Cochrane · systematic review · CD008133

Contracting out to improve the use of clinical health services and health outcomes in low‐ and middle‐income countries

Odendaal, WA, Ward, K, Uneke, J, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Effective Practice and Organisation of Care2 versionsAMSTAR 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
9
current version
GRADE rated
6
No studies
3
Included studies
NR
No studies 3 · 33.3%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 22.2%Moderate 4 · 44.4%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

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Comparison

Population: people who use governmental clinical health services that are contracted out to non‐governmental providers
9 questions
OutcomeEffectEvidenceStatus / GRADE
Immunisation of children 12 to 24 months old (over a 12 month period)
no estimate extractedNRModerate
Antenatal visits (over the previous 12 months)
no estimate extractedNRModerate
Female use of contraceptives (over a 12 month period)
no estimate extractedNRModerate
Health outcomes
no estimate extractedNRNo studies
Mortality in the past year of children younger than 1 year (over a 12 month period)
no estimate extractedNRLow
Incidence of diarrhoea in children younger than 5 years (over a 12 month period)
no estimate extractedNRLow
Economic outcomes
no estimate extractedNRNo studies
Individual healthcare expenditures (over a 12 month period)
no estimate extractedNRModerate
Adverse effects
no estimate extractedNRNo studies