1. Ayman Abdelmohsen Abt Associates
Measuring the readiness of service delivery to respond to healthcare needs
Ayman Abdelmohsen
Abt Associates

2. PATHS2 Service Delivery Approach
Expand access to quality services through the provision of a Minimum Package of Health Services.
Introduce a replicable, sustainable and scalable Service Delivery Model:
Improve Physical facility
Improve Capacity of Service Providers
Drugs and medical supplies
Drug Revolving Fund
Service Delivery Information
Supportive Supervision System
Generate demand for Healthcare, including addressing physical and financial barriers to access.

3. Approach to measuring readiness
PATHS2 approach to measuring readiness of health service delivery:
Service availability
Service utilization
Consumer satisfaction

4. A. Service Availability:
Availability of Minimum Health Care Package at the PHC level.
OIC about 19 services comprising the minimum package.
Any facility reporting that they have 80% of these was classified as offering a minimum package of care.

6. A. Service Availability:
Availability of Basic Emergency Obstetric Care Services at the PHC level:
Eight Basic Parameters:
At least one staff trained on MLSS
Use of Partographs to monitor labor
IV anticonvulsants available
IV Oxytocin available
IV antibiotics available
Staff member who can manually remove placenta available
Staff member who can remove retained products of conception
Staff member trained to assist in deliveris

8. B. Service utilization
Approximately 82% of those who were ill or injured visited a health facility for treatment.
Percentage of ill population visited health facility by wealthy status
 Wealthy
Quintiles
Enugu
Jigawa
Kaduna
Kano
All States
Poorest
74.4%
81.7%
95.7%
70.0%
75.7%
Second
84.8%
79.4%
92.6%
72.1%
77.7%
Middle
80.4%
92.7%
93.0%
78.1%
84.0%
Fourth
79.9%
94.4%
82.6%
87.2%
Richest
76.1%
90.2%
90.9%
84.7%
83.3%

9. B. Service utilization
Approximately 61% of women saw a health professional for ANC during their most recent pregnancy.

10. C. Service satisfaction
Five Parameters to assess satisfaction with services:
(Respondents were asked about their satisfaction with services)
Attention given by health worker(s)
Time spent with health worker(s)
Length of waiting time to see health provider
Satisfaction with treatment
Privacy during consultation and examination
Those who responded that they were either satisfied or very satisfied with all 5 parameters were classified as being satisfied with services.
29.1% of respondents reported being satisfied with PHC services.

11. Service Satisfaction:
Characteristics
Percentage
Location:
Urban
33.3
Rural
27.7
State
Jigawa
30.5
Kano
24.3
Kaduna
33.8
Enugu
32.4
Wealth Quintile
Poorest
22.6
Second
24.8
Middle
30.9
Fourth
34.4
Richest
33.2
Total
29.1

12. Thank
you