Improving Primary Health Care Delivery in Nigeria : Evidence from Four States

This study aims mainly at understanding the performance of primary health care (PHC) providers in four Nigerian states and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health c...

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Bibliographic Details
Main Author:	World Bank
Format:	Publication
Language:	English
Published:	World Bank 2012
Subjects:	ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ANTENATAL CARE BANDAGES BASIC HEALTH CARE BASIC HEALTH SERVICES BASIC SANITATION BUDGET PROCESS CENTER FOR HEALTH CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORTALITY CHILD MORTALITY RATES CHOICE OF PROVIDERS CHRONIC MALNUTRITION CITIZEN CITIZENS CLINICAL SERVICES CLINICS COMMUNICABLE DISEASES COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY PARTICIPATION CONDOMS CONTRACEPTIVE USE DEATHS DEBT DELIVERY CARE DELIVERY OF HEALTH SERVICES DELIVERY SYSTEM DEVELOPING COUNTRIES DEVELOPMENT STRATEGIES DISADVANTAGED GROUPS DISEASE CONTROL DISPARITIES IN HEALTH DISPENSARIES DISSEMINATION DISTRICTS DOCTORS ECONOMIC DEVELOPMENT ECONOMIC EMPOWERMENT EDUCATION ACTIVITIES EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRIC SERVICES EMPLOYMENT ESSENTIAL DRUGS ESSENTIAL HEALTH CARE ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEMALE FERTILITY RATES FEWER BIRTHS FINANCIAL MANAGEMENT GENDER GOVERNMENT AGENCIES GOVERNMENT POLICIES GROSS DOMESTIC PRODUCT HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PERSONNEL HEALTH CARE PERSONNEL MANAGEMENT HEALTH CARE PROVIDER HEALTH CARE SERVICES ORGANIZATION HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CLINICS HEALTH COMMITTEES HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXTENSION HEALTH FACILITIES HEALTH INFORMATION HEALTH INSURANCE HEALTH INSURANCE SCHEMES HEALTH INTERVENTIONS HEALTH MANPOWER HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANNING HEALTH POSTS HEALTH PROBLEMS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SPECIALIST HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH WORKERS HIGH FERTILITY HIGH FERTILITY RATE HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES ILLNESS ILLNESSES IMMUNIZATION IMMUNIZATIONS IMMUNODEFICIENCY INCOME INCOME DISTRIBUTION INCOME INEQUALITY INFANT INFECTIOUS DISEASES INFORMATION ASYMMETRIES INJURIES INSURANCE INSURANCE SCHEMES INTEGRATION LAWS LEGAL STATUS LEPROSY LEVEL OF EDUCATION LIVING STANDARDS LOCAL GOVERNMENTS MALARIA MANAGEMENT OF HEALTH MARKET FAILURES MATERNAL DEATHS MATERNAL MORTALITY MEASLES MEDICAL PERSONNEL MEDICAL SUPPLIES MEDICINES MICRONUTRIENT SUPPLEMENTATION MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOBILE CLINICS MORBIDITY MORTALITY NATIONAL GOVERNMENTS NATIONAL HEALTH SYSTEM NATIONAL STRATEGIES NUMBER OF WOMEN NURSES NUTRITION OCCUPATION OCCUPATIONS OUTPATIENT CARE PATIENTS PHARMACIES PHARMACY POLICY DIALOGUE POLICY MAKERS POLIO PRACTITIONERS PREGNANCY PREGNANCY RELATED CAUSES PREGNANT WOMEN PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH CARE SYSTEM PRIMARY SCHOOL PRIVATE SECTOR PROGRESS PROVISION OF HEALTH SERVICES PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE MANAGEMENT PUBLIC HEALTH PUBLIC PROVIDERS PUBLIC SERVICES QUALITY OF SERVICES QUALITY SERVICES REFERRAL SYSTEM REHABILITATION RURAL AREAS RURAL DEVELOPMENT SAFE WATER SELF-RELIANCE SERVICE PROVISION SERVICES TO WOMEN SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SKILLED PERSONNEL SOCIAL MARKETING STATE GOVERNMENTS SUBSISTENCE FARMING TRANSPORTATION TUBERCULOSIS UNDER FIVE MORTALITY UNFPA UNITED NATIONS POPULATION FUND URBAN AREAS URBAN CENTERS USE OF RESOURCES VACCINATIONS VACCINES VILLAGES WASTE WASTE DISPOSAL WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUTH
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20100415012325 http://hdl.handle.net/10986/2437 http://hdl.handle.net/10986/5958

Description
Summary:	This study aims mainly at understanding the performance of primary health care (PHC) providers in four Nigerian states and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. This study represents the second phase of the Nigeria Health, Nutrition, and Population Country Status Report (CSR). The first phase aimed at analyzing the health situation of the poor and how the health system was performing in terms of meeting their needs. This first phase identified PHC as the weakest chain in the entire health sector and the level of care the poor use the most. This second phase of the CSR is therefore focused on the analysis of the delivery of PHC services. In contrast to the first phase, this study is mainly based on primary data, data collected through facility, health personnel, and household surveys. This study follows a similar methodology used by a facility survey implemented in Kogi and Lagos in 2002 (Das Gupta, Gauri, and Khemani, 2003). However, this study is focused in the collection of information not previously available, such as detailed roles and responsibilities of the LGA and states and community perceptions of PHC services.

Improving Primary Health Care Delivery in Nigeria : Evidence from Four States

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