Nigeria—Improving Primary Health Care Delivery : Evidence from Four States
No hay miniatura disponible
Fecha
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Washington, DC
Resumen
Descripción
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.
Palabras clave
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