A Study on Assessment of Health Facilities in Developing Countries

概要

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In developing countries information is not always available on the status of health facilities. This can make it difficult for donor agencies or policy makers to make rapid assessments of these facilities.<BR>This paper discusses the methodology for making systematic and practical assessments of health facilities through questionnaires based on experience in Bolivia (March, 2001), Cambodia (1997-2000), and Sri Lanka (October and December, 2000).<BR>The results show that each country uses a different medical facility level classification within the referral system, and medical facilities at different levels have different average numbers of beds, types of examination, and capacities to handle child deliveries and operations. This means that the assessment of facilities must be conducted in line with the situation in the country concerned.<BR>Our experience shows that it is useful to use a combination of two structural matrices in the overall assessment of health facilities: comparative assessment within the referral system ("vertical structure") and same level comparative assessment ("horizontal structure"). Multiple item assessments comparing the functions of health facilities ("horizontal structure" assessments) will identify issues to be addressed at each facility.
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