Latest posts by Tropical Med and Intl Health (see all)
- Household-level risk factors for secondary influenza-like illness in a rural area of Bangladesh - Nov. 27, 2016
- Factors that hinder or enable maternal health strategies to reduce delays in rural and… - Nov. 25, 2016
- Assessing Health Care Quality Using Routine Data: Evaluating the Performance of the National… - Nov. 25, 2016
- Impact of the zero markup drug policy on hospitalization expenditure in western rural China: an… - Nov. 16, 2016
Objectives To obtain an overview of the quality of care for children in Indonesia, by assessing hospitals with a view to proceed to a quality improvement mechanism for child care. Methods Stratified two-stage random sampling in six regions identified 18 hospitals (provinces Jambi, East Java, Central Kalimantan, South–East Sulawesi, East Nusa Tenggara, North Maluku). Three randomly selected hospitals in each province were visited by trained assessors who scored each assessed service (expressed as a percentage of achievement) and grouped into good ( 80%), requiring improvement (60–79%) and urgently requiring improvement (< 60%). Results The overall median result score across all areas was 43% (IQR 28%–53%). Case management for common childhood illnesses had a median score of 37% (IQR18–43%), neonatal care 46% (IQR 26–57%) and patient monitoring 40% (IQR 30–50%), all indicating an urgent need for improvement.