Throughout Africa, Asia, and Latin America public health
professionals and paraprofessionals work to control serious,
frequent and preventable causes of death and sickness among women
and children. Despite international agreement about which health
programs to implement and huge investments to support them,
avoidable deaths remain high. One reason is the inadequate quality
with which programs are implemented.
"Assessing Child Survival Programs in Developing Countries"
provides local health system managers with basic principles for
rapid precise program monitoring and evaluation in difficult
tropical conditions. Joseph Valadez explains how to adapt Lot
Quality Assurance Sampling (LQAS) as used in industrial quality
control more than half a century ago, to assess health program
coverage and technical quality of service providers. He shows that
by examining no more than 19 children from a health facility
catchment area a manager can judge whether coverage with child
survival interventions has reached a minimal level, and how to
observe health workers perform a task 6 times to judge their
technical competency.
Joseph Valadez demonstrates that quick assessment is not
necessarily dirty, and can provide the information needed to
enhance child survival throughout the developing world. In that
spirit "Assessing Child Survival Programs in Developing Countries"
is a path breaking text book of modern health services research
that both practitioners and students will find indispensable and
understandable.
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