An assessment of client satisfaction wirh services at a model primary health care centre in Ogun State, Nigeria

Campbell, P C; Olufunlayo, Tolulope F.; Onyenwenyi, Anthonia O.

doi:10.4314/nqjhm.v20i1.57983

Cited by 9 publications

(13 citation statements)

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“…Timeliness of services rendered at the primary health care level which also includes immunization clinic impacts positively upon the perception of quality of services among the clients [9]. In our study, we have observed that the mothers/caregivers spent only one-third of their total time at the immunization clinic in receiving healthcare services.…”

Section: Discussionmentioning

confidence: 77%

Operational Efficiency of an Immunization Clinic Attached to Rural Health Training Centre in Delhi, India: A Time and Motion Study

Kumar

Mangal

Panesar

et al. 2014

Advances in Preventive Medicine

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Background. Obtaining baseline data about current patterns of work is important for assessing the effects of interventions designed to improve care delivery. Time and motion studies allow for the most accurate measurement of structured components. Therefore, the present study was conducted to study the operational efficiency of an immunization clinic in Delhi, India. Methods. An observational cross-sectional study was conducted at the immunization clinic of Rural Health Training Centre in Delhi, India, from January 2014 to March 2014. The study composed two stage evaluations, a passive observation and a time and motion study. Systemic random sampling method was used to select 863 mothers/caregivers attending the immunization clinic. Results. At the immunization clinic, the study participants spent 64.1% of their total time in waiting. For new cases, the mean time taken for initial registration and receiving postvaccination advice was found to be significantly longer than old cases. Delivering health care services took more time during Mondays and also during the first hour of the day. Conclusion. Results of this study will guide public health decision-makers at all government levels in planning and implementation of immunization programs in developing countries.

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Section: Discussionmentioning

confidence: 77%

Operational Efficiency of an Immunization Clinic Attached to Rural Health Training Centre in Delhi, India: A Time and Motion Study

Kumar

Mangal

Panesar

et al. 2014

Advances in Preventive Medicine

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“…Our data suggest that most patients in rural Malawi (65 % in this study) arrive at centers before 10:00 a.m. This distribution of out-patient visit times causes the center’s capabilities to be overloaded in the morning and underused in the afternoons; the total waiting time and total time at the center for patients arriving before 10:00 a.m. was approximately two and a half times longer than for patients arriving after 10:00 a.m. Other patient flow studies in Uganda and Nigeria have found similarly longer waiting times earlier in the morning than later in the day [ 8 , 11 ]. This bottleneck could potentially be removed by redistribution of patient arrivals throughout the day.…”

Section: Discussionmentioning

confidence: 99%

Examination of patient flow in a rural health center in Malawi

et al. 2016

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BackgroundMalawi, like many low-income countries, is facing a severe health worker shortage. A potential stop-gap solution to this crisis is improving the efficiency of health center operations. Given the lack of research on center efficiency in rural health centers in Malawi, we conducted a study to identify deficiencies in center organization and barriers to patient flow.MethodsWe performed a time-motion survey at a rural health center in Ntaja, Malawi over a period of 1 week. We used a standardized questionnaire to collect information on the amount of time a patient spent with each health worker, the number of center staff that attended to each patient, and the total time spent at the center. Additionally, at the end of the visit, we conducted an exit survey to collect demographic information and data on perception of quality of care with the center visit for all patients.ResultsA total of 1018 patients were seen over the five-day study. The average total time spent at the center by the patients was 123 min (2–366 min). Adults had an average total time spent at the center of 111 min (2–366 min) and children 134 min (7–365 min). Patient waiting time (PWT) was higher in the early morning hours ranging from 157 min (between 06:00 and 08:00) to 53 min (between 14:00 and 16:00). Health worker contact time (HCT) was higher for adults (2.3 min) than children (1.7 min). Shorter wait times were associated with higher perceptions of quality of service.ConclusionDespite shortages in health workers and funds, opportunities are available to increase efficiency in rural health centers. By removing bottlenecks to increase the productivity of health workers, centers in low-income countries can treat more patients and improve service quality.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-016-2144-x) contains supplementary material, which is available to authorized users.

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“…Flow charts have been used in Kenya, the USA, and Nigeria; waiting times were reduced significantly through addressing staffing problems and re-organizing services [33,39].…”

Section: Questionnaires and Surveysmentioning

confidence: 99%

Methodology and tools for quality improvement in maternal and newborn health care

Raven

Hofman

Adegoke

et al. 2011

Intl J Gynecology & Obste

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The documented experience with the identified approaches, methodologies, and tools indicates that none is sufficient by itself to achieve a desirable improvement in quality of care. The choice of methodologies and tools depends on the healthcare system and its available resources. There is a lack of studies that describe the process of quality improvement and a need for research to provide evidence of the effectiveness of the identified methods and tools.

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An assessment of client satisfaction wirh services at a model primary health care centre in Ogun State, Nigeria

Cited by 9 publications

References 0 publications

Operational Efficiency of an Immunization Clinic Attached to Rural Health Training Centre in Delhi, India: A Time and Motion Study

Operational Efficiency of an Immunization Clinic Attached to Rural Health Training Centre in Delhi, India: A Time and Motion Study

Examination of patient flow in a rural health center in Malawi

Methodology and tools for quality improvement in maternal and newborn health care

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