Original Research

Maternal and child health service readiness among primary health care facilities in Ekiti, Nigeria

Esther O. Oluwole, Adeyinka Adeniran, Chisom F. Chieme, Omobola Y. Ojo, Modupe R. Akinyinka, Marcus M. Ilesanmi, Babatunde A. Olujobi, Omowunmi Q. Bakare
African Journal of Primary Health Care & Family Medicine | Vol 14, No 1 | a3535 | DOI: https://doi.org/10.4102/phcfm.v14i1.3535 | © 2022 Esther O. Oluwole, Adeyinka Adeniran, Chisom F. Chieme, Omobola Y. Ojo, Modupe R. Akinyinka, Marcus M. Ilesanmi, Babatunde A. Olujobi, Omowunmi Q. Bakare | This work is licensed under CC Attribution 4.0
Submitted: 11 March 2022 | Published: 19 August 2022

About the author(s)

Esther O. Oluwole, Department of Community Health and Primary Care, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Surulere, Nigeria
Adeyinka Adeniran, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Nigeria; and, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University Teaching Hospital, Ikeja, Nigeria
Chisom F. Chieme, Petra Global Consulting, Ilasamaja, Nigeria
Omobola Y. Ojo, Department of Community Medicine and Primary Care, Faculty of Public Health, Federal Medical Centre, Abeokuta, Nigeria
Modupe R. Akinyinka, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Nigeria; and, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University Teaching Hospital, Ikeja, Nigeria
Marcus M. Ilesanmi, Department of Planning, Research and Statistics, Primary Healthcare Development Agency, Ekiti State Primary Healthcare Development Agency, Ado Ekiti, Nigeria
Babatunde A. Olujobi, Department of Board and Oversight Management, Primary Healthcare Development Agency, Ekiti State Primary Healthcare Development Agency, Ado Ekiti, Nigeria
Omowunmi Q. Bakare, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Nigeria; and, Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University Teaching Hospital, Ikeja, Nigeria


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Abstract

Background: The availability of adequate infrastructure, diagnostic medical equipment, medicines and commodities and well-trained medical personnel are essential for the effective delivery of health care services.

Aim: This study assessed maternal and child health (MCH) services’ specific readiness by type and location of the health facility and compared the readiness between urban and rural primary health care (PHC) facilities in Ekiti State, Nigeria.

Setting: The study was conducted amongst the heads (officers in charge) of PHC facilities in Ekiti State, Nigeria between August 2020 and October 2020.

Methods: A descriptive cross-sectional study in which all PHC facilities were conducted and data were collected with the aid of the Service Availability and Readiness Assessment (SARA) tool using the KoboCollect app. Data were cleaned and coded on Microsoft Excel 2016 and exported to Stata SE 12 for analysis. The level of significance was set at p < 0.05.

Results: Overall, the MCH readiness score amongst PHC facilities was 47% (0.47 ± 0.18). About half (52%) of the facilities had necessary and relevant equipment. Health facilities located in urban areas had more medicines and commodities compared with those of rural areas (0.51 ± 0.16 vs 0.45 ± 0.17, p < 0.05). Primary health care facilities in Ekiti North I had an overall higher service readiness score (0.63 ± 0.19) compared with other federal constituencies (p < 0.001).

Conclusion: The overall MCH-specific service readiness in Ekiti State was relatively low. Strategies to address the identified gaps for a smooth journey towards the achievement of Universal Health Coverage (UHC) are recommended.


Keywords

maternal and child health; primary health care facilities; service readiness; Ekiti State; Nigeria

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