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To avoid bias during administration of the SafeCare Essentials tool, double scoring was done by three trained research assistants using Pocket Digital Assistant (PDA) devices.
The quality care situation in health facilities was generally low, as determined by the SafeCare Essentials tool and NHIA data.
Data collection involved quality care assessment using the SafeCare Essentials tool, the National Health Insurance Authority (NHIA) accreditation data and structured staff interviews on workplace motivating factors.
Several tools fulfil these criteria, such as the KNOW ESSENTIALS tool, Mini-HTA tool, and Multi-Criteria Decision Analysis but their application in the SSA context remains limited.
The SafeCare Essentials tool is provided by the SafeCare Initiative, a collaboration of the PharmAccess Foundation in The Netherlands, the Council for Health Services Accreditation of Southern Africa (COHSASA), and the Joint Commission International JCII), United States (US).
The SafeCare Essentials tool comprises of 41 assessment criteria categorized into five risk areas, namely: leadership and accountability (7 criteria); competent and capable workforce (7 criteria); safe environment for staff and patients (10 criteria); clinical care of patients (10 criteria), and improvement of quality and safety (7 criteria).
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