Table 5 Quality of care by contracted and control rural health centres on balanced scorecard domains
Parameter | Contracted | Control | |
|---|---|---|---|
Domain A: Patient satisfaction index | (n = 20) | (n = 40) | |
1 | Patient’s inclination for facility-based delivery | 80% | 43% |
2 | Overall patient satisfaction | 100% | 87% |
Total score | 90% | 65% | |
Domain B: Staff satisfaction index | (n = 12) | (n = 24) | |
3 | Staff satisfaction with supervisory visits | 100% | 53% |
4 | Staff satisfaction with facility work environment | 92% | 71% |
Total score | 96% | 62% | |
Domain C: Staff capacity index | (n = 12) | (n = 24) | |
5 | Staff receiving training in maternal health | 91% | 87% |
6 | Staff receiving training in newborn health | 73% | 47% |
7 | Staff knowledge score | 28% | 22% |
Total score | 64% | 52% | |
Domain D: Service provision index | (n = 12) | (n = 24) | |
8 | Communication to mothers about newborn danger signs | 18% | 15% |
9 | Communication to mothers about antenatal and post-partum danger signs | 30% | 26% |
10 | Communication to mothers about appropriate breastfeeding | 50% | 20% |
(n = 20) | (n = 40) | ||
11 | Women prescribed folate | 70% | 47% |
12 | Women advised about tetanus toxoid vaccine, ultrasound, and lab tests | 77% | 69% |
13 | Women provided appropriate antenatal physical assessment | 20% | 18% |
Total score | 44% | 33% | |
Domain E: Health facility functionality index | (n = 2) | (n = 4) | |
14 | Appropriate staffing | 55% | 58% |
15 | Available drugs | 95% | 77% |
16 | Available supplies and equipment | 74% | 60% |
17 | Availability of services (lab services and BEmONC signal functions) | 70% | 36% |
18 | Availability of any waste disposal mechanism | 100% | 50% |
19 | Available Health Management Information System records | 80% | 67% |
20 | Availability of any service delivery guidelines | 100% | 50% |
Total score | 82% | 57% | |
Overall score | 80% | 60% | |