10.17037/DATA.00003622
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.
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.
Tanzania
Patients and staff associated with 237 health facilities in Tanzania.
Ethics approval provided by the Ifakara Health Institute and the London School of Hygiene and Tropical Medicine.
Management practices, Quality of care, Tanzania, Private health sector
English
| Project name | Funder/sponsor | Grant number |
| 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 |
| For the public good? Regulation, management, and the performance | International Growth Centre |
| Forename | Surname | Dept / faculty | Institution | Role |
| Timothy | Powell-Jackson | Department of Global Health and Development / Faculty of Public Health and Policy | London School of Hygiene & Tropical Medicine | Data Creator |
| Catherine | Goodman | Department of Global Health and Development / Faculty of Public Health and Policy | London School of Hygiene & Tropical Medicine | Data Creator |
| Jessica | King | Department of Global Health and Development & Department of Health Services Research and Policy / Faculty of Public Health and Policy | London School of Hygiene & Tropical Medicine | Data Creator |
| Forename | Surname | Faculty / Dept | Institution | Role |
| Christina | Makungu | Ifakara Health Institute | Co-Investigator |
| Filename | Description | Access status | Licence |
| facility_data | Health facility survey data | Controlled | Data sharing agreement |
| facility_treatment_data | Health facility treatment assignment data | Controlled | Data sharing agreement |
| hcw_data | Health care worker form data | Controlled | Data sharing agreement |
| ipc_data | Clinical observation of patients data | Controlled | Data sharing agreement |
| sa_data | Situation analysis survey data | Controlled | Data sharing agreement |
| safecare_data | SafeCare assessment survey data | Controlled | Data sharing agreement |
| sp_data | Standardised patient survey data | Controlled | Data sharing agreement |
| facility_raw_data_codebook | Codebook for health facility survey data | Open | Creative Commons Attribution |
| facility_treatment_data_codebook | Codebook for health facility treatment assignment data | Open | Creative Commons Attribution |
| hcw_raw_data_codebook | Codebook for health care worker form data | Open | Creative Commons Attribution |
| ipc_raw_data_codebook | Codebook for clinical observation of patients data | Open | Creative Commons Attribution |
| sa_raw_data_codebook | Codebook for situation analysis survey data | Open | Creative Commons Attribution |
| safecare_raw_data_codebook | Codebook for SafeCare assessment survey data | Open | Creative Commons Attribution |
| sp_raw_data_codebook | Codebook for standardised patient survey data | Open | Creative Commons Attribution |
| Filename | Description | Access status | Licence |
| analysis.do | Code for analysis | Open | Creative Commons Attribution Non-Commercial |
| cleaning_basesituation.do | Code for cleaning situation analysis survey data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_facility.do | Code for cleaning facility survey data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_hcw.do | Code for cleaning health worker form data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_ipc.do | Code for cleaning infection, prevention and control data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_safecare.do | Code for cleaning safecare assessment data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_sp.do | Code for cleaning SP data | Open | Creative Commons Attribution Non-Commercial |
| cleaning_sp_effort.do | Code for cleaning SP data to generate measures of effort | Open | Creative Commons Attribution Non-Commercial |
| master_clean.do | Code for calling, cleaning and merging do-files | Open | Creative Commons Attribution Non-Commercial |
| merge_ipc.do | Code for merging cleaned clinical observations data | Open | Creative Commons Attribution Non-Commercial |
| merge_rctmanagement.do | Code for merging cleaned facility level data | Open | Creative Commons Attribution Non-Commercial |
| merge_sp.do | Code for merging cleaned SP data | Open | Creative Commons Attribution Non-Commercial |
| Filename | Description | Access status | Licence |
| asthma_script_english.pdf | Script for asthma standardised patient | Open | Creative Commons Attribution Non-Commercial |
| Health_care_worker_form.pdf | Health care worker form | Open | Creative Commons Attribution Non-Commercial |
| Health_facility survey.pdf | Health facility survey | Open | Creative Commons Attribution Non-Commercial |
| IPC_clinical_observations.pdf | Clinical observations of infection, prevention and control tool | Open | Creative Commons Attribution Non-Commercial |
| malaria_script_english.pdf | Script for non-malarial febrile illness standardised patient | Open | Creative Commons Attribution Non-Commercial |
| PAI_Safecare_assessment.pdf | PAI SafeCare assessment survey | Open | Creative Commons Attribution Non-Commercial |
| PAI_situation_analysis_survey.pdf | PAI situation analysis survey | Open | Creative Commons Attribution Non-Commercial |
| SP_survey.pdf | Standardised patient survey tool | Open | Creative Commons Attribution Non-Commercial |
| tb_script_english.pdf | Script for tuberculosis standardised patient | Open | Creative Commons Attribution Non-Commercial |
| URTI_A_script_english.pdf | Script for upper respiratory tract infection standardised patient (A) | Open | Creative Commons Attribution Non-Commercial |
| URTI_B_script_english.pdf | Script for upper respiratory tract infection standardised patient (B) | Open | Creative Commons Attribution Non-Commercial |
| readme.pdf | Readme file | Open | Creative Commons Attribution |
| ICF_ENG_patient_IPC_2018-01-18.docx | Information and consent form for patients during clinical observations | Open | Creative Commons Attribution Non-Commercial |
| ICF_ENG_SP_survey_IPC_exit_31-01-2018.docx | Information and consent form for health facilities | Open | Creative Commons Attribution Non-Commercial |
| ICF_ENG_staff_IPC_2019-01-18.docx | Information and consent form for staff during clinical observations | Open | Creative Commons Attribution Non-Commercial |