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ORIGINAL ARTICLE
Open Access

Good Management Practice Is Correlated With Good Performance of Community-Engaged Primary Health Care Facilities in Peru

Laura C. Altobelli
Global Health: Science and Practice August 2024, 12(4):e2300402; https://doi.org/10.9745/GHSP-D-23-00402
Laura C. Altobelli
aFuture Generations University, Franklin, WV, USA.
bSchool of Public Health and Administration, Cayetano Heredia University, Lima, Peru.
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  • For correspondence: laltobellim{at}gmail.com
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    FIGURE

    Correlationa Between Percentage of CLAS Comanaged Primary Health Care Facilities That Completed Their Contracted Goals and Percentage of Good Management Practices Used by Each DIRESA

    Abbreviations: CLAS, Comunidad Local de Administración de Salud; DIRESA, regional health directorate. a Pearson’s correlation coefficient, r=.7266, 12 df, P<.01.

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    TABLE 1.

    Percentage of CLAS PHC Facilities that Completed Contracted Goals, by DIRESA and Study Group, Peru

    Group 1aCallaoLoretoTacnaPiuraArequipaCuscoTotal
    Facilities that met goals, no. (%)3 (100.0)147 (94.2)67 (94.3)192 (90.1)210 (88.9)35 (89.7)654 (91.1)b
    Total facilities, no.31567121323639718
    Group 2MoqueguaIcaApurímacHuánucoCajamarcaAncashTotal
    Facilities that met goals, no. (%)42 (73.6)42 (70.0)48 (67.6)40 (35.0)52 (20.0)25 (20.3)249 (37.6)
    Total facilities, no.576071114259123663
    • Abbreviations: CLAS, Comunidad Local de Administración de Salud; DIRESA, regional health directorate; PHC, primary health care.

    • a Completion of goals in comanagement contracts, based on local health plans.

    • b Chi-square difference in the 2 study groups: X2=(1,N=1381)=452.82, P<.01.

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    TABLE 2.

    Percentage of Good Management Practices Used to Support CLAS Facilities, by DIRESA and Study Group, Peru

    Group 1aCallaoLoretoTacnaPiuraArequipaCuscoTotal
    Practices reported, no. (%)15 (46.9)16 (50.0)12 (37.5)14 (43.8)11 (34.8)10 (31.3)78 (40.6)c
    Practices considered, no.323232323232192
    Group 2bMoqueguaIcaApurímacHuánucoCajamarcaAncashTotal
    Practices reported, no. (%)8 (25.0)9 (28.1)6 (18.8)10 (31.3)7 (21.9)6 (18.8)46 (24.0)
    Practices considered, no.323232323232192
    • Abbreviations: CLAS, Comunidad Local de Administración de Salud; DIRESA, regional health directorate.

    • a DIRESAs with a higher level of compliance with the goals contracted by CLAS.

    • ↵b DIRESAs with a lower level of compliance with the goals contracted by CLAS.

    • ↵c Chi-square difference in study groups with Yates correction: X2=(1,N=384)=11.45, P<.01.

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Global Health: Science and Practice: 12 (4)
Global Health: Science and Practice
Vol. 12, No. 4
August 27, 2024
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Good Management Practice Is Correlated With Good Performance of Community-Engaged Primary Health Care Facilities in Peru
Laura C. Altobelli
Global Health: Science and Practice Aug 2024, 12 (4) e2300402; DOI: 10.9745/GHSP-D-23-00402

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Good Management Practice Is Correlated With Good Performance of Community-Engaged Primary Health Care Facilities in Peru
Laura C. Altobelli
Global Health: Science and Practice Aug 2024, 12 (4) e2300402; DOI: 10.9745/GHSP-D-23-00402
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • COMMUNITY COMANAGEMENT MODEL THROUGH THE SHARED ADMINISTRATION PROGRAM
    • METHODS
    • RESULTS
    • DISCUSSION
    • KEY GOOD MANAGEMENT PRACTICES
    • CONCLUSIONS
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