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

The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers and the variables driving this performance. The...

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Bibliographic Details
Main Author: World Bank
Format: Other Health Study
Language:English
en_US
Published: Washington, DC 2012
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2008/06/10592801/nigeria-improving-primary-health-care-delivery-evidence-four-states
http://hdl.handle.net/10986/7784
id okr-10986-7784
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
en_US
topic ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ANTENATAL CARE
BANDAGES
BASIC HEALTH CARE
BASIC HEALTH SERVICES
BASIC SANITATION
CENTER FOR HEALTH
CHILD CARE
CHILD HEALTH
CHILD HEALTH CARE
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHRONIC MALNUTRITION
CITIZEN
CITIZENS
CLINICS
COMMUNICABLE DISEASES
COMMUNITIES
COMMUNITY HEALTH
COMMUNITY HEALTH CARE
COMMUNITY PARTICIPATION
CONDOMS
CONTRACEPTIVE USE
CONTRACEPTIVES
DEATHS
DEBT
DELIVERY CARE
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DISPENSARIES
DISTRICTS
DOCTORS
ECONOMIC DEVELOPMENT
ECONOMIC EMPOWERMENT
EDUCATION ACTIVITIES
EMERGENCY OBSTETRIC CARE
EMERGENCY OBSTETRIC SERVICES
ESSENTIAL DRUGS
ESSENTIAL HEALTH CARE
ETHNIC GROUPS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FAMILY PLANNING SERVICES
FEMALE
FERTILITY RATES
FEWER BIRTHS
FINANCIAL ACCOUNTABILITY
FINANCIAL MANAGEMENT
FORCEPS
GENDER
GOVERNMENT POLICIES
GROSS DOMESTIC PRODUCT
HEALTH CARE CENTERS
HEALTH CARE COSTS
HEALTH CARE DELIVERY
HEALTH CARE FACILITIES
HEALTH CARE PERSONNEL
HEALTH CARE PROVIDER
HEALTH CARE PROVIDERS
HEALTH CARE SERVICE DELIVERY
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 INTERVENTIONS
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
HUMAN DEVELOPMENT
HUMAN RESOURCE MANAGEMENT
HUMAN RESOURCES
ILLNESS
IMMUNIZATION
IMMUNIZATIONS
IMMUNODEFICIENCY
INCOME
INCOME DISTRIBUTION
INCOME INEQUALITY
INFANT
INFECTIOUS DISEASES
INJECTABLE CONTRACEPTIVES
INJURIES
INSERVICE TRAINING
INSURANCE
INSURANCE SCHEMES
INTEGRATION
IRON
LAWS
LEPROSY
LEVEL OF EDUCATION
LIVING STANDARDS
LOCAL GOVERNMENTS
MALARIA
MANAGEMENT OF HEALTH
MATERNAL CARE
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL HEALTH SERVICES
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 AGENCY
NATIONAL GOVERNMENTS
NATIONAL HEALTH SYSTEM
NATIONAL STRATEGIES
NEWBORN
NEWBORN CARE
NUMBER OF WOMEN
NURSES
NUTRITION
OCCUPATIONS
ORAL CONTRACEPTIVES
OUTPATIENT CARE
PATIENTS
PHARMACIES
PHARMACY
POLICY DIALOGUE
POLIO
POOR PEOPLE
PRACTITIONERS
PREGNANCY
PREGNANCY RELATED CAUSES
PREGNANT WOMEN
PREVENTIVE HEALTH SERVICES
PRIMARY HEALTH CARE
PRIMARY HEALTH CARE FACILITIES
PRIMARY HEALTH CARE SERVICES
PRIMARY HEALTH CARE SYSTEM
PRIMARY SCHOOL
PROBABILITY
PROGRESS
PROVISION OF SERVICES
PUBLIC EXPENDITURE
PUBLIC EXPENDITURE MANAGEMENT
PUBLIC FINANCIAL MANAGEMENT
PUBLIC HEALTH
PUBLIC SERVICES
QUALITY OF SERVICES
QUALITY SERVICES
REFERRAL SYSTEM
REHABILITATION
RESPECT
RURAL AREAS
RURAL DEVELOPMENT
SAFE WATER
SELF-RELIANCE
SERVICE PROVIDERS
SERVICE PROVISION
SERVICES TO WOMEN
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SHORT SUPPLY
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
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
CENTER FOR HEALTH
CHILD CARE
CHILD HEALTH
CHILD HEALTH CARE
CHILD HEALTH SERVICES
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHRONIC MALNUTRITION
CITIZEN
CITIZENS
CLINICS
COMMUNICABLE DISEASES
