TABLE 6.

Health Care Structural Quality Factors by Country and Facility Type

Country and Facility Type
AlbaniaArmeniaGeorgiaKazakhstanKirov, RussiaTajikistan
TotalHospitalTotalHospitalTotalHospitalTotalHospitalTotalHospitalTotalHospital
Average catchment29,55578,20415,64938,30013,22539,569N/AN/A14,10517,56550,693119,048
Average no. of full-time physicians246022523276N/AN/A35483661
Average no. of full-time nurses38104501323083N/AN/A11917484207
Infrastructure items
    Controls/operates pharmacy (%)45%92%95%100%49%100%N/AN/A30%42%17%37%
    Owns transportation (%)33%100%46%83%26%69%N/AN/A86%96%43%72%
    Medical equipment and supplies in working condition (% out of 54 items)35%60%48%75%40%72%N/AN/A43%56%34%53%
    Laboratory tests available (% out of 35 items)45%58%59%73%70%72%N/AN/A75%77%54%60%
    Medications in stock (% out of 43 items)35%52%42%54%18%45%N/AN/A10%15%28%44%
    No. of ambulances with defibrillators20.827.21.11.51.41.8N/AN/A1.21.30.40.6
    No. of computers in working condition5.818.25.614.69.423.8N/AN/A27.337.62.66.7
Operational items
    Committees/bodies at the facility
        Quality assurance/review committee15%31%59%94%27%63%N/AN/A44%60%27%46%
        Morbidity and mortality conference or committee12%33%30%67%18%57%N/AN/A48%65%52%93%
        Infection control committee11%36%33%60%22%59%N/AN/A40%53%56%76%
        Pharmacy or therapeutics committee16%81%56%81%16%47%N/AN/A9%11%10%17%
Written guidelines for treatment and management of various conditions (% out of 18)58%60%66%60%55%44%N/AN/A79%81%34%36%
Able to pull patient chart based on name (%)77%72%98%98%55%65%N/AN/A34%40%48%52%
Have system to track patients who require chronic care but miss follow-up (%)39%21%58%29%46%45%N/AN/A86%83%68%46%