Evidence map›Paper›PMID 32933496›Full record

ArticleBMC health services research2020

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

Usaini Bala, Olufemi Ajumobi, Amina Umar, Adefisoye Adewole, Ndadilnasiya Waziri, Saheed Gidado, Audu B Mohammed, Perpetua Uhomoibhi, Basheer Muhammad, Munira Ismail and 3 more

Abstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Usaini BalaAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Olufemi AjumobiAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Amina UmarAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Adefisoye AdewoleAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Ndadilnasiya WaziriAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Saheed GidadoAfrican Field Epidemiology Network Nigeria Country Office, Abuja, Nigeria.
Audu B MohammedNational Malaria Elimination Programme, Federal Ministry of Health, Abuja, Nigeria.
Perpetua UhomoibhiNational Malaria Elimination Programme, Federal Ministry of Health, Abuja, Nigeria.
Basheer MuhammadKano State Ministry of Health, State Malaria Elimination Programme, Kano, Nigeria.
Munira IsmailZamfara State Ministry of Health, State Malaria Elimination Programme, Gusau, Nigeria.
Stephen Patrick KachurMalaria 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.
Shelby CashMalaria 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.
Kwame AsamoaMalaria 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. KAsamoa@cdc.gov.

Funding

CDC HHS Cooperative Agreement Number (GH15-1612) 1U2GGH001635CGH CDC HHS U2G GH001635
6 · The paper itself

Abstract

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.

Indexed as

Delivery of Health CareHealth FacilitiesHealth Information SystemsHealth ServicesHumansLocal GovernmentMalariaNigeriaPrimary Health CareSurveys and QuestionnairesData reportingDHIS2Malaria surveillanceMaster health facility listNigeria

Identifiers

PMID32933496
PMCPMC7493332

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.