Systematic Monitoring of Male Circumcision Scale-Up in Nyanza, Kenya: Exploratory Factor Analysis of Service Quality Instrument and Performance Ranking
Publication Date
2014-07-01Author
Aduda, Dickens S
Ouma, Collins
Onyango, Rosebella
Onyango, Mathews
Bertrand, Jane
Metadata
Show full item recordAbstract/ Overview
Background Considerable conceptual and operational complexities related to service
quality measurements and variability in delivery contexts of scaled-up medical male
circumcision, pose real challenges to monitoring implementation of quality and safety.
Clarifying latent factors of the quality instruments can enhance contextual applicability and
the likelihood that observed service outcomes are appropriately assessed. Objective To
explore factors underlying SYMMACS service quality assessment tool (adopted from the
WHO VMMC quality toolkit) and; determine service quality performance using composite
quality index derived from the latent factors. Study design Using a comparative process
evaluation of Voluntary Medical Male Circumcision Scale-Up in Kenya site level data was
collected among health facilities providing VMMC over two years. Systematic Monitoring …