Key points are not available for this paper at this time.
Abstract In this study, we conducted a state-wide assessment of infrastructure, service delivery and staffing to assess compliance with national recommended guidelines. We surveyed 279 (88%) of the 319 existing primary health care centers (PHCs) across the six health districts (HDs) in Lagos State using pretested electronic field forms. Data was analyzed using descriptive statistics, and chi-square test was used to ascertain significant differences in compliance across the HDs. Significance differences were established at p < 0.05. For infrastructure quality, 37% of the PHCs had access to service rooms, (range 31–50%, p = 0.05), 56% had functional toilets (range 48–72%, p = 0.07), 23% had staff accommodation (range 11–46%, p = 0.001) and 51% were over-burdened (range 18–68, p = 0.001). By service delivery, 65% had staff stations (range 50–75, p = 0.058), 59% had delivery rooms (range 43–78%, p = 0.009), 61% had maternity wards (range 48–86, p = 0.003), 53% had in-patient wards (range 40–62%, p = 0.14). By staffing, 48% had medical officers (range 33–57%, p = 0.16), 26% had nurse/midwives (range 20–34, p = 0.002), 29% had community health workers (range 18–36%, p = 0.011), 46% had health assistants (range 36–67%, p = 0.078), and 62% had laboratory technicians (range 44–75%, p = 0.12). Findings demonstrate critical gaps in infrastructure, service delivery, and staffing across Lagos State PHCs, and should guide investments in upgrading PHC facilities and strengthen workforce deployment in Lagos State.
Oniyire et al. (Wed,) studied this question.