World Bank2012-06-122012-06-122008-06https://hdl.handle.net/10986/7784The delivery of quality primary health care (PHC) services can have a large impact on the health of Nigerians. This study aims mainly at understanding the performance of primary health care providers and the variables driving this performance. The study is primarily based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity. These surveys were implemented in four states: Bauchi, Cross River, Kaduna, and Lagos. The purpose of this study is three fold: (i) to contribute to the evidence base of the Federal Government's health system reform efforts; (ii) to inform the Bank's and Canadian International Development Agency (CIDA) sector policy dialogue with the Government; and (iii) to inform the current and eventual health support programs of both donors at state level. This study represents the second phase of the Nigeria Health, Nutrition, and Population Country Status Report (CSR). The first phase aimed at analyzing the health situation of the poor and how the health system was performing in terms of meeting their needs. This first phase identified primary health care as the weakest chain in the entire health sector and the level of care the poor use the most. This second phase of the CSR is therefore focused on the analysis of the delivery of PHC services. In contrast to the first phase, this study is mainly based on primary data, data collected through facility, health personnel, and household surveys. This study is focused in the collection of information not previously available, such as detailed roles and responsibilities of the Local Government Area (LGA) and states and community perceptions of PHC services. This study is also to support on-going or eventual health support programs of CIDA and the World Bank at the state level.en-USCC BY 3.0 IGOACCESS TO HEALTH CAREACCESS TO HEALTH SERVICESANTENATAL CAREBANDAGESBASIC HEALTH CAREBASIC HEALTH SERVICESBASIC SANITATIONCENTER FOR HEALTHCHILD CARECHILD HEALTHCHILD HEALTH CARECHILD HEALTH SERVICESCHILD MORTALITYCHILD MORTALITY RATESCHILD SURVIVALCHRONIC MALNUTRITIONCITIZENCITIZENSCLINICSCOMMUNICABLE DISEASESCOMMUNITIESCOMMUNITY HEALTHCOMMUNITY HEALTH CARECOMMUNITY PARTICIPATIONCONDOMSCONTRACEPTIVE USECONTRACEPTIVESDEATHSDEBTDELIVERY CAREDEVELOPING COUNTRIESDEVELOPMENT STRATEGIESDISADVANTAGED GROUPSDISEASE CONTROLDISPENSARIESDISTRICTSDOCTORSECONOMIC DEVELOPMENTECONOMIC EMPOWERMENTEDUCATION ACTIVITIESEMERGENCY OBSTETRIC CAREEMERGENCY OBSTETRIC SERVICESESSENTIAL DRUGSESSENTIAL HEALTH CAREETHNIC GROUPSEXPENDITURESFAMILIESFAMILY PLANNINGFAMILY PLANNING SERVICESFEMALEFERTILITY RATESFEWER BIRTHSFINANCIAL ACCOUNTABILITYFINANCIAL MANAGEMENTFORCEPSGENDERGOVERNMENT POLICIESGROSS DOMESTIC PRODUCTHEALTH CARE CENTERSHEALTH CARE COSTSHEALTH CARE DELIVERYHEALTH CARE FACILITIESHEALTH CARE PERSONNELHEALTH CARE PROVIDERHEALTH CARE PROVIDERSHEALTH CARE SERVICE DELIVERYHEALTH CARE SERVICES ORGANIZATIONHEALTH CARE UTILIZATIONHEALTH CENTERSHEALTH CLINICSHEALTH COMMITTEESHEALTH EDUCATIONHEALTH EXPENDITUREHEALTH EXTENSIONHEALTH FACILITIESHEALTH INFORMATIONHEALTH INSURANCEHEALTH INTERVENTIONSHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PLANNINGHEALTH POSTSHEALTH PROBLEMSHEALTH PROVIDERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE UTILIZATIONHEALTH SERVICESHEALTH SPECIALISTHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEM REFORMHEALTH WORKERSHIGH FERTILITYHIGH FERTILITY RATEHIV/AIDSHOSPITALHOSPITALSHOUSEHOLD SURVEYSHOUSEHOLDSHUMAN DEVELOPMENTHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESILLNESSIMMUNIZATIONIMMUNIZATIONSIMMUNODEFICIENCYINCOMEINCOME DISTRIBUTIONINCOME INEQUALITYINFANTINFECTIOUS DISEASESINJECTABLE CONTRACEPTIVESINJURIESINSERVICE TRAININGINSURANCEINSURANCE SCHEMESINTEGRATIONIRONLAWSLEPROSYLEVEL OF EDUCATIONLIVING STANDARDSLOCAL GOVERNMENTSMALARIAMANAGEMENT OF HEALTHMATERNAL CAREMATERNAL DEATHSMATERNAL HEALTHMATERNAL HEALTH SERVICESMATERNAL MORTALITYMEASLESMEDICAL PERSONNELMEDICAL SUPPLIESMEDICINESMICRONUTRIENT SUPPLEMENTATIONMIDWIVESMILLENNIUM DEVELOPMENT GOALSMINISTRIES OF HEALTHMINISTRY OF HEALTHMOBILE CLINICSMORBIDITYMORTALITYNATIONAL AGENCYNATIONAL GOVERNMENTSNATIONAL HEALTH SYSTEMNATIONAL STRATEGIESNEWBORNNEWBORN CARENUMBER OF WOMENNURSESNUTRITIONOCCUPATIONSORAL CONTRACEPTIVESOUTPATIENT CAREPATIENTSPHARMACIESPHARMACYPOLICY DIALOGUEPOLIOPOOR PEOPLEPRACTITIONERSPREGNANCYPREGNANCY RELATED CAUSESPREGNANT WOMENPREVENTIVE HEALTH SERVICESPRIMARY HEALTH CAREPRIMARY HEALTH CARE FACILITIESPRIMARY HEALTH CARE SERVICESPRIMARY HEALTH CARE SYSTEMPRIMARY SCHOOLPROBABILITYPROGRESSPROVISION OF SERVICESPUBLIC EXPENDITUREPUBLIC EXPENDITURE MANAGEMENTPUBLIC FINANCIAL MANAGEMENTPUBLIC HEALTHPUBLIC SERVICESQUALITY OF SERVICESQUALITY SERVICESREFERRAL SYSTEMREHABILITATIONRESPECTRURAL AREASRURAL DEVELOPMENTSAFE WATERSELF-RELIANCESERVICE PROVIDERSSERVICE PROVISIONSERVICES TO WOMENSEXUALLY TRANSMITTED DISEASESSEXUALLY TRANSMITTED INFECTIONSSHORT SUPPLYSKILLED PERSONNELSOCIAL MARKETINGSTATE GOVERNMENTSSUBSISTENCE FARMINGTRANSPORTATIONTUBERCULOSISUNDER FIVE MORTALITYUNFPAUNITED NATIONS POPULATION FUNDURBAN AREASURBAN CENTERSUSE OF RESOURCESVACCINESVILLAGESWASTEWASTE DISPOSALWORKERSWORKING CONDITIONSWORLD HEALTH ORGANIZATIONYOUTHWorld Bank10.1596/7784