EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Assessment of primary health care facilities' service readiness in Nigeria



Assessment of primary health care facilities' service readiness in Nigeria



Bmc Health Services Research 17(1): 172-172



Label="BACKGROUND">Effective delivery of healthcare services requires availability of adequate infrastructure, diagnostic medical equipment, drugs and well-trained medical personnel. In Nigeria, poor funding and mismanagement often characterize healthcare service delivery thereby affecting coverage and quality of healthcare services. Therefore, the state of service delivery in Nigeria's health sector has come under some persistent criticisms. This paper analyzed service readiness of Primary Health Care (PHC) facilities in Nigeria with focus on availability of some essential drugs and medical equipment.Label="METHODS">Service Delivery Indicator (SDI) data for PHC in Nigeria were used. The data were collected from 2480 healthcare facilities from 12 states in the Nigeria's 6 geopolitical zones between 2013 and 2014. Data were analyzed with descriptive statistics, Principal Component Analysis (PCA) and Ordinary Least Square regression.Label="RESULTS">Medical disposables such as hand gloves and male condoms were reported to be available in 77.18 and 44.03% of all the healthcare facilities respectively, while immunization services were provided by 86.57%. Functional stethoscopes were reported by 77.22% of the healthcare facilities, while only 68.10% had sphygmomanometers. In the combined healthcare facilities, availability of some basic drugs such as Azithromycin, Nifedipine, Dexamethasone and Misoprostol was low with 10.48, 25.20, 21.94 and 17.06%, respectively, while paracetamol and folic acid both had high availability with 74.31%. Regression results showed that indices of drug and medical equipment availability increased significantly (pā€‰<ā€‰0.05) among states in southern Nigeria and with presence of some power sources (electricity, generators, batteries and solar), but decreased among dispensaries/health posts. Travel time to headquarters and rural facilities significantly reduced indices of equipment availability (pā€‰<ā€‰0.05).Label="CONCLUSION">It was concluded that for Nigeria to ensure better equity in access to healthcare facilities, which would facilitate achievement of some health-related sustainable development goals (SDGs), quality of services at its healthcare facilities should be improved. Given some differences between availability of basic medical equipment and their functionality, and lack of some basic drugs, proper inventory of medical services should be taken with effort put in place to increase funding and ensure proper management of healthcare resources.

(PDF emailed within 0-6 h: $19.90)

Accession: 059410115

Download citation: RISBibTeXText

PMID: 28249578

DOI: 10.1186/s12913-017-2112-8



Related references

The impact of mentor mother programs on PMTCT service uptake and retention-in-care at primary health care facilities in Nigeria: a prospective cohort study (MoMent Nigeria). Journal of Acquired Immune Deficiency Syndromes 67 Suppl 2(): S132-S138, 2014

WHO's Service Availability and Readiness Assessment of primary health care services of commune health centers in a rural district of Northern Vietnam. International Journal of Health Planning and Management 33(1): 202-211, 2018

A risk assessment for pregnancy using the World Health Organization classifying form in primary health-care facilities in Enugu, Nigeria. Tropical Doctor 38(3): 135-137, 2008

Assessment of infection control knowledge and compliance among health workers in government and primary health care facilities in Esan North East LGA, Edo State, Nigeria. International Journal of Infectious Diseases 21: 412-413, 2014

Sickle cell disease in southwestern Nigeria: assessment of knowledge of primary health care workers and available facilities. Transactions of the Royal Society of Tropical Medicine and Hygiene: -, 2018

Service Availability and Readiness Assessment of Maternal, Newborn and Child Health Services at Public Health Facilities in Madagascar. African Journal of Reproductive Health 20(3): 149-158, 2018

Subjective assessment of childhood fever by mothers utilizing primary health care facilities in Osogbo, Osun State, Nigeria. Nigerian Journal of Clinical Practice 12(4): 434-438, 2010

Assessment of health service delivery capacities, health providers' knowledge and practices related to type 2 diabetes care in Kinshasa primary healthcare network facilities, Democratic Republic of the Congo. Bmc Health Services Research 15(): 9-9, 2016

Health Systems Readiness to Manage the Hypertension Epidemic in Primary Health Care Facilities in the Western Cape, South Africa: A Study Protocol. Jmir Research Protocols 5(1): E35-E35, 2016

Cold chain management practices of health care workers in primary health care facilities in Southern Nigeria. Pan African Medical Journal 27: 34-34, 2017

Service readiness, health facility management practices, and delivery care utilization in five states of Nigeria: a cross-sectional analysis. Bmc Pregnancy and Childbirth 16(1): 297-297, 2017

Improving Quality of Care in Primary Health-Care Facilities in Rural Nigeria: Successes and Challenges. Health Services Research and Managerial Epidemiology 3: 2333392816662581-2333392816662581, 2017

The role of service readiness and health care facility factors in attrition from Option B+ in Haiti: a joint examination of electronic medical records and service provision assessment survey data. International Health: -, 2018

Scaling up prevention of mother to child transmission of HIV infection to primary health facilities in Nigeria: findings from two primary health centres in Northwest Nigeria. African Journal of Reproductive Health 17(4 Spec No): 130-137, 2014

Quality of child health services in primary health care facilities in south-east Nigeria. Child: Care, Health and Development 31(2): 181-191, 2005