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<p>In this study, we conducted a state-wide assessment of infrastructure, service delivery and staffing to assess compliance with national recommended guidelines. We surveyed 279 (88%) of the 319 existing primary health care centers (PHCs) across the six health districts (HDs) in Lagos State using pretested electronic field forms. Data was analyzed using descriptive statistics, and chi-square test was used to ascertain significant differences in compliance across the HDs. Significance differences were established at <i>p</i> &lt; 0.05. For infrastructure quality, 37% of the PHCs had access to service rooms, (range 31–50%, <i>p</i> = 0.05), 56% had functional toilets (range 48–72%, <i>p</i> = 0.07), 23% had staff accommodation (range 11–46%, <i>p</i> = 0.001) and 51% were over-burdened (range 18–68, <i>p</i> = 0.001). By service delivery, 65% had staff stations (range 50–75, <i>p</i> = 0.058), 59% had delivery rooms (range 43–78%, <i>p</i> = 0.009), 61% had maternity wards (range 48–86, <i>p</i> = 0.003), 53% had in-patient wards (range 40–62%, <i>p</i> = 0.14). By staffing, 48% had medical officers (range 33–57%, <i>p</i> = 0.16), 26% had nurse/midwives (range 20–34, <i>p</i> = 0.002), 29% had community health workers (range 18–36%, <i>p</i> = 0.011), 46% had health assistants (range 36–67%, <i>p</i> = 0.078), and 62% had laboratory technicians (range 44–75%, <i>p</i> = 0.12). Findings demonstrate critical gaps in infrastructure, service delivery, and staffing across Lagos State PHCs, and should guide investments in upgrading PHC facilities and strengthen workforce deployment in Lagos State.</p>

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Infrastructure, service delivery, and staffing gaps in primary health care facilities in Lagos State, Nigeria: a state-wide assessment

  • 期刊论文

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  • 发表日期：

    2025年12月31日

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  • Faith Oniyire,
  • Tomike Ajose,
  • Lateefah Andu,
  • Abiola Adepase,
  • Akin Abayomi,
  • Olukemi Ogunyemi,
  • Olusegun Ogboye,
  • Olajumoke Oyenuga,
  • Olajumoke Ibiyemi,
  • Zainab Abdulrahman-Giwa,
  • Adedapo Adejumo,
  • Bukunyi Ajanaku,
  • Babatunde Adewale,
  • Hammed Mogaji

摘要

In this study, we conducted a state-wide assessment of infrastructure, service delivery and staffing to assess compliance with national recommended guidelines. We surveyed 279 (88%) of the 319 existing primary health care centers (PHCs) across the six health districts (HDs) in Lagos State using pretested electronic field forms. Data was analyzed using descriptive statistics, and chi-square test was used to ascertain significant differences in compliance across the HDs. Significance differences were established at p < 0.05. For infrastructure quality, 37% of the PHCs had access to service rooms, (range 31–50%, p = 0.05), 56% had functional toilets (range 48–72%, p = 0.07), 23% had staff accommodation (range 11–46%, p = 0.001) and 51% were over-burdened (range 18–68, p = 0.001). By service delivery, 65% had staff stations (range 50–75, p = 0.058), 59% had delivery rooms (range 43–78%, p = 0.009), 61% had maternity wards (range 48–86, p = 0.003), 53% had in-patient wards (range 40–62%, p = 0.14). By staffing, 48% had medical officers (range 33–57%, p = 0.16), 26% had nurse/midwives (range 20–34, p = 0.002), 29% had community health workers (range 18–36%, p = 0.011), 46% had health assistants (range 36–67%, p = 0.078), and 62% had laboratory technicians (range 44–75%, p = 0.12). Findings demonstrate critical gaps in infrastructure, service delivery, and staffing across Lagos State PHCs, and should guide investments in upgrading PHC facilities and strengthen workforce deployment in Lagos State.