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Measuring the readiness of service delivery to respond to healthcare needs. Ayman Abdelmohsen Abt Associates. PATHS2 Service Delivery Approach. Expand access to quality services through the provision of a Minimum Package of Health Services .
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Measuring the readiness of service delivery to respond to healthcare needs Ayman Abdelmohsen Abt Associates
PATHS2 Service Delivery Approach • Expand access to quality services through the provision of a Minimum Package of Health Services. • Introduce a replicable, sustainable and scalable Service Delivery Model: • Improve Physical facility • Improve Capacity of Service Providers • Drugs and medical supplies • Drug Revolving Fund • Service Delivery Information • Supportive Supervision System • Generate demand for Healthcare, including addressing physical and financial barriers to access.
Approach to measuring readiness • PATHS2 approach to measuring readiness of health service delivery: • Service availability • Service utilization • Consumer satisfaction
A. Service Availability: • Availability of Minimum Health Care Package at the PHC level. • OIC about 19 services comprising the minimum package. • Any facility reporting that they have 80% of these was classified as offering a minimum package of care.
A. Service Availability: • Availability of Basic Emergency Obstetric Care Services at the PHC level: • Eight Basic Parameters: • At least one staff trained on MLSS • Use of Partographs to monitor labor • IV anticonvulsants available • IV Oxytocin available • IV antibiotics available • Staff member who can manually remove placenta available • Staff member who can remove retained products of conception • Staff member trained to assist in deliveris
B. Service utilization • Approximately 82% of those who were ill or injured visited a health facility for treatment.
B. Service utilization • Approximately 61% of women saw a health professional for ANC during their most recent pregnancy.
C. Service satisfaction • Five Parameters to assess satisfaction with services: (Respondents were asked about their satisfaction with services) • Attention given by health worker(s) • Time spent with health worker(s) • Length of waiting time to see health provider • Satisfaction with treatment • Privacy during consultation and examination • Those who responded that they were either satisfied or very satisfied with all 5 parameters were classified as being satisfied with services. • 29.1% of respondents reported being satisfied with PHC services.
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