The objective of this study was to examine the capacity and quality of maternal and child health (MCH) services at the subnational primary healthcare (PHC) level in 12 low-income and middle-income countries (LMICs) and its association with intermediate health outputs such as coverage and access to care. The results of this analysis illustrate the heterogeneity in the capacity and quality of PHC service delivery within LMICs. Countries seeking to strengthen their PHC systems could improve PHC monitoring at the subnational level to better understand subnational bottlenecks in service delivery.
References
Bitton A, Fifield J, Ratcliffe H, et al. Primary healthcare system performance in low-income and middle-income countries: a scoping review of the evidence from 2010 to 2017. BMJ Glob Health 2019;4(Suppl 8):e001551.
Nikoloski Z, Albala S, Montero AM, et al. The impact of primary health care and specialist physician supply on amenable mortality in mexico (2000-2015): panel data analysis using system-generalized method of moments. Soc Sci Med 2021;278:113937.
Schneider MT, Chang AY, Crosby SW, et al. Trends and outcomes in primary health care expenditures in low-income and middle-income countries, 2000-2017. BMJ Glob Health 2021;6:e005798.
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