Date of Conferral



Doctor of Healthcare Administration (D.H.A.)


Health Services


Robert R. Hijazi


The healthcare system of Guinea has reported low scores on service availability and readiness assessment (SARA); the scores indicated the low availability of quality drugs, vaccines, medical equipment, and other technologies and involves a continuous history of poor quality-performance metrics. Thus the operational health problems in Guinea could be summarized as health problems (high rate of maternal, neonatal, and infant mortality, high prevalence of communicable and non-communicable diseases) and health system problems (lack of appropriate governance). Therefore, amelioration of the quality of health care and patient safety is needed. The objective of this study was to consider Guinea hospital performance metrics (basic amenities mean score, basic equipment mean score, standard precautions, diagnostics, and essential medicines), and see whether a relationship exists between these metrics and the general service readiness index for the hospitals in Guinea in 2017. The quantitative secondary data set from the Strategic and Development Bureau were reviewed, and the National Institute of Statistics of Guinea conducted the SARA survey. The conceptual framework was epistemological and based on the Donabedian approach to analyzing quality. The Donabedian approach to analyzing quality involved three components: structure, process, and outcome. For this study, the Pearson correlation and bivariate regression interpretation provided the answers to the five research questions with p < 0.05. The positive change from this study will include the rational utilization of the resources in the healthcare workers’ possession, their compliance with the standard precautions, the appropriate utilization of the diagnostic tests, and the essential medicines' right use.