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Table 3 Number and percentage of GPP measures with overall median and adequate (> 75%) mean scores for validity and IRR and validity for inspector type, category, domain, and level of care

From: Inter-rater reliability and validity of good pharmacy practices measures in inspection of public sector health facility pharmacies in Uganda

Validity

IRR

Validity

Central level Inspector

District based inspector

Median GPP scores

 

n

median

IQR

p-values

n

median

IQR

p-values

n

median

IQR

n

median

IQR

p-values

Overall score

67

69

54.8–85.7

 

67

71

57.1–85.7

 

67

71

50.0–85.7

67

71

42.9–85.7

0,3514

Measure category

 Critical

10

60

53.6–83.3

 

10

65

60.0–71.4

 

10

69

50.0–85.7

10

58

50.0–66.7

0.0365*

 Major

20

74

55.5–88.7

 

20

85

71.4–87.5

 

20

71

57.1–85.7

20

75

57.1–86.6

0,6622

 Minor

37

69

56.3–83.3

 

37

71

50.0–85.7

 

37

71

42.9–83.3

37

71

37.5–87.5

0,7734

Measure type

 Objective

42

78

71.4–100

< 0.0001*

42

73

64.3–87.5

0.0017*

       

 Subject

25

50

37.5–66.7

25

56

38.1–78.6

       

Domains

 Premises

29

63

50.0–81.3

 

29

67

57.1–83.3

 

29

75

50.0–83.3

29

60

37.7–83.3

0.0367*

 Dispensing practices

19

75

50.0–91.7

 

19

75

57.1–100

 

19

75

62.5–87.5

19

75

37.5–100

0,1140

 Store management

15

69

57.1–83.3

 

15

71

71.4–100

 

15

57

42.9–71.4

15

71

71.4–85.7

0.0048*

 Operations

4

72

38.8–93.8

 

4

63

50.0–87.5

 

4

69

52.7–87.5

4

75

25.0–100

0,5775

Level of care

 HC2

66

67

50.0–83.3

 

65

67

50.0–100

 

66

67

50.0–100

65

50

33.3–100

0,1959

 HC3

66

67

50.0–83.3

 

66

67

33.3–100

 

66

67

50.0–100

66

67

33.3–100

0,4131

 HC4

67

75

50.0–100

 

64

100

50.0–100

 

67

100

50.0–100

67

100

70.9–100

0,9423

n total number of assessments; IQR Inter Quartile Range; *p-value < 0.05

Validity

IRR

Validity

 

Central level Inspector

District based insector

Adequate IRR and Validity mean score (> 75%)

 

n/N

%

OR (95% CI)

n/N

%

OR (95% CI)

n/N

%

OR (95% CI)

n/N

%

OR (95% CI)

p-values*

Overall > 75%

29/67

43

 

31/67

46

 

30/67

45

 

29/67

43

 

0,8156

Indicator category

 Critical

4/10

40

1,00

2/10

20

1,00

5/10

50

1,00

2/10

20

1,00

0,1596

 Major

10/20

50

1.50 (0.32–6.99)

13/20

65

7.43 (1.23–45.01)**

8/20

40

0.67 (0.15–3.07)

11/20

55

4.89 (0.82–29.06)

0,3422

 Minor

15/37

41

1.02 (2.5–4.25)

16/37

43

3.05 (0.57–16.36)

17/37

46

0.85 (0.21–3.44)

16/37

43

3.05 (0.57–16.36)

0,7951

Domains

 Premises

12/29

41

1,00

12/29

41

1,00

15/29

52

1,00

10/29

35

1,00

0,1662

 Dispensing practices

10/19

53

1.57 (0.49–5.05)

10/19

53

1.57 (0.49–5.05)

10/19

53

1.04 (0.33–3.30)

10/19

53

2.11 (065–6.89)

1,0000

 Store management

5/15

33

0.71 (0.19–2.61)

7/15

47

1.24 (0.35–4.35)

3/15

20

0.23 (0.05–1.01)

7/15

47

1.66 (0.47–5.93)

0,1172

 Operations

2/4

50

1.42 (0.17–11.51)

2/4

50

1.42 (0.17–11.51)

2/4

50

0.93 (0.12–7.55)

2/4

50

1.90 (023–15.58)

0,7762

Level of care

 HC2

33/66

50

1,00

25/65

39

1,00

23/66

35

1,00

27/65

42

1,00

0,4103

 HC3

30/66

46

0.84 (0.42–1.65)

28/66

42

1.11 (0.55–2.27)

24/66

36

1.11 (0.55–2.27)

28/66

42

0.84 (0.42–1.65)

0,4798

 HC4

37/67

55

1.27 (0.64–2.51)

48/64

75

4.32 (2.07–9.06)**

35/67

52

4.32 (2.07–9.06)*

*39/67

58

1.27 (0.64–2.51)

0,4851

  1. n Number of assessments with acceptable IRR or validity score; N total number of assessments: *Two -Sample test of proportions; **p-value < 0.05;