Public Health, Environmental and Occupational Health, Health Policy, Health Professions, Health Information Management
4
Scopus Publications
49
Scholar Citations
3
Scholar h-index
2
Scholar i10-index
Scopus Publications
The Patient's Perspective on the Functioning of the Primary Healthcare Centres in Bangalore, India: An Illustrated Guide R Bangalore Sathyananda, A Krumeich, U Manjunath, A de Rijk, CP van Schayck Journal of Patient Experience, 2024 India's healthcare system is, for a large part, organized around a vast network of Primary Healthcare Centres (PHCs) that form the pillar on which the public healthcare sector functions. The World Health Organization (WHO) has emphasized the important role that PHCs play in strengthening community health and the provision of healthcare. Although a few studies have assessed specific elements of services offered by PHCs, only a few have studied the patients’ perspectives on the functioning and performance of PHCs in the Indian context. A qualitative research methodology was employed to explore the opinions of 188 patients attending one of three PHCs in Bengaluru (India), using in-depth interviews and thematic analysis. Results showed that patients assessed PHC based on the nine themes that broadly can be classified into components of the center, and that of the personnel. The patients valued the behavioural aspects of the personnel during service delivery and should be configured into the PHC performance.
PERFORMANCE OF PRIMARY HEALTH CENTRES, PROVIDER'S PERSPECTIVE OF WELLBEING, AND PATIENT'S ASSESSMENT OF THE CENTRES USING A NEW TOOL IN BANGALORE, INDIA: AN EMPIRICAL STUDY Rajeshwari Bangalore Sathyananda, Angelique De Rijk, Usha Manjunath, Anja Krumeich, Onno Van Schayck, and Asia Pacific Journal of Health Management, 2023 Background: Primary healthcare in India comprises health promotion and preventive health interventions at the population level, which are rendered at dedicated centres called Primary Healthcare Centres (PHCs). The performance of PHCs is vital for overall improvement in the general health of the population, specifically in a low- and middle-income country like India. It is unknown how performance at the centre level is related to performance at the provider and patient levels. The aim of this study is to explore patterns in the performance of three PHCs with a low, medium and the high number of babies delivered.
 Methodology: Primary and secondary data from the three selected PHCs were collected. Two questionnaire studies were done: one on the well-being of providers (Quality of Life and Engagement), and another on PHC performance as assessed by patients using the newly developed tool ‘Questionnaire for Patient’s Perspective on Performance of Primary Healthcare Centres’. The data from the centre, provider and patient levels were compared across the three centres using ANOVA tests.
 Results: The new tool had high internal consistency at Cronbach’s alpha score of 0.938. It was found that the PHC with the least delivery had significantly higher PHC performance in comparison with high and medium-delivery PHCs (p<0.000).
 Conclusion: The PHC performance assessment from multiple perspectives offers a realistic insight into the centres, which is valid even though agreement on the various perspectives could not be obtained. The new Q4PHC is a reliable instrument to assess PHC performance from the patient’s perspective.
Providers' perspectives on the performance of primary healthcare centres in India: The missing link Rajeshwari Bangalore Sathyananda, Anja Krumeich, Usha Manjunath, Angelique Rijk, C. P. Schayck International Journal of Health Planning and Management, 2021 Background Primary healthcare centres (PHCs) form the foundation of the Indian public health system, and thus their effective functioning is paramount in ensuring the population's health. The World Health Organisation (WHO) has set six aspects of performance assessment for general health systems, which are hardly applicable to the PHC setup in a low‐ and middle‐income country. The Primary Health Care Performance Initiative (PHCPI) has prescribed a framework with five domains consisting of 36 indicators for primary healthcare performance assessment from a policy point of view. For the assessment to be realistic, it should include inputs from stakeholders involved in care delivery, so this study examines the perspectives of healthcare providers at PHCs in India. Methodology The authors used qualitative research methodology in the form of responsive evaluations of healthcare provider's interviews to understand the indicators of PHC performance. Results and Conclusion The study results showed that healthcare providers considered efficient teamwork, opportunities for enhancing provider skills and knowledge, job satisfaction, effective PHC administration, and good community relationship as PHC performance assessment. These domains of performance could be considered the ‘missing link’ in PHC assessment, since they are deemed important by providers and did not coincide with the WHO aspects and the PHCPI performance assessment framework.
