Table 4.
Caregivers’ satisfaction with sick child services, by facility type - Service Provision Assessment (SPA) surveys in Kenya (2010), Tanzania (2014-2015), Senegal (2012-2013), and Malawi (2013-2014)
| Caregiver responses | Public % (p value)2 | Private for profit % (p value)2 | Private not-for-profit/NGO1 % (p value)2 | Mission/Faith-based % (p value)2 | p value3 |
|---|---|---|---|---|---|
| Kenya (N=2016) | |||||
| Reported major problems | |||||
| Wait time | 28 | 12 (<0.01) | 10 (<0.01) | 13 (<0.01) | <0.01 |
| Availability of medicine | 21 | 2 (<0.01) | 32 (0.48) | 1 (<0.01) | <0.01 |
| Hours of service | 9 | 8 | 10 | 2 | 0.29 |
| Days of service | 6 | 2 | 11 | 2 | 0.10 |
| Facility cleanliness | 2 | 1 | 1 | 1 | 0.14 |
| Provider attitude | 2 | 0 | 1 | 0 | 0.35 |
| Very satisfied with services | 74 | 76 | 82 | 76 | 0.79 |
| Not satisfied with services | 3 | 0 (<0.01) | 3 (0.26) | 0 (<0.01) | <0.01 |
| Facility visited not closest to home | 14 | 34 (<0.01) | 7 (0.09) | 37 (<0.01) | <0.01 |
| Tanzania (N=4961) | |||||
| Reported major problems | |||||
| Wait time | 16 | 11 | 19 | 17 | 0.53 |
| Availability of medicine | 20 | 5 (<0.01) | 16 (0.66) | 7 (<0.01) | <0.01 |
| Hours of service | 6 | 3 | 2 | 2 | 0.09 |
| Days of service | 3 | 1 | 1 | 1 | 0.06 |
| Facility cleanliness | 5 | 2 (0.02) | 1 (<0.01) | 1 (<0.01) | <0.01 |
| Provider attitude | 2 | 1 | 1 | 2 | 0.77 |
| Very satisfied with services | 74 | 74 | 82 | 75 | 0.85 |
| Not satisfied with services | 6 | 3 | 0 | 4 | 0.41 |
| Facility visited not closest to home | 11 | 39 (<0.01) | 29 (0.09) | 31 (<0.01) | <0.01 |
| Senegal 4(N=1307) | |||||
| Reported major problems | |||||
| Wait time | 15 | 33 | - | 20 | 0.16 |
| Availability of medicine | 10 | 10 | - | 3 | 0.23 |
| Hours of service | 6 | 11 | - | 9 | 0.62 |
| Days of service | 3 | 0 (<0.01) | - | 11 (0.08) | <0.01 |
| Facility cleanliness | 3 | 0 | - | 0 | 0.61 |
| Provider attitude | 1 | 6 | - | 2 | 0.18 |
| Very satisfied with services | 82 | 89 | - | 74 | 0.08 |
| Not satisfied with services | 0 | 0 | - | 0 | 0.90 |
| Facility visited not closest to home | 18 | 65 (<0.01) | - | 54 (<0.01) | <0.01 |
| Malawi (N=3329) | |||||
| Reported major problems | |||||
| Wait time | 25 | 8 (<0.01) | 10 (<0.01) | 15 (<0.01) | <0.01 |
| Availability of medicine | 16 | 5 (<0.01) | 2 (<0.01) | 4 (<0.01) | <0.01 |
| Hours of service | 14 | 2 (<0.01) | 2 (<0.01) | 6 (<0.01) | <0.01 |
| Days of service | 8 | 2 (<0.01) | 7 (0.47) | 3 (<0.01) | <0.01 |
| Facility cleanliness | 5 | 1 (<0.01) | 2 (0.05) | 1 (<0.01) | <0.01 |
| Provider attitude | 5 | 1 (<0.01) | 2 (0.07) | 2 (<0.01) | <0.01 |
| Very satisfied with services | 81 | 81 | 83 | 82 | 0.90 |
| Not satisfied with services | 6 | 3 (<0.01) | 1 (<0.01) | 3 (<0.01) | <0.01 |
| Facility visited not closest to home | 10 | 36 (<0.01) | 28 (<0.01) | 24 (<0.01) | <0.01 |
Tanzania categorized managing authority as public, private for profit, parastatal, or mission/faith-based. Parastatal facility data shown in private not-for-profit column.
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 operating authority types
Percentages not calculated because <5 (n=4) sick child interviews in private not-for-profit facilities in Senegal.