World Bank2012-03-192012-04-042012-03-192012-04-042010-04-01978-0-8213-8311-7https://hdl.handle.net/10986/2437https://hdl.handle.net/10986/5958This study aims mainly at understanding the performance of primary health care (PHC) providers in four Nigerian states 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. 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 PHC 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 follows a similar methodology used by a facility survey implemented in Kogi and Lagos in 2002 (Das Gupta, Gauri, and Khemani, 2003). However, this study is focused in the collection of information not previously available, such as detailed roles and responsibilities of the LGA and states and community perceptions of PHC services.CC BY 3.0 IGOACCESS TO HEALTH CAREACCESS TO HEALTH SERVICESANTENATAL CAREBANDAGESBASIC HEALTH CAREBASIC HEALTH SERVICESBASIC SANITATIONBUDGET PROCESSCENTER FOR HEALTHCHILD HEALTHCHILD HEALTH CARECHILD HEALTH SERVICESCHILD MORTALITYCHILD MORTALITY RATESCHOICE OF PROVIDERSCHRONIC MALNUTRITIONCITIZENCITIZENSCLINICAL SERVICESCLINICSCOMMUNICABLE DISEASESCOMMUNITIESCOMMUNITY HEALTHCOMMUNITY HEALTH CARECOMMUNITY PARTICIPATIONCONDOMSCONTRACEPTIVE USEDEATHSDEBTDELIVERY CAREDELIVERY OF HEALTH SERVICESDELIVERY SYSTEMDEVELOPING COUNTRIESDEVELOPMENT STRATEGIESDISADVANTAGED GROUPSDISEASE CONTROLDISPARITIES IN HEALTHDISPENSARIESDISSEMINATIONDISTRICTSDOCTORSECONOMIC DEVELOPMENTECONOMIC EMPOWERMENTEDUCATION ACTIVITIESEMERGENCY OBSTETRIC CAREEMERGENCY OBSTETRIC SERVICESEMPLOYMENTESSENTIAL DRUGSESSENTIAL HEALTH CAREETHNIC GROUPSEXPENDITURESFAMILIESFAMILY PLANNINGFAMILY PLANNING SERVICESFEMALEFERTILITY RATESFEWER BIRTHSFINANCIAL MANAGEMENTGENDERGOVERNMENT AGENCIESGOVERNMENT POLICIESGROSS DOMESTIC PRODUCTHEALTH CARE CENTERSHEALTH CARE COSTSHEALTH CARE DELIVERYHEALTH CARE FACILITIESHEALTH CARE PERSONNELHEALTH CARE PERSONNEL MANAGEMENTHEALTH CARE PROVIDERHEALTH CARE SERVICES ORGANIZATIONHEALTH CARE UTILIZATIONHEALTH CENTERSHEALTH CLINICSHEALTH COMMITTEESHEALTH EDUCATIONHEALTH EXPENDITUREHEALTH EXTENSIONHEALTH FACILITIESHEALTH INFORMATIONHEALTH INSURANCEHEALTH INSURANCE SCHEMESHEALTH INTERVENTIONSHEALTH MANPOWERHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PLANNINGHEALTH POSTSHEALTH PROBLEMSHEALTH PROVIDERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE UTILIZATIONHEALTH SERVICESHEALTH SPECIALISTHEALTH STATUSHEALTH SYSTEMHEALTH SYSTEM REFORMHEALTH WORKERSHIGH FERTILITYHIGH FERTILITY RATEHIV/AIDSHOSPITALHOSPITALSHOUSEHOLD SURVEYSHOUSEHOLDSHOUSINGHUMAN DEVELOPMENTHUMAN RESOURCE MANAGEMENTHUMAN RESOURCESILLNESSILLNESSESIMMUNIZATIONIMMUNIZATIONSIMMUNODEFICIENCYINCOMEINCOME DISTRIBUTIONINCOME INEQUALITYINFANTINFECTIOUS DISEASESINFORMATION ASYMMETRIESINJURIESINSURANCEINSURANCE SCHEMESINTEGRATIONLAWSLEGAL STATUSLEPROSYLEVEL OF EDUCATIONLIVING STANDARDSLOCAL GOVERNMENTSMALARIAMANAGEMENT OF HEALTHMARKET FAILURESMATERNAL DEATHSMATERNAL MORTALITYMEASLESMEDICAL PERSONNELMEDICAL SUPPLIESMEDICINESMICRONUTRIENT SUPPLEMENTATIONMIDWIVESMILLENNIUM DEVELOPMENT GOALSMINISTRIES OF HEALTHMINISTRY OF HEALTHMOBILE CLINICSMORBIDITYMORTALITYNATIONAL GOVERNMENTSNATIONAL HEALTH SYSTEMNATIONAL STRATEGIESNUMBER OF WOMENNURSESNUTRITIONOCCUPATIONOCCUPATIONSOUTPATIENT CAREPATIENTSPHARMACIESPHARMACYPOLICY DIALOGUEPOLICY MAKERSPOLIOPRACTITIONERSPREGNANCYPREGNANCY RELATED CAUSESPREGNANT WOMENPRIMARY HEALTH CAREPRIMARY HEALTH CARE FACILITIESPRIMARY HEALTH CARE SERVICESPRIMARY HEALTH CARE SYSTEMPRIMARY SCHOOLPRIVATE SECTORPROGRESSPROVISION OF HEALTH SERVICESPROVISION OF SERVICESPUBLIC EXPENDITUREPUBLIC EXPENDITURE MANAGEMENTPUBLIC HEALTHPUBLIC PROVIDERSPUBLIC SERVICESQUALITY OF SERVICESQUALITY SERVICESREFERRAL SYSTEMREHABILITATIONRURAL AREASRURAL DEVELOPMENTSAFE WATERSELF-RELIANCESERVICE PROVISIONSERVICES TO WOMENSEXUALLY TRANSMITTED DISEASESSEXUALLY TRANSMITTED INFECTIONSSKILLED PERSONNELSOCIAL MARKETINGSTATE GOVERNMENTSSUBSISTENCE FARMINGTRANSPORTATIONTUBERCULOSISUNDER FIVE MORTALITYUNFPAUNITED NATIONS POPULATION FUNDURBAN AREASURBAN CENTERSUSE OF RESOURCESVACCINATIONSVACCINESVILLAGESWASTEWASTE DISPOSALWORKERSWORKING CONDITIONSWORLD HEALTH ORGANIZATIONYOUTHImproving Primary Health Care Delivery in Nigeria : Evidence from Four StatesWorld Bank10.1596/978-0-8213-8311-7