Primary health Centres' performance assessment measures in developing countries: Review of the empirical literature R. Bangalore Sathyananda, A. de Rijk, U. Manjunath, A. Krumeich, C. P. van Schayck BMC Health Services Research, 2018 BACKGROUND: It is universally accepted that primary healthcare is essential for achieving public health and that assessment of its performance is critical for continuous improvement. The World Health Organization's (WHO's) framework for performance assessment is a comprehensive global standard, but difficult to apply in developing countries because of financial and data constraints. This study aims to review the empirical literature on measures for Primary Health Centre (PHC) performance assessment in developing countries, and compare them for comprehensiveness with the aspects described by the WHO Framework. METHODS: Research articles published in English scientific journals between January 1979 and October 2016 were reviewed systematically. The reporting quality of the article and the quality of the measures were assessed with instruments adapted for the purpose of this study. Data was categorized and described. RESULTS: Fifteen articles were included in the study out of 4359 articles reviewed. Nine articles used quantitative methods, one article used qualitative methods exclusively and five used mixed methods. Fourteen articles had a good description of the measurement properties. None of the articles presented validity tests of the measures but eleven articles presented measures that were well established. Mostly studies included components of personnel competencies (skilled/ non-skilled) and centre performance (patient satisfaction/cost /efficiency). CONCLUSIONS: In comparison to the WHO framework, the measures in the articles were limited in scope as they did not represent all service components of PHCs. Hence, PHC performance assessment should include system components along with relevant measures of personnel performance beyond knowledge of protocols. Existing measures for PHC performance assessment in developing countries need to be validated and concise measures for neglected aspects need to be developed.
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The Patient's Perspective on the Functioning of the Primary Healthcare Centres in Bangalore, India: An Illustrated Guide R Bangalore Sathyananda, A Krumeich, U Manjunath, A de Rijk, ... Journal of Patient Experience 11, 23743735241246730 , 2024 2024.0 Citations: 1
Performance of Primary Health Centres, provider's perspective of wellbeing, and patient's assessment of the centres using a new tool in Bangalore, India: An empirical study RB Sathyananda, A de Rijk, U Manjunath, A Krumeich Asia Pacific Journal of Health Management 18 (3), 77-93 , 2023 2023.0
Providers' perspectives on the performance of primary healthcare centres in India: The missing link R Bangalore Sathyananda, A Krumeich, U Manjunath, A de Rijk, ... The International journal of health planning and management 36 (5), 1533-1552 , 2021 2021.0 Citations: 15
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Primary health centres’ performance assessment measures in developing countries: review of the empirical literature R Bangalore Sathyananda, A De Rijk, U Manjunath, A Krumeich, ... BMC Health Services Research 18 (1), 627 , 2018 2018.0 Citations: 28
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Providers' perspectives on the performance of primary healthcare centres in India: The missing link U Manjunath The International Journal of Health Planning and Management , 0
Managers’ Perspectives on Primary Healthcare Centre Performance in Bengaluru, India: A Qualitative Analysis RB Sathyananda, A Krumeich, U Manjunath, A Rijk, CP Schayck Journal of Health Management, DOI: 10.1177/09720634251326496 , 0
MOST CITED SCHOLAR PUBLICATIONS
Primary health centres’ performance assessment measures in developing countries: review of the empirical literature R Bangalore Sathyananda, A De Rijk, U Manjunath, A Krumeich, ... BMC Health Services Research 18 (1), 627 , 2018 2018.0 Citations: 28
Providers' perspectives on the performance of primary healthcare centres in India: The missing link R Bangalore Sathyananda, A Krumeich, U Manjunath, A de Rijk, ... The International journal of health planning and management 36 (5), 1533-1552 , 2021 2021.0 Citations: 15
Assessment of quality of life among the health workers of primary health centers managed by a nongovernment organization in Karnataka, India: A case study RB Sathyananda, U Manjunath International Journal of Health & Allied Sciences 6 (4), 241 , 2017 2017.0 Citations: 5
The Patient's Perspective on the Functioning of the Primary Healthcare Centres in Bangalore, India: An Illustrated Guide R Bangalore Sathyananda, A Krumeich, U Manjunath, A de Rijk, ... Journal of Patient Experience 11, 23743735241246730 , 2024 2024.0 Citations: 1
Advancing Digital Health: Strategies for Implementation and Management A Khanna, A Kumar, BS Rajeshwari 2025 International Conference on Intelligent and Innovative Technologies in … , 2025 2025.0
Performance of Primary Health Centres, provider's perspective of wellbeing, and patient's assessment of the centres using a new tool in Bangalore, India: An empirical study RB Sathyananda, A de Rijk, U Manjunath, A Krumeich Asia Pacific Journal of Health Management 18 (3), 77-93 , 2023 2023.0
Performance of primary healthcare centres in Bengaluru urban district: an evaluation RB Sathyananda 2020.0
Providers' perspectives on the performance of primary healthcare centres in India: The missing link U Manjunath The International Journal of Health Planning and Management , 0
Managers’ Perspectives on Primary Healthcare Centre Performance in Bengaluru, India: A Qualitative Analysis RB Sathyananda, A Krumeich, U Manjunath, A Rijk, CP Schayck Journal of Health Management, DOI: 10.1177/09720634251326496 , 0