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Effectiveness of training supervisors to improve reproductive health quality of care: a cluster-randomized trial in Kenya.

机译：培训主管人员提高生殖保健质量的有效性：肯尼亚的一项整群随机试验。

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摘要

Health facility supervisors are in a position to increase motivation, manage resources, facilitate communication, increase accountability and conduct outreach. This study evaluated the effectiveness of a training intervention for on-site, in-charge reproductive health supervisors in Kenya using an experimental design with pre- and post-test measures in 60 health facilities. Cost information and data from supervisors, providers, clients and facilities were collected. Regression models with the generalized estimating equation approach were used to test differences between study groups and over time, accounting for clustering and matching. Total accounting costs per person trained were calculated. The intervention resulted in significant improvements in quality of care at the supervisor, provider and client-provider interaction levels. Indicators of improvements in the facility environment and client satisfaction were not apparent. The costs of delivering the supervision training intervention totalled USDollars 2113 per supervisor trained. In making decisions about whether to expand the intervention, the costs of this intervention should be compared with other interventions designed to improve quality.
机译：卫生机构主管可以提高动力，管理资源，促进沟通，增加问责制和进行宣传。这项研究使用了一项实验设计，并在60个卫生机构中采用了测试前和测试后的措施，评估了针对肯尼亚现场负责生殖健康主管的培训干预措施的有效性。收集了主管，提供商，客户和设施的成本信息和数据。使用具有广义估计方程法的回归模型来检验研究组之间以及随着时间的推移之间的差异，从而说明了聚类和匹配。计算了每位受训人员的总会计费用。干预措施在主管，提供者和客户-提供者之间的互动水平上显着改善了护理质量。改善设施环境和客户满意度的指标不明显。每位接受培训的主管，提供监督培训干预的总费用为2113美元。在决定是否扩大干预措施时，应将此干预措施的成本与旨在提高质量的其他干预措施进行比较。

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