Assessment of health service delivery parameters in Kano and Zamfara States, Nigeria

BMC Health Services Research

Amina Umar¹  Usaini Bala¹  Adefisoye Adewole¹  Ndadilnasiya Waziri¹  Saheed Gidado¹  Olufemi Ajumobi²  Basheer Muhammad³  Shelby Cash⁴  Kwame Asamoa⁴  Stephen Patrick Kachur⁵  Audu B. Mohammed⁶  Perpetua Uhomoibhi⁶  Munira Ismail⁷ 

[1] African Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria;African Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria;National Malaria Elimination Programme, Federal Ministry of Health, Abuja, Nigeria;School of Community Health Sciences, University of Nevada, Reno, USA;Kano State Ministry of Health, State Malaria Elimination Programme, Kano, Nigeria;Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, US Centers for Disease Control and Prevention, 1600 Clifton Road, MS- H24-3, 30329, Atlanta, Georgia;Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, US Centers for Disease Control and Prevention, 1600 Clifton Road, MS- H24-3, 30329, Atlanta, Georgia;Mailman School of Public Health, Columbia University, New York, NY, USA;National Malaria Elimination Programme, Federal Ministry of Health, Abuja, Nigeria;Zamfara State Ministry of Health, State Malaria Elimination Programme, Gusau, Nigeria;

关键词: Data reporting;    DHIS2;    Malaria surveillance;    Master health facility list;    Nigeria;   

DOI  :  10.1186/s12913-020-05722-4

来源: Springer

【 摘 要 】

BackgroundIn 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.MethodsWe 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.ResultsIn 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.ConclusionMost 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.

【 授权许可】

CC BY