Assessment of health service delivery parameters in Kano and Zamfara States, Nigeria
Open Access
- 15 September 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Health Services Research
- Vol. 20 (1), 1-9
- https://doi.org/10.1186/s12913-020-05722-4
Abstract
Background In 2013, the Nigeria Federal Ministry of Health established a Master Health Facility List (MHFL) as recommended by WHO. Since then, some health facilities (HFs) have ceased functioning and new facilities were established. We updated the MHFL and assessed service delivery parameters in the Malaria Frontline Project implementing areas in Kano and Zamfara States. Methods We assessed all HFs in each of the 34 project local government areas (LGAs) between July and September 2017. Project staff administered a semi-structured questionnaire developed for this assessment to heads of HFs about the type of facility, category and number of staff working at the facility and to record geo-coordinates of facility. Results In the Kano State project area, 726 HFs were identified and geo-located: 31 were new facilities, 608 (84%), 116 (16%) and two (0.3%) were Primary Health Care (PHC), secondary and tertiary facilities respectively. Using the national definition, there were 710 (98%) functional facilities and 644 (91%) of these reported to the national health information platform, District Health Information System, version 2 (DHIS2). The Zamfara project area had 739 HFs: eight were new, 715 (97%), 22 (3.0%) and two (0.2%) PHCs, secondary and tertiary facilities respectively. There were 695 (94%) functional facilities with 656 (94%) of these reporting to DHIS2. Using national criteria for primary health care designation, only 95 (9%) of all PHCs in the two States met the minimum human resource requirements. Conclusion Most HFs were functional and reported to DHIS2. A comprehensive MHFL having all the important parameters that should be established and updated regularly by authorities to make it more useful for health services administration and management. Most functional facilities are understaffed.Funding Information
- Centers for Disease Control and Prevention (Cooperative Agreement Number (GH15-1612) 1U2GGH001635)
This publication has 6 references indexed in Scilit:
- Duplication of effort across Development Projects in Nigeria: An example using the Master Health Facility ListOnline Journal of Public Health Informatics, 2018
- Development of a Master Health Facility List in NigeriaOnline Journal of Public Health Informatics, 2014
- Development and use of a master health facility list: Haiti's experience during the 2010 earthquake responseGlobal Health: Science and Practice, 2014
- Overload, autonomy, and burnout as predictors of physicians' quality of care.Journal of Occupational Health Psychology, 2006
- Health information systems: the foundations of public health.2005
- Nurse Staffing and Healthcare OutcomesAdvances in Nursing Science, 2005