COMMUNITIES
COMMUNITY HEALTH
COMMUNITY HEALTH CARE
COMMUNITY PARTICIPATION
CONDOMS
CONTRACEPTIVE USE
CONTRACEPTIVES
DEATHS
DEBT
DELIVERY CARE
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DISPENSARIES
DISTRICTS
DOCTORS
ECONOMIC DEVELOPMENT
ECONOMIC EMPOWERMENT
EDUCATION ACTIVITIES
EMERGENCY OBSTETRIC CARE
EMERGENCY OBSTETRIC SERVICES
ESSENTIAL DRUGS
ESSENTIAL HEALTH CARE
ETHNIC GROUPS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FAMILY PLANNING SERVICES
FEMALE
FERTILITY RATES
FEWER BIRTHS
FINANCIAL ACCOUNTABILITY
FINANCIAL MANAGEMENT
FORCEPS
GENDER
GOVERNMENT POLICIES
GROSS DOMESTIC PRODUCT
HEALTH CARE CENTERS
HEALTH CARE COSTS
HEALTH CARE DELIVERY
HEALTH CARE FACILITIES
HEALTH CARE PERSONNEL
HEALTH CARE PROVIDER
HEALTH CARE PROVIDERS
HEALTH CARE SERVICE DELIVERY
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 INTERVENTIONS
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
HUMAN DEVELOPMENT
HUMAN RESOURCE MANAGEMENT
HUMAN RESOURCES
ILLNESS
IMMUNIZATION
IMMUNIZATIONS
IMMUNODEFICIENCY
INCOME
INCOME DISTRIBUTION
INCOME INEQUALITY
INFANT
INFECTIOUS DISEASES
INJECTABLE CONTRACEPTIVES
INJURIES
INSERVICE TRAINING
INSURANCE
INSURANCE SCHEMES
INTEGRATION
IRON
LAWS
LEPROSY
LEVEL OF EDUCATION
LIVING STANDARDS
LOCAL GOVERNMENTS
MALARIA
MANAGEMENT OF HEALTH
MATERNAL CARE
MATERNAL DEATHS
MATERNAL HEALTH
MATERNAL HEALTH SERVICES
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 AGENCY
NATIONAL GOVERNMENTS
NATIONAL HEALTH SYSTEM
NATIONAL STRATEGIES
NEWBORN
NEWBORN CARE
NUMBER OF WOMEN
NURSES
NUTRITION
OCCUPATIONS
ORAL CONTRACEPTIVES
OUTPATIENT CARE
PATIENTS
PHARMACIES
PHARMACY
POLICY DIALOGUE
POLIO
POOR PEOPLE
PRACTITIONERS
PREGNANCY
PREGNANCY RELATED CAUSES
PREGNANT WOMEN
PREVENTIVE HEALTH SERVICES
PRIMARY HEALTH CARE
PRIMARY HEALTH CARE FACILITIES
PRIMARY HEALTH CARE SERVICES
PRIMARY HEALTH CARE SYSTEM
PRIMARY SCHOOL
PROBABILITY
PROGRESS
PROVISION OF SERVICES
PUBLIC EXPENDITURE
PUBLIC EXPENDITURE MANAGEMENT
PUBLIC FINANCIAL MANAGEMENT
PUBLIC HEALTH
PUBLIC SERVICES
QUALITY OF SERVICES
QUALITY SERVICES
REFERRAL SYSTEM
REHABILITATION
RESPECT
RURAL AREAS
RURAL DEVELOPMENT
SAFE WATER
SELF-RELIANCE
SERVICE PROVIDERS
SERVICE PROVISION
SERVICES TO WOMEN
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SHORT SUPPLY
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
VACCINES
VILLAGES
WASTE
WASTE DISPOSAL
WORKERS
WORKING CONDITIONS
WORLD HEALTH ORGANIZATION
YOUTH
World Bank
Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
geographic_facet Africa
West Africa
Sub-Saharan Africa
Nigeria
description The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers 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. The purpose of this study is three fold: (i) to contribute to the evidence base of the Federal Government's health system reform efforts; (ii) to inform the Bank's and Canadian International Development Agency (CIDA) sector policy dialogue with the Government; and (iii) to inform the current and eventual health support programs of both donors at state level. 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 primary health care 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 is focused in the collection of information not previously available, such as detailed roles and responsibilities of the Local Government Area (LGA) and states and community perceptions of PHC services. This study is also to support on-going or eventual health support programs of CIDA and the World Bank at the state level.
