Methodological Assessment of Community Health Centre Systems in Nigeria Using Quasi-Experimental Design for Efficiency Evaluation
Key Points
Evaluate the efficiency of community health centers in Nigeria, focusing on service delivery outcomes post-intervention.
Utilized a quasi-experimental design with a mixed-methods approach.
Applied a two-period difference-in-differences regression model for quantitative analysis.
Conducted qualitative interviews to gather insights on service delivery.
Measured patient satisfaction scores pre- and post-intervention.
CHCs in rural areas saw a 25% average increase in patient satisfaction scores after interventions.
The study revealed enhanced service quality and overall efficiency of CHCs post-intervention.
Interventions led to meaningful improvements in healthcare delivery, guiding future policy development.
Abstract
Community health centers (CHCs) play a crucial role in healthcare delivery in Nigeria, yet their efficiency and effectiveness are inadequately evaluated. A mixed-methods approach will be employed, integrating quantitative data analysis with qualitative interviews. The study will use a two-period difference-in-differences (DID) regression model to estimate the impact of interventions on service delivery outcomes. CHCs in rural areas showed an average improvement rate of 25% in patient satisfaction scores post-intervention, indicating enhanced service quality and efficiency. The quasi-experimental design effectively captured changes in CHC performance over time, providing stakeholders with actionable insights for policy development. Strengthening training programmes for CHC staff and investing in infrastructure upgrades are recommended to sustain the observed improvements. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.