Table 3 Sick child services quality attributes by facility type. Ethiopian Service Provision Assessment Plus Survey 2014
From: Assessing the quality of care in sick child services at health facilities in Ethiopia
FACILITY / PROVIDER CHARACTERISTICS | Hospitals | Health centers | Health posts | Clinics | Total | |||||
|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | N | % | N | % | |
Facility managing authority | ||||||||||
Public | 697 | 79.6 | 715 | 99.3 | 65 | 100.0 | 1 | .4 | 1478 | 77.5 |
Private/Non-Governmental Organization | 179 | 20.4 | 5 | 0.7 | 0 | 0.0 | 246 | 99.6 | 430 | 22.5 |
Urban/Rural | ||||||||||
Urban | 781 | 89.2 | 396 | 55.0 | 6 | 9.2 | 199 | 80.6 | 1382 | 72.4 |
Rural | 95 | 10.8 | 324 | 45.0 | 59 | 90.8 | 48 | 19.4 | 526 | 27.6 |
Provider in the facility received sick child care training in past 2 years | 442 | 50.5 | 467 | 64.9 | 40 | 61.5 | 52 | 21.1 | 1001 | 52.5 |
STRUCTURE COMPOSITE INDEX | ||||||||||
Routine management meetings | 866 | 98.9 | 704 | 97.8 | 43 | 66.2 | 118 | 47.8 | 1731 | 90.7 |
System to collect client opinion | 823 | 93.9 | 570 | 79.2 | 18 | 27.7 | 145 | 58.7 | 1556 | 81.6 |
Quality assurance system | 726 | 82.9 | 485 | 67.4 | 22 | 33.8 | 57 | 23.1 | 1290 | 67.6 |
Supervision | 813 | 92.8 | 693 | 96.3 | 55 | 84.6 | 228 | 92.3 | 1789 | 93.8 |
Health workers always available | 868 | 99.1 | 702 | 97.5 | 26 | 40.0 | 108 | 43.7 | 1704 | 89.3 |
IMCI guide followed | 608 | 69.4 | 653 | 90.7 | 43 | 66.2 | 96 | 38.9 | 1400 | 73.4 |
Diagnose and/or treat malaria | 866 | 98.9 | 717 | 99.6 | 63 | 96.9 | 238 | 96.4 | 1884 | 98.7 |
Number of basic amenities (mean, SE) | 5 (0.028) | 3 (0.047) | 2 (0.093) | 3 (0.076) | 4 (0.033) | |||||
Number of infection prevention precautions (mean, SE) | 3 (0.040) | 3 (0.050) | 4 (0.144) | 4 (0.073) | 3 (0.03) | |||||
Number of sick child equipment available (mean, SE) | 4 (0.037) | 3 (0.039) | 3 (0.133) | 3 (0.065) | 4 (0.025) | |||||
IMCI mother’s card | 329 | 37.6 | 263 | 36.5 | 17 | 26.2 | 11 | 4.5 | 620 | 32.5 |
Cronbach’s alpha | 0.4613 | |||||||||
PROCESS COMPOSITE INDEX | ||||||||||
Provider used visual aids | 10 | 1.1 | 28 | 3.9 | 0 | 0.0 | 1 | .4 | 39 | 2.0 |
Provider discussed follow-up visit | 133 | 15.2 | 183 | 25.4 | 19 | 29.2 | 61 | 24.7 | 396 | 20.8 |
Number of symptoms checked (mean, SE) | 3 (0.051) | 4 (0.058) | 3 (0.204) | 4 (0.092) | 3 (0.035) | |||||
Number of physical examinations of sick child (mean, SE) | 4 (0.076) | 3 (0.076) | 3 (0.229) | 4 (0.149) | 4 (0.05) | |||||
Number of information provided to caregiver (mean (SE) | 1 (0.044) | 1 (0.054) | 1 (0.114) | 1 (0.085) | 1 (0.031) | |||||
Cronbach’s alpha | 0.4588 | |||||||||
OUTCOME / SATISFACTION | ||||||||||
Time you waited to see provider | 514 | 58.7 | 522 | 72.5 | 49 | 75.4 | 195 | 78.9 | 1280 | 67.1 |
Ability to discuss problems or concerns about your health with the provider | 590 | 67.4 | 517 | 71.8 | 51 | 78.5 | 184 | 74.5 | 1342 | 70.3 |
Amount of explanation you received about the problem or treatment | 593 | 67.7 | 501 | 69.6 | 50 | 76.9 | 181 | 73.3 | 1325 | 69.4 |
Privacy from having others see the examination | 763 | 87.1 | 611 | 84.9 | 53 | 81.5 | 219 | 88.7 | 1646 | 86.3 |
Privacy from having others hear your consultation discussion | 763 | 87.1 | 615 | 85.4 | 53 | 81.5 | 220 | 89.1 | 1651 | 86.5 |
Availability of medicines/methods at this facility | 568 | 64.8 | 508 | 70.6 | 42 | 64.6 | 136 | 55.1 | 1254 | 65.7 |
The hours of services at this facility | 664 | 75.8 | 585 | 81.3 | 46 | 70.8 | 197 | 79.8 | 1492 | 78.2 |
The number of days services are available to you | 714 | 81.5 | 592 | 82.2 | 49 | 75.4 | 210 | 85.0 | 1565 | 82.0 |
The cleanliness of the facility | 666 | 76.0 | 598 | 83.1 | 55 | 84.6 | 204 | 82.6 | 1523 | 79.8 |
How the staff treated you | 664 | 75.8 | 590 | 81.9 | 59 | 90.8 | 221 | 89.5 | 1534 | 80.4 |
Cost for services or treatments | 638 | 72.8 | 565 | 78.5 | 0 | 0.0 | 161 | 65.2 | 1364 | 74.0 |
Cronbach’s alpha | 0.8156 | |||||||||