Replication package for: "Management practices and quality of care: Evidence from the private health care sector in Tanzania"

Powell-Jackson, T, Goodman, C and King, J. 2023. Replication package for: "Management practices and quality of care: Evidence from the private health care sector in Tanzania". [Online]. London School of Hygiene & Tropical Medicine, London, United Kingdom. Available from: https://doi.org/10.17037/DATA.00003622.

Powell-Jackson, T, Goodman, C and King, J. Replication package for: "Management practices and quality of care: Evidence from the private health care sector in Tanzania" [Internet]. London School of Hygiene & Tropical Medicine; 2023. Available from: https://doi.org/10.17037/DATA.00003622.

Powell-Jackson, T, Goodman, C and King, J (2023). Replication package for: "Management practices and quality of care: Evidence from the private health care sector in Tanzania". [Data Collection]. London School of Hygiene & Tropical Medicine, London, United Kingdom. https://doi.org/10.17037/DATA.00003622.

Description

Data gathered as part of a study in which we investigated the relationship between management practices and quality of care in a sample of small and medium-sized private facilities in Tanzania. The files include a readme document, questionnaires and tools, the original datasets and do-files containing the code to clean the data, merge datasets, and run the analysis. Access to the datasets used in the analysis are restricted, as required by the ethics committees at the time they gave approvals. Data are available on request for the sole purpose of replication, in accordance with the Data Use Agreement.

Methods

Description of data capture

Our sample comprises private health care facilities that participated in the trial of SafeCare. Between March 7 and Nov 30, 2016, we enrolled and randomly assigned 237 health facilities to the intervention (n=118) or control (n=119). The sample includes dispensaries, health centres and hospitals in both the private non-profit and for-profit sectors. We excluded referral hospitals as well as those providing only specialist services, such as mental health care. We recruited 237 facilities at baseline. During the course of the study, nine facilities closed down, providing us with a sample of 228 health facilities. By design, approximately half the sample is for-profit while the remainder comprises non-profit faith-based facilities. The majority of facilities are dispensaries (55 percent), while 29 percent are health centres and 16 percent hospitals. Around four-fifths are located outside of the largest city, Dar es Salaam, and 40 percent are in rural areas. We use data from a number of surveys conducted as part of the trial: a health facility survey (Feb 7 and April 5, 2018); clinical observations of infection, prevention and control (Feb 7 and April 5, 2018); health care worker form (Feb 7 and April 5, 2018); standardised patient survey (May 3 and June 12, 2018); and SafeCare assessment (approximately 18 months after the start of the intervention). For a small number of variables used as covariates in the analysis, we also draw on a baseline situation analysis survey and a baseline SafeCare assessment.

Data capture method

Interview: Face-to-face - CAPI

Data Collection Period

From	To
7 February 2018	12 June 2018

Date (Date submitted to LSHTM repository)

29 August 2023

Language(s) of written materials

English

People & Groups

Data Creators	Powell-Jackson, T, Goodman, C and King, J
Associated roles	Makungu, C (Co-Investigator)
LSHTM Faculty/Department	Faculty of Public Health and Policy > Dept of Global Health and Development
Research Group	Global Health Economics Centre
Participating Institutions	London School of Hygiene & Tropical Medicine, London, United Kingdom, Ifakara Health Institute, Ifakara, Ifakara, Tanzania, PharmAccess International, Amsterdam, Netherlands, PharmAccess Tanzania, Dar es Salaam, Tanzania, Christian Social Services Commission Tanzania, Dar es Salaam, Tanzania, Association of Private Health Facilities in Tanzania, Dar es Salaam, Tanzania

Projects

Funders

Project	Funder	Grant Number	Funder URI
Understanding and enhancing approaches to quality improvement in small and medium sized private facilities in sub‑Saharan Africa	UK Health Systems Research Initiative (Medical Research Council, Economic and Social Research Council, Department for International Development, Global Challenges Research Fund, and Wellcome Trust	MR/N015061/1	UNSPECIFIED
For the public good? Regulation, management, and the performance	International Growth Centre	UNSPECIFIED	http://dx.doi.org/10.13039/100012353