Minimum Service Standards scores versus health outcomes and perceptions in Nepal Government District Hospitals.
With health as a fundamental right, people in rural Nepal are becoming increasingly aware of their healthcare needs. Recent health policies and strategies in Nepal place a central emphasis on the importance of improving quality at the point of care. The National Health Policy commits Nepal to ensure access to quality health services: (1) Quality Health Services are identified as one of the strategic directions for achieving Universal Health Coverage (UHC) in the Nepal Health Sector Strategy 2015 – 2020. (2) Improving quality of care at the point-of-delivery is an outcome of the Strategy.
This study will generate evidence towards the applicability of MSS as a measure of quality in district hospitals of Nepal. This will be accomplished by comparing the MSS scores in aggregate and domain-wise between the different hospitals with health outcomes data obtained from HMIS (Health Management Information System) as well as perceptions from patients, hospital development committees, and the community. This is the first study to describe MSS and its role in government district hospitals of Nepal.
The primary objective of the study is to compare the MSS scores with health outcomes and to explore the user’s perceptions towards Government hospitals and quality of services. We hypothesize that the higher MSS scores in general are associated with better healthcare outcomes and better patient/community/hospital management perceptions.