Table 4.
Comparison of health service evaluation indicator scores generated from locally-based assessments at secure and insecure facilities
| Indicator label | Secure facilities [mean(SD)] | Insecure facilities [mean(SD)] | P-value 1 |
|---|---|---|---|
| Based on patient-provider observation: | |||
| Patient history and physical exam | 0.71 (.29) | 0.88 (0.17) | <0.001 |
| Based on patient exit interview: | |||
| Patient satisfaction | 0.76 (0.30) | 0.81 (0.26) | 0.26 |
| Patient perceptions of quality | 0.67 (0.22) | 0.74 (0.15) | 0.005 |
| Based on health worker interview: | |||
| Salary payment current | 0.27 (0.45) | 0.26 (0.45) | 0.85 |
| Provider knowledge: vaccination | 0.83 (0.27) | 0.68 (0.36) | 0.07 |
| Provider knowledge: integrated management of childhood illness | 0.51 (0.22) | 0.40 (0.14) | 0.12 |
| Provider knowledge: reproductive health | 0.56 (0.22) | 0.67 (0.078) | 0.30 |
| Based on facility record audit: | |||
| Drug availability | 0.93 (0.18) | 0.88 (0.25) | 0.65 |
| Family planning availability | 0.84 (0.17) | 0.83 (0.24) | 0.92 |
| Health management information systems use | 0.70 (0.31) | 0.64 (0.39) | 0.67 |
| Clinical guidelines | 0.73 (0.23) | 0.56 (0.28) | 0.17 |
| General infrastructure | 0.70 (0.26) | 0.64 (0.27) | 0.79 |
| Proper sharps disposal | 0.82 (0.41) | 0.85 (0.38) | 0.75 |
| Outpatient service utilization | 0.88 (0.35) | 0.63 (0.52) | 0.28 |
| Facilities providing antenatal care | 0.73 (0.47) | 0.54 (0.52) | 0.40 |
| Delivery care according to national guidelines | 0.82 (0.41) | 0.39 (0.51) | 0.03 |
| Females as proportion of new outpatients | 0.58 (0.078) | 0.56 (0.13) | 0.65 |
| Service utilization | 3018 (1960) | 1494 (1024) | 0.04 |
| Tuberculosis register | 0.55 (0.52) | 0.53 (0.52) | 0.71 |
Mean scores represent the average score for that indicator among all facilities of a given security status (11 secure facilities versus 13 insecure facilities). Only facilities that were surveyed by the locally-based approach are included above. Scores ranged from 0 (poor) to 1 (excellent). Among variables used to calculate the indicator scores, 46 of 4312 (1.7%) and 81 of 4312 (1.9%) observations were missing for the secure and insecure facilities, respectively.
SD = Standard Deviation.
1p-value calculated using multiple linear regression to compare indicator scores by security level, controlling for facility type (SHC, BHC, CHC); p-values <0.05 are in bold.