Table 3.
Service characteristics observed during sick child visit or antenatal visit, by facility type - Service Provision Assessment (SPA) surveys in Kenya (2010),Tanzania (2014-2015), Senegal1 (2012-2013, 2014), and Malawi (2013-2014)
| Public % (p value)2 | Private for- profit % (p value)2 | Private not-for-profit/NGO % (p value)2 | Mission/Faith-based % (p value)2 | p value3 | |
|---|---|---|---|---|---|
| Kenya | |||||
| Sick child visit (N=2016) | |||||
| Provider reviewed child health card6 | 80 | 66 | 81 | 69 | 0.29 |
| Provider assessed immunization status6 | 44 | 32 | 34 | 34 | 0.37 |
| Vaccination administered7 | 7 | 3 (0.03) | 39 (0.06) | 7 (0.88) | <0.01 |
| Child referred for vaccination7 | 4 | 2 | 2 | 2 | 0.51 |
| Child “not due”/Fully immunized7 | 68 | 69 | 44 | 58 | 0.24 |
| Not immunization day7 | 2 | 3 | 2 | 4 | 0.60 |
| No immunization check7 | 17 | 19 | 11 | 26 | 0.40 |
| Antenatal visit (N=1412) | |||||
| TT administered/prescribed6 | 51 | 42 | 45 | 48 | 0.55 |
| Newborn vaccination discussed6 | 13 | 3 | 15 | 23 | 0.11 |
| Tanzania 4 | |||||
| Sick child visit (N=4961) | |||||
| Provider reviewed child health card6 | 42 | 21 (<0.01) | 21 (0.19) | 38 (0.39) | <0.01 |
| Provider assessed immunization status6 | 25 | 18 | 15 | 23 | 0.36 |
| Vaccination administered7 | 3 | 0 | 2 | 2 | 0.20 |
| Child referred for vaccination7 | 0 | 1 | 0 | 0 | 0.90 |
| Child “not due”/Fully immunized7 | 61 | 65 | 58 | 59 | 0.69 |
| Not immunization day7 | 21 | 11 | 23 | 22 | 0.07 |
| No immunization check7 | 13 | 9 | 16 | 16 | 0.35 |
| Antenatal visit (N=4007) | |||||
| TT administered/prescribed6 | 36 | 38 | 19 | 35 | 0.75 |
| Newborn vaccination discussed6 | 3 | 2 | 0 | 3 | 0.95 |
| Senegal | |||||
| Sick child visit5 (N=1307) | |||||
| Provider reviewed child health card6 | 14 | 33 (0.08) | - | 41 (<0.01) | <0.01 |
| Provider assessed immunization status6 | 27 | 18 | - | 17 | 0.16 |
| Vaccination administered7 | 4 | 6 | - | 1 | 0.47 |
| Child referred for vaccination7 | 1 | 0 | - | 0 | 0.63 |
| Child “not due”/Fully immunized7 | 27 | 14 (<0.01) | - | 7 (<0.01) | <0.01 |
| Not immunization day7 | 18 | 19 | - | 22 | 0.70 |
| No immunization check7 | 49 | 60 | - | 70 | 0.06 |
| Antenatal visit (N=1211) | |||||
| TT administered/prescribed6 | 33 | 47 | 24 | 37 | 0.27 |
| Newborn vaccination discussed6 | 0 | 0 | 0 | 3 | 0.48 |
| Malawi | |||||
| Sick child visit (N=3329) | |||||
| Provider reviewed child health card6 | 76 | 67 (<0.01) | 82 (<0.01) | 84 (<0.01) | <0.01 |
| Provider assessed immunization status6 | 14 | 22 (<0.01) | 30 (<0.01) | 23 (<0.01) | <0.01 |
| Vaccination administered7 | 2 | 1 (<0.01) | 7 (0.10) | 2 (0.89) | <0.01 |
| Child referred for vaccination7 | 2 | 1 | 2 | 1 | 0.66 |
| Child “not due”/Fully immunized7 | 61 | 57 (0.02) | 49 (0.02) | 62 (0.64) | 0.02 |
| Not immunization day7 | 6 | 5 (0.05) | 16 (<0.01) | 10 (<0.01) | <0.01 |
| No immunization check7 | 28 | 35 (<0.01) | 17 (<0.01) | 25 (0.04) | <0.01 |
| Antenatal visit (N=2068) | |||||
| TT administered/prescribed6 | 26 | 24 (0.66) | 50 (0.03) | 38 (<0.01) | <0.01 |
| Newborn vaccination discussed6 | 2 | 2 (0.96) | 26 (<0.01) | 3 (0.04) | <0.01 |
Senegal SPA collects subset of data annually; sick child data available for 2012-2013; antenatal care data available for 2014.
p value (t-test) for pairwise difference in proportion compared to public facilities; test done only among those indicators where the overall chi-square test result indicated a significant difference between any facility types.
Chi square p-value for differences across facility types.
Tanzania categorized operating authority as public, private for profit, parastatal, or mission/faith-based. Parastatal facility data shown in private not-for-profit column.
Percentages not calculated because <5 (n=4) sick child interviews in private not-for-profit facilities in Senegal.
Observed by surveyor
Reported by provider