Ayman Abdelmohsen Abt Associates

Measuring the readiness of service delivery to respond to healthcare needs

PATHS2 Service Delivery Approach Expand access to quality services through the

provision of a Minimum Package of Health Services.

Introduce a replicable, sustainable and scalable Service Delivery Model:

Improve Physical facility Improve Capacity of Service Providers Drugs and medical supplies Drug Revolving Fund Service Delivery Information Supportive Supervision System

Generate demand for Healthcare, including addressing physical and financial barriers to access.

Approach to measuring readinessPATHS2 approach to measuring readiness of health

service delivery:Service availabilityService utilizationConsumer satisfaction

A. Service Availability:Availability of Minimum Health Care Package

at the PHC level.

OIC about 19 services comprising the minimum package.

Any facility reporting that they have 80% of these was classified as offering a minimum package of care.

Percentage of PHC providing minimum package of cares by State

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Average Enugu Jigawa Kaduna Kano

States

Per

cen

tag

e (%

)

A. Service Availability:Availability of Basic Emergency Obstetric Care

Services at the PHC level:Eight Basic Parameters:

At least one staff trained on MLSSUse of Partographs to monitor labor IV anticonvulsants available IV Oxytocin available IV antibiotics availableStaff member who can manually remove placenta availableStaff member who can remove retained products of

conceptionStaff member trained to assist in deliveris

Percentage of PHC offering basic emergency obstetric care

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

Average Enugu Jigawa Kaduna Kano

States

Pe

rce

nta

ge

(%

)

B. Service utilizationApproximately 82% of those who were ill or injured visited a health

facility for treatment.

Percentage of ill population visited health facility by wealthy status

 WealthyQuintiles Enugu Jigawa Kaduna Kano All States

Poorest 74.4% 81.7% 95.7% 70.0% 75.7%

Second 84.8% 79.4% 92.6% 72.1% 77.7%

Middle 80.4% 92.7% 93.0% 78.1% 84.0%

Fourth 79.9% 92.6% 94.4% 82.6% 87.2%

Richest 76.1% 90.2% 90.9% 84.7% 83.3%

B. Service utilizationApproximately 61% of women saw a health professional for ANC

during their most recent pregnancy.

Characteristics Percentage (%) Total NumberLocation

Urban 84.1 623Rural 54.1 1972

StateEnugu 96.4 192Jigawa 45.1 458Kaduna 74.4 752Kano 53.2 1193

Wealth QuintilePoorest 30.9 533Second 43.6 545Middle 62.3 567Fourth 84.4 503Richest 92.0 434

Total 61.3 2595

Percentage of women who saw professional for ANC in most recent pregnancy

C. Service satisfactionFive Parameters to assess satisfaction with services:

(Respondents were asked about their satisfaction with services) Attention given by health worker(s) Time spent with health worker(s) Length of waiting time to see health provider Satisfaction with treatment Privacy during consultation and examination

Those who responded that they were either satisfied or very satisfied

with all 5 parameters were classified as being satisfied with services.

29.1% of respondents reported being satisfied with PHC services.

Service Satisfaction:Characteristics Percentage

Location:

Urban 33.3

Rural 27.7

State

Jigawa 30.5

Kano 24.3

Kaduna 33.8

Enugu 32.4

Wealth Quintile

Poorest 22.6

Second 24.8

Middle 30.9

Fourth 34.4

Richest 33.2

Total 29.1

Thank you