Dear Massimo,
Thank you for your message, based on several decades of experience as a paediatrician in Africa and Asia.
For me this raises two questions: the value of monitoring quality of care, and the (mis)interpretation of results for political ends (for example, perhaps, to exaggerate positive trends in health outcomes). The first would seem to be desirable in any context, but only if the observers use the right approach to fit the context and avoid bias (political or other); the second needs objective assessment - are you aware of any studies on this topic?
CHIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFA is administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org