Table 5.
Differences in Attributes of Quality (bivariate analysis) - Tanzania
| Hospitals | Health Centers, Clinics & Other Facilities | |||||
|---|---|---|---|---|---|---|
|
Mean Value |
P |
Mean Value |
P | |||
|
Public (n = 87) |
NGO (n = 24) |
Public (n = 315) |
NGO (n = 56) |
|||
| BASIC | ||||||
| Catchment area population | 226,392 | 106,242 | 0.204 | 8,590 | 7,255 | 0.401 |
| STRUCTURE | ||||||
| Infrastructure and equipment | ||||||
| Physical infrastructure(# of amenities) | 3.72 | 3.85 | 0.308 | 2.51 | 3.65 | 0.000 |
| Examination room (# of items present) | 6.93 | 6.48 | 0.227 | 6.53 | 7.14 | 0.022 |
| Management | ||||||
| System for review of management (%) | 100.0 | 89.1 | 0.056 | 79.2 | 85.9 | 0.440 |
| System for collecting client opinion (%) | 95.9 | 89.6 | 0.928 | 82.1 | 39.7 | 0.000 |
| Routine quality assurance program (%) | 92.6 | 86.5 | 0.211 | 45.6 | 40.5 | 0.586 |
| Last supervisory visit within 6 mths (%) | ||||||
| Facility has stock inventory and stock is organized and protected (out of 3) | 79.8 | 60.1 | 0.004 | 64.0 | 44.6 | 0.001 |
| Availability of services | ||||||
| Number of days FP services provided | 5.0 | 5.2 | 0.000 | 4.9 | 4.6 | 0.000 |
| Trained provider always present (%) | 96.9 | 89.6 | 0.867 | 53.4 | 72.8 | 0.003 |
| # of FP methods offered (out of 14) | 6.8 | 6.1 | 0.029 | 4.5 | 4.0 | 0.004 |
| # of other reproductive health services offered (out of 6) | 4.8 | 4.8 | 0.270 | 4.7 | 4.0 | 0.000 |
| Counseling | ||||||
| # of protocols on FP counseling(out of 5) | 1.5 | 1.0 | 0.004 | 1.2 | 0.8 | 0.007 |
| # of visual aids for demonstrating use of FP (out of 9) | 4.3 | 2.1 | 0.000 | 2.9 | 2.3 | 0.011 |
| Facility has private room for FP counseling (%) | 81.0 | 64.6 | 0.650 | 80.9 | 71.8 | 0.089 |
| Whether there is an individual client card for FP (%) | 97.8 | 82.3 | 0.000 | 81.6 | 60.1 | 0.000 |
| PROCESS | ||||||
| Waiting time1 (minutes) | 81.2 | 81.4 | 0.988 | 69.5 | 25.4 | 0.000 |
| Interpersonal | ||||||
| Privacy ensured during examination (%) | 91.9 | 100.0 | 0.025 | 79.4 | 74.4 | 0.644 |
| Asked clients about concerns with methods or currently used method (%) | 84.1 | 84.0 | 0.352 | 75.0 | 81.8 | 0.149 |
| Confidentiality assured (%) | 77.3 | 88.5 | 0.733 | 58.5 | 66.5 | 0.251 |
| Provider explained method use (%) | 87.4 | 98.2 | 0.104 | 86.2 | 76.9 | 0.173 |
| Provider prescribed injectable (%) | 60.3 | 52.7 | 0.492 | 58.5 | 49.9 | 0.398 |
| Technical | ||||||
| Reproductive history (out of 11) | 2.9 | 2.8 | 0.927 | 2.2 | 2.3 | 0.850 |
| Physical examination (out of 5) | 2.7 | 2.8 | 0.180 | 2.0 | 2.6 | 0.003 |
| Injectable procedure2 (out of 9) | 3.5 | 3.6 | 0.699 | 3.0 | 3.1 | 0.701 |
| Duration of consultation (minutes) | 16.7 | 16.5 | 0.887 | 13.0 | 13.0 | 0.986 |