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. 2020 Sep 15;20(1):874.
doi: 10.1186/s12913-020-05722-4.

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

Usaini Bala  1 , Olufemi Ajumobi  1   2   3 , Amina Umar  1 , Adefisoye Adewole  1 , Ndadilnasiya Waziri  1 , Saheed Gidado  1 , Audu B Mohammed  2 , Perpetua Uhomoibhi  2 , Basheer Muhammad  4 , Munira Ismail  5 , Stephen Patrick Kachur  6   7 , Shelby Cash  6 , Kwame Asamoa  8
Affiliations

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

Usaini Bala et al. BMC Health Serv Res. .

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.

Keywords: DHIS2; Data reporting; Malaria surveillance; Master health facility list; Nigeria.

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Conflict of interest statement

The authors have declared they have no competing interest. The funders had no role in the study design and data collection.

Figures

Fig. 1
Fig. 1
Chart of health facilities assessed in Kano States showing category, ownership, functionality, use of HMIS and reporting to DHIS2
Fig. 2
Fig. 2
Chart of health facilities assessed in Zamfara States showing category, ownership, functionality, use of HMIS and reporting to DHIS2
Fig. 3
Fig. 3
Map of Kano State showing project LGAs
Fig. 4
Fig. 4
Map of Zamfara State showing project LGAs
See this image and copyright information in PMC

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