AHQOC index for mystery client studies dataset.

The Adolescent Health Quality of Care (AHQOC) index is a tool designed to evaluate the quality of facility-based adolescent sexual and reproductive health (ASRH) services. This descriptive cross-sectional study aimed to validate the AHQOC index in 27 primary and secondary public health facilities located in a rural and an urban local government area (LGA) of Ogun State, Nigeria. To conduct the study, 12 mystery clients (MCs) were recruited and performed 144 visits to the health facilities. The MCs were young males and females who were seeking information on premarital sex, pregnancy prevention, sexually transmitted infections (STIs), and contraception. The validity, and reliability of the AHQOC index were evaluated using exploratory factor analysis, Cronbach’s Alpha, and intra-class correlation coefficient tests. The Kaiser-Meyer-Olkin test result for the initial 37-item pool was 0.7169, and the final tool retained 27 items with a Cronbach’s Alpha of 0.80. Two subscales of the index had Cronbach’s Alpha of 0.76 and 0.85. The intra-rater consistency assessed by the intra-class correlation coefficient was 0.66 (0.10–0.92) p = 0.001 for the urban LGA and 0.72 (0.37–0.91) p = 0.001 for the rural LGA. Positive and statistically significant relationships were observed between the full scales and subscales and the validity item (MC ranking of health worker on proficiency from 1 to 10). The results of this study demonstrate that the validated AHQOC index is a valuable tool for assessing the quality of ASRH services in public health facilities.

青少年健康照护质量（Adolescent Health Quality of Care, AHQOC）指数是一款用于评估基于机构的青少年性与生殖健康（Adolescent Sexual and Reproductive Health, ASRH）服务质量的工具。本描述性横断面研究旨在对位于尼日利亚奥贡州一处城乡地方政府区域（Local Government Area, LGA）的27家公立基层与二级医疗机构中的AHQOC指数进行效度验证。为开展本研究，研究人员招募了12名神秘顾客（Mystery Clients, MCs），并由其完成了共计144次医疗机构探访。这些神秘顾客为年轻男性与女性，其调研场景为寻求婚前性行为、妊娠预防、性传播感染（Sexually Transmitted Infections, STIs）及避孕相关信息的人群。研究采用探索性因子分析、克朗巴哈α系数及组内相关系数检验，对AHQOC指数的效度与信度进行评估。初始37个条目池的Kaiser-Meyer-Olkin检验结果为0.7169，最终保留的工具包含27个条目，其克朗巴哈α系数为0.80。该指数的两个子量表克朗巴哈α系数分别为0.76与0.85。经组内相关系数评估的评定者内部一致性结果显示，城市地方政府区域为0.66（0.10–0.92），p=0.001；农村地方政府区域为0.72（0.37–0.91），p=0.001。在总量表与各子量表与效度条目（神秘顾客对医护人员熟练度1至10分的评分）之间，观察到了正向且具有统计学意义的相关关系。本研究结果表明，经过效度验证的AHQOC指数是评估公立医疗机构ASRH服务质量的可靠工具。