format Economic & Sector Work :: Other Health Study
author World Bank
author_facet World Bank
author_sort World Bank
title Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
title_short Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
title_full Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
title_fullStr Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
title_full_unstemmed Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
title_sort nigeria—improving primary health care delivery : evidence from four states
publisher Washington, DC
publishDate 2012
url http://documents.worldbank.org/curated/en/2008/06/10592801/nigeria-improving-primary-health-care-delivery-evidence-four-states
http://hdl.handle.net/10986/7784
_version_ 1764403080320778240
spelling okr-10986-77842021-04-23T14:02:35Z Nigeria—Improving Primary Health Care Delivery : 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 CENTER FOR HEALTH CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES CHILD MORTALITY CHILD MORTALITY RATES CHILD SURVIVAL CHRONIC MALNUTRITION CITIZEN CITIZENS CLINICS COMMUNICABLE DISEASES COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY PARTICIPATION CONDOMS CONTRACEPTIVE USE CONTRACEPTIVES DEATHS DEBT DELIVERY CARE DEVELOPING COUNTRIES DEVELOPMENT STRATEGIES DISADVANTAGED GROUPS DISEASE CONTROL DISPENSARIES DISTRICTS DOCTORS ECONOMIC DEVELOPMENT ECONOMIC EMPOWERMENT EDUCATION ACTIVITIES EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRIC SERVICES ESSENTIAL DRUGS ESSENTIAL HEALTH CARE ETHNIC GROUPS EXPENDITURES FAMILIES FAMILY PLANNING FAMILY PLANNING SERVICES FEMALE FERTILITY RATES FEWER BIRTHS FINANCIAL ACCOUNTABILITY FINANCIAL MANAGEMENT FORCEPS GENDER GOVERNMENT POLICIES GROSS DOMESTIC PRODUCT HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE DELIVERY HEALTH CARE FACILITIES HEALTH CARE PERSONNEL HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICE DELIVERY 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 INTERVENTIONS 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 HUMAN DEVELOPMENT HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES ILLNESS IMMUNIZATION IMMUNIZATIONS IMMUNODEFICIENCY INCOME INCOME DISTRIBUTION INCOME INEQUALITY INFANT INFECTIOUS DISEASES INJECTABLE CONTRACEPTIVES INJURIES INSERVICE TRAINING INSURANCE INSURANCE SCHEMES INTEGRATION IRON LAWS LEPROSY LEVEL OF EDUCATION LIVING STANDARDS LOCAL GOVERNMENTS MALARIA MANAGEMENT OF HEALTH MATERNAL CARE MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH SERVICES 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 AGENCY NATIONAL GOVERNMENTS NATIONAL HEALTH SYSTEM NATIONAL STRATEGIES NEWBORN NEWBORN CARE NUMBER OF WOMEN NURSES NUTRITION OCCUPATIONS ORAL CONTRACEPTIVES OUTPATIENT CARE PATIENTS PHARMACIES PHARMACY POLICY DIALOGUE POLIO POOR PEOPLE PRACTITIONERS PREGNANCY PREGNANCY RELATED CAUSES PREGNANT WOMEN PREVENTIVE HEALTH SERVICES PRIMARY HEALTH CARE PRIMARY HEALTH CARE FACILITIES PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH CARE SYSTEM PRIMARY SCHOOL PROBABILITY PROGRESS PROVISION OF SERVICES PUBLIC EXPENDITURE PUBLIC EXPENDITURE MANAGEMENT PUBLIC FINANCIAL MANAGEMENT PUBLIC HEALTH PUBLIC SERVICES QUALITY OF SERVICES QUALITY SERVICES REFERRAL SYSTEM REHABILITATION RESPECT RURAL AREAS RURAL DEVELOPMENT SAFE WATER SELF-RELIANCE SERVICE PROVIDERS SERVICE PROVISION SERVICES TO WOMEN SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SHORT SUPPLY 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 VACCINES VILLAGES WASTE WASTE DISPOSAL WORKERS WORKING CONDITIONS WORLD HEALTH ORGANIZATION YOUTH The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers 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. The purpose of this study is three fold: (i) to contribute to the evidence base of the Federal Government's health system reform efforts; (ii) to inform the Bank's and Canadian International Development Agency (CIDA) sector policy dialogue with the Government; and (iii) to inform the current and eventual health support programs of both donors at state level. 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 primary health care 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 is focused in the collection of information not previously available, such as detailed roles and responsibilities of the Local Government Area (LGA) and states and community perceptions of PHC services. This study is also to support on-going or eventual health support programs of CIDA and the World Bank at the state level. 2012-06-12T14:49:02Z 2012-06-12T14:49:02Z 2008-06 http://documents.worldbank.org/curated/en/2008/06/10592801/nigeria-improving-primary-health-care-delivery-evidence-four-states http://hdl.handle.net/10986/7784 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Other Health Study Economic & Sector Work Africa West Africa Sub-Saharan Africa Nigeria