Global core indicators for measuring WHO’s paediatric quality‑of‑care standards in health facilities: Development and expert consensus
Abstract
There are currently no global recommendations on a parsimonious and robust set of indicators that
can be measured routinely or periodically to monitor quality of hospital care for children and young adolescents. We
describe a systematic methodology used to prioritize and define a core set of such indicators and their metadata for
progress tracking, accountability, learning and improvement, at facility, (sub) national, national, and global levels. We used a deductive methodology which involved the use of the World Health Organization Standards
for improving the quality-of-care for children and young adolescents in health facilities as the organizing framework for
indicator development. The entire process involved 9 complementary steps which included: a rapid literature review
of available evidence, the application of a peer-reviewed systematic algorithm for indicator systematization and
prioritization, and multiple iterative expert consultations to establish consensus on the proposed indicators and their
metadata.
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