Table 4 Summary of study facilities
Health centres | Hospitals | |||||
|---|---|---|---|---|---|---|
A1: Higher performing | A2: Lower performing | B1: Higher performing | B2: Lower performing | A3 | B3 | |
Description of area | ||||||
Location | Village near main woreda town, easy access by road | Remote, highland village, difficult access by rough road | Remote village with sparse population, access by flat road | Remote, highland village with sparse population, difficult access by rough road | woreda main town easy access by a flat road | woreda main town easy access by a flat road |
Infrastructure | ||||||
Water | Mains | Purchased by the bucket | Water tank | Purchased by the bucket | Mains | Mains |
Electricity | Mains | Solar panel: not always functioning | Generator: usually has fuel | Generator: often without fuel | Mains | Mains |
Infra-structure and supplies | Necessary infrastructure, supplies and equipment | Insufficient buildings and a lack of equipment (e.g. beds) and drugs | Insufficient buildings | Insufficient buildings and irregular supplies of drugs and material | Insufficient buildings and some lack of equipment | Insufficient buildings and a lack of equipment |
Staff and HR information | ||||||
Leadership | Facility manager strong and active | Facility manager often absent but broadly supportive of QI | Facility manager strong and active | Facility manager not fully supporting QI | Facility manager not fully supporting QI | Facility manger not supporting QI and inexperienced |
Teamwork | Good cooperation, team-work and motivation | Staff work as individuals with staff conflicts | Good cooperation, team-work and motivation | Staff work as individuals with staff conflicts, but some degree of openness reported | Staff work as individuals with staff conflicts | Staff work as individuals with staff conflicts |
Political instability and civil unrest | ||||||
None | None | A key challenge | A key challenge | None | A key challenge | |
Signals of improvement in coverage | ||||||
Improvement in ANC4, SBA and PNC-48 Processes stable | Improvement in ANC4 Degradation followed by a rebound to initial levels for SBA and PNC-48 Processes unstable | Degradation in all indicators Processes unstable | Degradation in all indicators Processes unstable | Small improvement in ANC4 No improvement in other indicators Processes unstable | Small improvement in PNC-48 No improvement in other indicators Processes unstable | |