| Coverage |
Service delivery is designed so that all people in target population are covered, including sick and health, all income groups and social groups. |
•Reaches riverine population in extreme poverty •Higher rate of coverage than MoH across majority of age groups, and provides coverage to areas where MoH does not |
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| Accessibility |
Services are directly and permanently accessible with no undue barriers, and health services are close to the people, with a routine point of entry to the service network at the primary care level
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•Majority of survey participants could access AH care. |
•Some community members do not receive information about AH schedule, miss chances to access care |
| Quality |
Health services are effective, safe, centered on patient’s needs and given in a timely fashion. |
•Participants most appreciated quality of care of AH •Females particularly felt AH providers were truly concerned about them. |
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| Comprehensiveness |
Provides comprehensive health service appropriate to needs of target population, including preventative, curative, palliative and rehabilitative services, and health promotion activities. |
•AH provides many preventative and curative services. |
•Reproductive health care and prevention programs are limited in scope •Technological services (X-rays, ultrasounds, biopsies) are not consistently available. |
| Person-centeredness |
Services are organized around the person, not the disease. Users perceive health services to be responsive and acceptable to them, target population participates in design and assessment. |
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•Patients misunderstand prescriptions and care plans due to non-tailored communication |
| Continuity |
Individuals are provided with continuity of care across the network of services, health conditions, levels of care, and over the life cycle. |
•AH attempts to coordinate follow-up with specialty providers. |
-Inherent difficulty providing continuity of care when AH visits every 3 months. |
| Coordination |
Local area health service networks are coordinated across types of provider and level of service. Primary care provider facilitates route. Coordination exists between other sectors and community partners. |
•Strong connections between AH and regional government. |
•Room to strengthen connections between AH, community health workers and local government services |
| Accountability and efficiency |
Health services are well managed with minimum wastage. Managers are held accountable for overall performance and results, with regular assessments. |
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•Data collection to assess AH performance very limited. |
