Online from: 1997
Subject Area: Health Care Management/Healthcare
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|Title:||Primary health care facility performance assessment in Armenia|
|Author(s):||Tsovinar Harutyunyan, (Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, North Carolina, USA), Anahit Demirchyan, (Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia), Michael Thompson, (Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, North Carolina, USA), Varduhi Petrosyan, (Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia)|
|Citation:||Tsovinar Harutyunyan, Anahit Demirchyan, Michael Thompson, Varduhi Petrosyan, (2010) "Primary health care facility performance assessment in Armenia", Leadership in Health Services, Vol. 23 Iss: 2, pp.141 - 155|
|Keywords:||Armenia, Health services, Performance appraisal, Primary care, Project evaluation|
|Article type:||Research paper|
|DOI:||10.1108/17511871011040724 (Permanent URL)|
|Publisher:||Emerald Group Publishing Limited|
|Acknowledgements:||This study was conducted in the scope of Primary Health Care Reform project funded by the United States Agency for International Development (GHS-I-00-03-00031-00).The authors' views expressed in this paper do not necessarily reflect the views of the United States Agency for International Development or the United States Government.|
Purpose – The purpose of this study is to focus on the performance of select facilities in Lori and Shirak provinces in Armenia in Spring 2008. This is in response to the deterioration of the primary healthcare sector in Armenia.
Design/methodology/approach – The performance assessment focused on the status of several performance indicators, both current and as recalled for 2006. The interviewer-administered questionnaire addressed access to care, provider relations with community and clients, environment, management, and primary and secondary prevention at the facilities. For each domain, a summative score that ranged from 0 to 3 was computed and a mean score for each facility derived.
Findings – The project has had significant positive impact on facilities' performance. Access to care scores increased from 2.0 in 2006 to 2.5 in 2008; provider relations with community improved from 1.1 to 1.4; environment scores improved from 1.3 to 1.9, facility management improved from 1.4 to 1.7; and prevention efforts increased from 1.3 to 1.9. The overall mean facility score increased from 1.4 to 1.8. Although the scores for small rural clinics increased, their scores were lower than the scores for other facility types.
Originality/value – In the chronic absence of administrative surveillance data, this paper provides valuable information on the status of primary healthcare services in Armenian provinces. It demonstrates the value of interviewer-administered performance assessments in obtaining data across project sites when internal monitoring of progress is unavailable.
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