables included training in the past year, any and supportive (i.e. with feedback, technical updates and discussion) in-person supervision in the past 6 months and having a written job description. Multivariate linear regression analyses were conducted to estimate coefficients of HR management variables on each of the four quality indices, adjusting for background characteristics of clients, provider and facilities. Results The level of service quality ranged from 16 to 53 out of a maximum score of 100 across the indices. Fifty-two per cent of consultations were done by providers who received supportive in-person supervision in the previous 6 months. In 23% and 38% of consultations, the provider was trained in the past year and had a written job description, respectively. Multivariate analyses indicated that having a written job description was associated with higher service quality in history taking, physical examination and the pill/injectable specific counselling. Other HR management variables were not significantly associated with service quality. Conclusion Having a written job description was significantly associated with higher service quality and may be a useful tool for strengthening management practices. The details of such job descriptions and the quality of other management indicators should be explored to better understand the relationship between HR management and FP service quality.

Original languageEnglish (US)
Pages (from-to)356-367
Number of pages12
JournalHealth Policy and Planning
Volume30
Issue number3
DOIs
StatePublished - Apr 1 2015
Externally publishedYes

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Job Description
Kenya
Family Planning Services
Referral and Consultation
Physical Examination
Counseling
Health Priorities
Reproductive History
Injections
Health Facilities
Practice Management
Sexually Transmitted Diseases
Developing Countries
Linear Models
Multivariate Analysis
Regression Analysis

Keywords

  • family planning
  • Health systems
  • human resource management
  • quality of care
  • Service Provision Assessment

ASJC Scopus subject areas

  • Health Policy

Cite this

Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010. / Thatte, Nandita; Choi, Yoonjoung.

In: Health Policy and Planning, Vol. 30, No. 3, 01.04.2015, p. 356-367.

Research output: Contribution to journalArticle

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