Service Quality Assessment and Quantitative Verification 6 of Health Facilities supported by USAID through Project Santé in Haiti

The project focused on 34 health facilities in Haiti, with a primary goal of improving the quality of care and increasing the efficiency of these facilities. The assessment and verification process involved the use of quantitative indicators, a service quality assessment tool, and training of auditors. Fieldwork was conducted in October and November 2020, with data management and analysis taking place thereafter. Quality assurance and quality control measures were implemented throughout the process to ensure accuracy and reliability of the results. The results of the assessment and verification process revealed a mixed picture of the quality of services provided by the health facilities. According to Table 1, the number of health facilities assessed by department and level varied, with the majority of facilities located in the Artibonite and Centre departments. Table 2 showed that 71% of Project Santé-supported RBF health facilities reported a difference between reported and verified figures for the quarter July-September 2020. The assessment results for general indicators, as presented in Table 4, indicated that 85% of Project Santé-supported RBF health facilities met the criteria for general indicators, while 75% met the criteria for business plan. However, only 55% of facilities met the criteria for finance, incomes, running costs, and performance bonus-index. The assessment results for hygiene and sterilization, water, outpatient and emergency services, family planning, drug management, and other services are presented in Tables 7-23. The results of the assessment and verification process highlighted several challenges and areas for improvement. These included inadequate infrastructure, insufficient equipment, and limited staff capacity. The project also identified opportunities for improvement, including the need for increased training and support for health facility staff. The project's findings and recommendations are presented in the main issues and recommendations section. The challenges and lessons learned from the project are discussed in the final section. The project's results and recommendations are intended to inform future programming and policy decisions aimed at improving the quality of health services in Haiti.