Table 6 Differences in Attributes of Quality (bivariate analysis) - Kenya
| Â | Hospitals | Health Centers, Clinics & Other Facilities | ||||
|---|---|---|---|---|---|---|
| Â | Mean Value | P | Mean Value | P | ||
| Â | Public (n = 87) | NGO (n = 60) | Â | Public (n = 72) | NGO (n = 104) | Â |
BASIC | Â | Â | Â | Â | Â | Â |
Catchment area population | 264,646 | 296,768 | 0.858 | 26,374 | 29,653 | 0.507 |
STRUCTURE | Â | Â | Â | Â | Â | Â |
Infrastructure and equipment | Â | Â | Â | Â | Â | Â |
Physical infrastructure(# of amenities) | 4.56 | 4.87 | 0.103 | 3.37 | 3.78 | 0.076 |
Examination room (# of items present) | 7.32 | 7.57 | 0.406 | 6.68 | 7.06 | 0.099 |
Management | Â | Â | Â | Â | Â | Â |
System for review of management (%) | 91.5 | 92.5 | 0.342 | 82.2 | 69.6 | 0.010 |
System for collecting client opinion (%) | 74.3 | 78.2 | 0.555 | 58.4 | 65.9 | 0.203 |
Routine quality assurance program (%) | 62.5 | 72.0 | 0.154 | 44.1 | 49.7 | 0.779 |
Last supervisory visit within 6 mths (%) | 91.2 | 80.4 | 0.147 | 95.6 | 92.6 | 0.022 |
Facility has stock inventory and stock is organized and protected (%) | 79.6 | 53.4 | 0.000 | 57.6 | 29.1 | 0.000 |
Stock inventory, quality (%) | 60.5 | 40.9 | 0.007 | 49.41 | 24.0 | 0.008 |
Availability of services | Â | Â | Â | Â | Â | Â |
Number of days FP services provided | 5.1 | 5.2 | 0.342 | 5.1 | 5.5 | 0.043 |
Trained provider always present (%) | 93.7 | 100.0 | 0.059 | 37.2 | 56.6 | 0.018 |
# of FP methods offered (out of 14) | 6.8 | 5.8 | 0.026 | 4.9 | 3.9 | 0.001 |
# of other reproductive health services offered (out of 6) | 4.4 | 4.2 | 0.296 | 3.6 | 3.5 | 0.301 |
Counseling | Â | Â | Â | Â | Â | Â |
# of protocols on FP counseling(out of 5) | 1.0 | 0.8 | 0.310 | 1.1 | 0.9 | 0.179 |
# of visual aids for demonstrating use of FP (out of 9) | 3.0 | 2.1 | 0.001 | 2.4 | 1.8 | 0.000 |
Facility has private room for FP counseling (%) | 75.8 | 81.0 | 0.753 | 75.8 | 81.0 | 0.725 |
Whether there is an individual client card for FP (%) | 92.0 | 59.1 | 0.000 | 74.4 | 49.4 | 0.037 |
Number of years of FP experience of providers | 6.3 | 5.6 | 0.026 | 8.1 | 7.5 | 0.306 |
PROCESS | Â | Â | Â | Â | Â | Â |
Waiting time 1 (minutes) | 69.2 | 67.8 | 0.954 | 65.2 | 21.9 | 0.000 |
Interpersonal (N = ) | 346 | 67 | Â | 130 | 85 | Â |
Privacy ensured during examination (%) | 79.3 | 73.0 | 0.039 | 81.1 | 84.7 | 0.004 |
Asked clients about concerns with methods or currently used method (%) | 74.9 | 70.5 | 0.937 | 61.0 | 90.2 | 0.003 |
Confidentiality assured (%) | 53.4 | 51.9 | 0.893 | 35.7 | 52.7 | 0.004 |
Provider explained method use (%) | 73.0 | 79.0 | 0.965 | 72.0 | 64.3 | 0.273 |
Provider prescribed injectable (%) | Â | Â | Â | Â | Â | Â |
Technical | Â | Â | Â | Â | Â | Â |
Reproductive history (out of 11) | 3.0 | 2.1 | 0.008 | 2.3 | 2.7 | 0.322 |
Physical examination (out of 5) | 3.2 | 3.2 | 0.827 | 2.9 | 3.0 | 0.618 |
Injectable procedure 2 (out of 9) | 3.8 | 3.8 | 0.971 | 3.6 | 3.9 | 0.137 |
Duration of consultation (minutes) | 16.2 | 15.7 | 0.796 | 13.8 | 18.5 | 0.106 |