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International Journal for Quality in Health Care 14:521-523 (2002)
© 2002 International Society for Quality in Health Care

Letter to the Editor

Design effects and intraclass correlation coefficients from a health facility cluster survey in Benin

Alexander K. Rowe, Marcel Lama, Faustin Onikpo and Michael S. Deming

Centers for Disease Control and Prevention, Atlanta, GA, USA
Africare, Porto Novo, Benin
Direction Départementale de la Santé Publique de l’Ouémé, Porto Novo, Benin
Centers for Disease Control and Prevention, Atlanta, GA, USA

The first 10% of the full text of this article appears below.

To the Editor: For at least two decades, disease control programs in developing countries have used clinical guidelines for health workers to improve the management of ill children and prevent childhood deaths. To monitor health worker performance and evaluate the implementation of such guidelines, a common method has been to conduct health facility cluster surveys in which health workers are observed during consultations [1,2]; a cluster is usually defined as all, or a sample of, consultations occurring at a given health facility on a given day. Data from these surveys tend to be correlated because of the similarity in case management . . . [Full Text of this Article]


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