Measuring Health System Performance in Afghanistan
Author Information
Author(s): Edward Anbrasi, Kumar Binay, Kakar Faizullah, Salehi Ahmad Shah, Burnham Gilbert, Peters David H.
Primary Institution: Johns Hopkins Bloomberg School of Public Health
Hypothesis
How can a balanced scorecard improve health service delivery in Afghanistan?
Conclusion
The balanced scorecard has successfully improved health service capacity and delivery in Afghanistan over a five-year period.
Supporting Evidence
- There was a progressive improvement in national median scores across all six domains from 2004 to 2008.
- Patient satisfaction increased significantly from 65.3% to 84.5% during the study period.
- Provider satisfaction also showed improvement, rising from 65.4% to 79.2%.
Takeaway
This study shows that using a special scorecard helped make health services in Afghanistan better over five years.
Methodology
The study used a balanced scorecard to evaluate 29 key performance indicators through patient observations and provider interviews across 28 provinces.
Potential Biases
Potential courtesy bias may have influenced patient satisfaction ratings.
Limitations
The study did not measure health impact at the population level and faced challenges due to security and access issues.
Participant Demographics
The study included health facilities across 28 provinces in Afghanistan, with a focus on both patients and health providers.
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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