How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria
Bibliographic Data
| ID | 11490153 |
|---|---|
| Authors | Adanma Ekenna (0000-0002-1348-5102, University of Nigeria Teaching Hospital, corresponding author), Ijeoma Uchenna Itanyi (0000-0002-4958-6319, University of Nigeria), Ugochukwu Nwokoro (University of Nigeria Teaching Hospital), Ugochukwu Uzoechina Nwokoro (0000-0003-3819-3699, University of Nigeria Teaching Hospital), Lisa R Hirschhorn (0000-0002-4355-7437, Northwestern University), Benjamin Uzochukwu (0000-0002-0794-0455, University of Nigeria) |
| Year | 2020 |
| Volume | 35 |
| Issue | Supplement_1 |
| Pages | i97-i106 |
| Publication date | 2020-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czaa108 |
| PMID | 33165588 |
| OpenAlex | W3103297772 |
| Language | EN |
| Citations received | 7 |
| References cited | 27 |
Primary health centres are an effective means of achieving access to primary healthcare (PHC) in low- and middle-income countries. We assessed service availability, service readiness and factors influencing service delivery at public PHC centres in Enugu State, Nigeria. We conducted a cross-sectional study of 60 randomly selected public health centres in Enugu using the World Health Organization’s Service Availability and Readiness Assessment (SARA) survey. The most senior health worker available was interviewed using the SARA questionnaire, and an observational checklist was used for the facility assessment. None of the PHC centres surveyed had all the recommended service domains, but 52 (87%) offered at least half of the recommended service domains. Newborn care and immunization (98.3%) were the most available services across facilities, while mental health was the least available service (36.7%). None of the surveyed facilities had a functional ambulance or access to a computer on the day of the assessment. The specific-service readiness score was lowest in the non-communicable disease (NCD) area (33% in the rural health centres and 29% in the urban health centres) and NCD medicines and supplies. Availability of medicine and supplies was also low in rural PHC centres for the communicable disease area (36%) and maternal health services (38%). Basic equipment was significantly more available in urban health centres (P = 0.02). Urban location of facilities and the presence of a medical officer were found to be associated with having at least 50% of the recommended infrastructure / basic amenities and equipment. Continuing medical education, funding and security were identified by the health workers as key enablers of service delivery. In conclusion, despite a focus on expanding primary care in Enugu State, significant gaps exist that need to be closed for PHC to make significant contributions towards achieving universal healthcare, core to achieving the health-related Sustainable Development Goal agenda
Business · Checklist · Economic growth · Environmental health · Family medicine · Health care · Public health · Service (business) · Service delivery framework · Global Maternal and Child Health · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Nursing · Psychology
Factors affecting utilization of male sexual and reproductive health services
Urbanization factors and the vagaries of the rural health care industry in Nigeria
Implementation of health and health-related sustainable development goals
Ungoverned Spaces Among Informal Health Providers in Nigeria and Health Security Implications
The organisation of primary health care service delivery for non-communicable diseases in Nigeria
Factors associated with the availability and affordability of essential cardiovascular disease medicines in low- and middle-income countries
Making progress in early-career publishing
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations
Linking household and health facility surveys to assess obstetric service availability, readiness and coverage
Investigating client perception and attitude to decentralization of HIV / Aids treatment services to primary health centres in three Nigerian states
Pathways to mental healthcare in south-eastern Nigeria
| Citations per year | 1.75 |
|---|---|
| Citation span | 2022 - 2026 (5) |
| Highly cited | No |