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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Main Author: World Bank
Format: Publication
Language:English
Published: World Bank 2012
Subjects:
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
id okr-10986-5958
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic 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
spellingShingle 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
World Bank
Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
geographic_facet Africa
West Africa
Sub-Saharan Africa
Nigeria
relation World Bank Working Paper ; No. 187. Africa Human Development Series
description 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.
format Publications & Research :: Publication
author World Bank
author_facet World Bank
author_sort World Bank
title Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
title_short Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
title_full Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
title_fullStr Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
title_full_unstemmed Improving Primary Health Care Delivery in Nigeria : Evidence from Four States
title_sort improving primary health care delivery in nigeria : evidence from four states
publisher World Bank
publishDate 2012
url 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
_version_ 1764396928958726144
spelling okr-10986-59582021-04-23T14:02:24Z Improving Primary Health Care Delivery in Nigeria : Evidence from Four States World Bank 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 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. 2012-03-19T09:33:34Z 2012-04-04T07:44:03Z 2012-03-19T09:33:34Z 2012-04-04T07:44:03Z 2010-04-01 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 978-0-8213-8311-7 http://hdl.handle.net/10986/2437 http://hdl.handle.net/10986/5958 English World Bank Working Paper ; No. 187. Africa Human Development Series CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank Publications & Research :: Publication Publications & Research :: Publication Africa West Africa Sub-Saharan Africa Nigeria