Cochrane · systematic review · CD006413
Managerial supervision to improve primary health care in low‐ and middle‐income countries
Bosch‐Capblanch, X, Liaqat, S, Garner, P · Cochrane Database of Systematic Reviews · 2011 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 58.3%Low 5 · 41.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Supervision versus no supervision to improve the quality of primary health care
Population: providers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Providers practice Supervision vs no supervision to improve the quality of primary health care | no estimate extracted | 2 studies · 134 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Providers knowledge Supervision vs no supervision to improve the quality of primary health care | no estimate extracted | 2 studies · 134 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Drug supply Supervision vs no supervision to improve the quality of primary health care | no estimate extracted | 0 studies · 1 participants | Very low Downgraded: imprecision, inconsistency |
'Enhanced' versus routine supervision to improve the quality of primary health care
Population: providers and users
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional status of community health agents (Ayele 1993) 'Enhanced' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 102 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Overall performance score midwives (Loevinsohn 1995) Scale from: 0 to 60. 'Enhanced' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 112 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Children receiving recommended or adequate care (Rowe 2009) 'Enhanced' vs routine supervision to improve the quality of primary health care | no estimate extracted | 0 studies · 1 participants | Very low Downgraded: imprecision, inconsistency |
Health worker job satisfaction (Sennun 2006) Questionnaire. Scale from: 0 to 165. 'Enhanced' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 6 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Clients satisfaction (Sennun 2006) Questionnaire. Scale from: 0 to 90. 'Enhanced' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 390 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
'Less intense' versus routine supervision to improve the quality of primary health care
Population: providers and users
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
New clients gained by health facility based posts (number per quarter) Daily log completed by the supervisor reporting activities of providers 'Less intense' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 247 participants | Low Downgraded: imprecision, inconsistency |
New clients gained by community‐based posts (number per quarter) Daily log completed by the supervisor reporting activities of providers 'Less intense' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 247 participants | Low Downgraded: imprecision, inconsistency |
Average number of revisits per quarter (health‐facility‐based posts) Daily log completed by the supervisor reporting activities of providers 'Less intense' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 247 participants | Low Downgraded: imprecision, inconsistency |
Average number of revisits per quarter (community‐based posts) Daily log completed by the supervisor reporting activities of providers 'Less intense' vs routine supervision to improve the quality of primary health care | no estimate extracted | 1 study · 247 participants | Low Downgraded: imprecision, inconsistency |