Journal ArticleOpen Access
Does health worker performance affect clients’ health behaviors? A multilevel analysis from Bangladesh
Author Affiliations
University of California, San Francisco, University of California, Los Angeles, Australian National University, International Centre for Diarrhoeal Disease Research, ...
Published InBMC Health Services Research
Year2019
Citations15
Abstract
BACKGROUND: Suboptimal healthcare quality may be a barrier to achieving child health improvements, yet little is known about the relationship between provider compliance with evidence-based practices and client behavior change. We assess provider compliance in the context of infant and young child feeding (IYCF) counseling, its relationship with client IYCF behaviors in Bangladesh, and explore its potential determinants. METHODS: We use data from a 2017 evaluation of an IYCF program that includes a health worker survey (n = 74), caregiver survey (n = 232), and direct service observation checklists of counseling sessions (n = 232 observations of 74 health workers). We assess the relationship between provider compliance with recommended IYCF counseling topics and behaviors (standardized to a 100-point scale) and…
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