Determinants of safety climate at primary care level in Ghana, Malawi and Uganda

09 Jun 2021
Frédérique Vallières, Paul Mubiri, Samuel Agyei Agyemang, Samuel Amon, Jana Gerold, Tim Martineau, Ann Nolan, Thomasena O’Byrne, Lifah Sanudi, Freddie Sengooba and Helen Prytherch
Diagram showing the studys analytical framework

A cross‑sectional study across 138 selected primary healthcare facilities

Safety climate is an essential component of achieving Universal Health Coverage, with several organisational, unit or team-level, and individual health worker factors identified as influencing safety climate. Few studies however, have investigated how these factors contribute to safety climate within health care settings in low- and middle-income countries (LMICs) The current study examines the relationship between key organisational, unit and individual-level factors and safety climate across primary health care centres in Ghana, Malawi and Uganda.

Our findings highlight the importance of unit-level factors—and in specific, teamwork and supportive supervision—as particularly important contributors to perceptions of safety climate among primary health workers in LMICs. Implications for practice are discussed.

Ghana Malawi Uganda