ACHIEVING THE MDG 4: AN ASSESSMENT OF THE QUALITY OF
CHILD HEALTH SERVICES IN THE PUBLIC PRIMARY HEALTH
CARE FACILITIES IN NNEWI NORTH LGA OF ANAMBRA STATE.
AIM AND OBJECTIVES
To assess the quality of child health services and its determinants in the PHC facilities
of Nnewi North Local Government (NNLG) Area Anambra state.
Specific objectives
1. To determine the availability of child health services in PHC facilities of NNLG
Area Anambra state.
2. To examine the health resources (human, material and financial) available for the
provision of child health services in PHC facilities of NNLG Area Anambra state.
3. To study the quality of supervision of child health services in the PHC facilities.
4. To assess the level of clients’ satisfaction with care received at these PHC
facilities.
5. To identify factors influencing the quality of child health services in NNLG
TABLE OF CONTENTS
TITLE PAGE
Title Page i
Approval Page ii
Declaration iii
Dedication iv
Acknowledgement v
List of Abbreviations vi-vii
Table of contents viii & x
List of tables xi
List of figures xii
List of Appendices xiii
Abstract xiv
Chapter One
1.0 INTRODUCTION 1
1.1 Problem Statement 2
1.2 Justification of the study 2&3
1.3 Aim and Objectives 3
Chapter Two
2.0 LITERATURE REVIEW 4
2.1 Background to the study: Child Health Services. 4
2.1.1 Child Survival Strategies 6
2.1.2 Integrated Management of Childhood Illnesses 6
2.1.3 Acute Respiratory Tract Infections 7
2.1.4 Control of Diarrhoeal Diseases 7
ix
2.1.5 Breastfeeding Initiative 8
2.2 Historical Perspective of Quality of Health Care 8
2.3 Quality of Care 10
2.4 Quality Assessment 10
2.4.1 Structure 10
2.4.2 Process 11
2.4.3 Outcome 11
2.5 Quality of Health Care for children 11
2.6 Quality of PHC and Child Health Services in Nigeria 12
2.7 Availability of child health services 14
2.8 Health Resources for Primary Health Care 15
2.8.1 Manpower 15
2.8.2 Availability of equipments, drugs and supplies 16
2.8.3 Health Care Financing 17
2.9 Supervision 17
2.10 Clients’and Providers’ satisfaction 18
Chapter Three
3.0 METHODOLOGY 19
3.1 Description of the study area 19&20
3.2 Study Design 20
3.3 The Study Population 20
3.4 Inclusion and Exclusion Criteria 20
3.5 Sample size 21
3.6 Sampling Technique 22&23
3.7 Methods of Data Collection 23
x
3.8 Pretesting 24
3.9 Data Entry and Analysis 25&26
3.10 Ethical Consideration 26
3.11 Anticipated constraint 27
Chapter Four
4.0 Results 28-53
Chapter Five
5.0 DISCUSSION 54-57
Chapter Six
6.0 CONCLUSION AND RECOMMENDATIONS
CONCLUSION 58
RECOMMENDATIONS 58&59
REFERENCES 60-65
APPENDICES 66-86
Contents