Table 2

Percentage of WHO Quality Standards assessable by each quality assessment tool

Percentage of Quality Measures assessable for each Quality Standard
WHO-EuropeWHO-SE AsiaSPAHRBFHeRAMSr-HFASARAHFS-IMCIHCAHPS-Child
Standard 1: Every child receives evidence-based care and management of illness according to WHO guidelines. (n=222)59%55%49%27%39%24%23%18%0%
Standard 2: The health information system ensures the collection, analysis and use of data to ensure early, appropriate action to improve the care of every child. (n=29)52%52%48%38%0%24%0%10%10%
Standard 3: Every child with condition(s) that cannot be treated effectively with the available resources receives appropriate, timely referral, with seamless continuity of care. (n=28)39%18%36%39%43%7%7%18%0%
Standard 4: Communication with children and their families is effective, with meaningful participation and responds to their needs and preferences. (n=45)53%22%29%24%9%7%0%16%27%
Standard 5: Every child’s rights are respected, protected and fulfilled at all times during care, without discrimination. (n=44)45%11%20%14%7%5%5%2%9%
Standard 6: All children and their families are provided with educational, emotional and psychosocial support that is sensitive to their needs and strengthens their capability. (n=32)66%9%3%0%0%0%0%0%19%
Standard 7: For every child, competent, motivated, empathic staff are consistently available to provide routine care and management of common childhood illnesses. (n=44)70%34%52%59%2%25%7%16%7%
Standard 8: The health facility has an appropriate, child friendly physical environment, with adequate water, sanitation, waste management, energy supply, medicines, medical supplies and equipment for routine care and management of common childhood illnesses. (n=66)56%50%41%39%35%20%32%3%8%
  • Red boxes indicate that the assessment tool did not assess any; orange boxes indicate less than half and yellow boxes indicate equal to or more than half of the quality measures were assessable in the associated Quality Standard.

  • HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems; HeRAMS, Health Resources Availability Mapping System; HFS-IMCI, Health Facility Survey—using Integrated Management of Childhood Illness clinical guidelines; HRBF, Health Results Based Financing impact evaluation toolkit; n, number of Quality Measures within the associated Quality Standard; r-HFA, rapid Health Facility Assessment; SARA, Service Availability and Readiness Assessment; SPA, Service Provision Assessment.;