ArticleHealth policy and planning2020
How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria.
Article in Health policy and planning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation of health and health-related sustainable development goals: progress, challenges and opportunities-a systematic literature review update.BMJ global health · 2026Pooled it
- Mpox outbreak preparedness and response capacity in Nigeria's Federal Capital Territory: a mixed-methods study.BMC public health · 2026Article
- Service availability and readiness for diabetes and hypertension care among health facilities in Lagos State, Nigeria.BMC primary care · 2026Article
- Assessing primary health care facilities in six prioritized Nigerian states: Linking facility readiness with service availability.PloS one · 2026Article
- Rethinking medical oxygen investments in primary health care in Nigeria.Frontiers in public health · 2026Article
- Article
- Factors Influencing Primary Healthcare System in the Achievement of Universal Health Coverage in the WHO-AFRO Region: An Integrative Review.Public health challenges · 2025Review
- Factors affecting utilization of male sexual and reproductive health services: a qualitative description of males in Anambra State, Southeast Nigeria.BMC public health · 2025Article
- Infrastructure, service delivery, and staffing gaps in primary health care facilities in Lagos State, Nigeria: a state-wide assessment.Discover public health · 2025Article
- Assessment of the compliance with minimum quality standards by public primary healthcare facilities in Nigeria.Health research policy and systems · 2024Article
- Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on Igala women.BMC pregnancy and childbirth · 2024Article
- Primary health care in Nigeria: best practices and quality of care in Nigeria.BMC health services research · 2024Article
- Water, sanitation and hygiene (WASH) index for primary healthcare facilities: Towards achieving WASH security.Heliyon · 2024Article
- Evaluating diabetes care in primary healthcare centers in Abuja, Nigeria: a cross-sectional formative assessment.BMC primary care · 2024Article
- Evaluation of Primary Healthcare Centers' Service Availability and Readiness for Implementing Diabetes Care in Abuja, Nigeria: A Cross-Sectional, Formative Assessment.Research square · 2024Article
- Standards of care and determinants of women's satisfaction with delivery services in Nepal: a multi-perspective analysis using data from a health facility-based survey.BMC pregnancy and childbirth · 2024Article
- Making progress in early-career publishing: evolutions of the women's publication mentorship programme.Health policy and planning · 2023Article
- Barriers to hepatitis B virus screening of pregnant women in primary healthcare centers in Nigeria: health workers' perspective.BMC primary care · 2023Article
- Analysing the progress in service delivery towards achieving universal health coverage in Nigeria: a scoping review.BMC health services research · 2023Article
- Assessment of hypertension service availability in some primary health centres in Nigeria: a mixed-methods study.BMJ open · 2023Article
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5 authors.
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Abstract
Primary health centres are an effective means of achieving access to primary healthcare (PHC) in low- and middle-income countries. We assessed service availability, service readiness and factors influencing service delivery at public PHC centres in Enugu State, Nigeria. We conducted a cross-sectional study of 60 randomly selected public health centres in Enugu using the World Health Organization's Service Availability and Readiness Assessment (SARA) survey. The most senior health worker available was interviewed using the SARA questionnaire, and an observational checklist was used for the facility assessment. None of the PHC centres surveyed had all the recommended service domains, but 52 (87%) offered at least half of the recommended service domains. Newborn care and immunization (98.3%) were the most available services across facilities, while mental health was the least available service (36.7%). None of the surveyed facilities had a functional ambulance or access to a computer on the day of the assessment. The specific-service readiness score was lowest in the non-communicable disease (NCD) area (33% in the rural health centres and 29% in the urban health centres) and NCD medicines and supplies. Availability of medicine and supplies was also low in rural PHC centres for the communicable disease area (36%) and maternal health services (38%). Basic equipment was significantly more available in urban health centres (P = 0.02). Urban location of facilities and the presence of a medical officer were found to be associated with having at least 50% of the recommended infrastructure / basic amenities and equipment. Continuing medical education, funding and security were identified by the health workers as key enablers of service delivery. In conclusion, despite a focus on expanding primary care in Enugu State, significant gaps exist that need to be closed for PHC to make significant contributions towards achieving universal healthcare, core to achieving the health-related Sustainable Development Goal agenda.
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