Improving Primary Health Care Delivery in Nigeria

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Evidence from Four States

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Evidence from Four States

This study aims at understanding the performance of primary health care providers and the variables driving this performance using the World Development Report (WDR) 2004 accountability framework. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. Despite large Government efforts, the delivery of quality primary health care services remains a challenge in the country. The condition of the infrastructure is poor; many facilities do not have the required equipment or the pharmaceutical products to offer quality care. In addition, household satisfaction with services is low and very few outreach services are provided. The three levels of government, Federal, State, and local governments have some responsibility in the provision of health services. The division of roles and responsibilities between levels, particularly between states and LGs, is complex and not always clear undermining the accountability relationships between citizens, policymakers, and providers. In addition, health personnel salaries are often delayed and are not linked to the provision of services. Clearly defining lines of responsibilities, performance based financing of local governments and providers, and the collection, analysis, and sharing of information are some options that can help to re-align incentives and improve accountability of policymakers and providers. Reinforcing clientOCOs power and increasing their demand of services can compensate for weaknesses in the OC long routeOCO of accountability for the delivery of primary health care. The Nigerian Government has long recognized the importance of community participation in the delivery of basic health care services and has thus tried to involve the communities in the development of PHC along the lines of the Bamako Initiative.

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مغایرت عنوان کتاب با توضیحات و تصویر جلد
عدم رعایت حقوق نشر طبق قوانین جمهوری اسلامی ایران
محتوای مستهجن
توهین به قومیتها و محتوای نژادپرستی
توهین به اقیلیتهای مذهبی
اهانت به مقامات سیاسی و مذهبی
اشاعه ی کودک آزاری
سایر موارد

بستن

فرمت کتاب

ebook

زبان

english

تاریخ انتشار

2010

نویسنده

World Bank Group

ناشر

World Bank Group

شابک

9780821383131

20,000 تومان

خرید کتاب مطالعه نمونه درخواست ترجمه کتاب

خرید کتاب Improving Primary Health Care Delivery in Nigeria

Improving Primary Health Care Delivery in Nigeria

گزارش تخلف

فرمت کتاب

ebook

زبان

english

تاریخ انتشار

2010

نویسنده

ناشر

شابک

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