The Quality of Health and Education Systems Across Africa

Page 113

An evolving agenda for measuring the quality of service delivery

learning materials. Likewise, school principals need to coordinate activities and connect with teachers and students virtually. Existing survey tools will need to be adapted further to capture these and other novel aspects of ICT that can shape learning outcomes. With this in mind, the World Bank Group’s Education Global Practice has been developing the EdTech Readiness Index, composed of eight indicators, including connectivity, teacher training, digital learning resources, and online assessments. This initiative and the SDI team’s ongoing collaboration with the Education Global Practice could create additional synergies in the future. Similarly, to the extent that COVID-19 itself continues to pose a challenge, new physical requirements for spaced seating; water, sanitation, and hygiene infrastructure; and protective equipment will become essential elements of school life.

Addressing determinants of provider performance The performance of individual service providers (such as frontline health care workers and teachers) is a crucial determinant of the quality of services that citizens receive. What factors shape how well frontline service professionals perform, and what levers exist to support providers in doing their best work? SDI instruments are evolving to deliver new evidence on why providers make certain good or suboptimal choices in their daily practice and what the role of management is.

Better understanding providers’ performance In health, the current SDI vignettes capture whether a provider gives the correct diagnosis and treatment, and are being expanded to provide more information on why a provider is diagnosing a condition incorrectly. For example, although the existing data show that many providers are not effective at diagnosing diabetes, it is not clear whether they think that the patient is healthy or instead is displaying risk factors for another disease, such as depression or chronic fatigue, that might present similarly to diabetes. At present, health care providers can generally diagnose the tuberculosis vignette quite well, but they do poorly with treatment. Based on consultation with medical experts, the questionnaire now includes more of the most common incorrect answers as well as the requirement to record any nonstandard answers given. This information will shed light on the most common errors and will help to provide more pinpointed recommendations to improve provider performance. In schools, teacher observation captures more granular information about time spent on different activities by a teacher and students during a class 95


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Appendix D: Methodological groundwork for the SDI teacher and student assessments

6min
pages 165-169

C.1 Example of a typical SDI education survey instrument

4min
pages 161-164

Appendix C: Survey methodology

7min
pages 157-160

B.1 Typical sampling strategy process for SDI surveys

7min
pages 152-156

Appendix B: Sampling procedures

1min
page 151

A.6 Definition of a correct treatment

4min
page 146

A.3 Definition and calculation of health indicators

3min
page 142

A.4 Definition of education indicators

4min
pages 143-144

SDI surveys: Turning measurement into momentum for reform

4min
pages 132-133

Rethinking service delivery

4min
pages 130-131

Results in action: How SDI surveys inform program operations

8min
pages 120-123

References

6min
pages 126-129

A wider perspective: Measurement as a public good for research

2min
page 124

Notes

2min
page 125

Improving comparability of SDI surveys over time

4min
pages 118-119

Understanding interactions with family background

4min
pages 116-117

Addressing determinants of provider performance

6min
pages 113-115

Adapting SDI surveys to different country contexts

14min
pages 106-112

References

8min
pages 101-105

concern during COVID-19

3min
page 90

Are basic requirements for learning in place?

4min
pages 82-83

location

2min
page 95

Notes

5min
pages 99-100

High- and low-performing schools: How can countries narrow the gaps?

2min
page 89

low-performing groups of students in nine African countries

1min
page 80

3.1 How does language of instruction affect test scores?

2min
page 81

Sample, methods, and framework

2min
page 73

SDI education surveys: Seeing basic education from the students’ perspective

2min
page 72

Background: Reimagining what education can achieve

1min
page 71

References

9min
pages 67-70

Conclusions: What will it take to improve service delivery in health?

6min
pages 63-65

African countries, by country and type of equipment

1min
page 58

Notes

2min
page 66

medicines in six African countries, by country and type of facility

1min
page 60

infrastructure

1min
page 56

Will health care providers be present in the health facility?

2min
page 42

Will health care providers be ready to provide quality care?

4min
pages 48-49

Sample, methods, and framework

2min
page 40

Will the necessary infrastructure, equipment, supplies, and medicines be available?

1min
page 54

Structure of this chapter

2min
page 39

location

1min
page 55

SDI health surveys: A finger on the pulse of primary health care

2min
page 38

by country and health facility ownership

1min
page 43

1.1 What do Service Delivery Indicators surveys measure?

4min
pages 29-30

COVID-19: Challenging the resilience of health and education systems

4min
pages 26-27

Human capital at the core of development

1min
page 25

References

1min
pages 23-24

Aims and structure of the book

2min
page 32

Data to drive change

2min
page 22

Background: An opportunity to transform primary health care

1min
page 37

Learning from the Service Delivery Indicators surveys

2min
page 28
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