Inadequate health-care provider performance is a major challenge to the delivery of high-quality health care in low-income and middle-income countries (LMICs). The Health Care Provider Performance Review (HCPPR) is a comprehensive systematic review of strategies to improve health-care provider performance in LMICs.
This review by Rowe and colleagues found substantial variation in the impact of strategies to improve health-care provider practice although some approaches were more consistently effective than others.
Key findings
- Training or supervision alone typically had moderate effects (10·3–15·9 percentage points), whereas combining training and supervision had somewhat larger effects (18·0–18·8 percentage points).
- Group problem solving alone (e.g. quality improvement) showed larger improvements on provider performance (28·0–37·5 percentage points).