The main purpose of the study was to develop a better understanding of:
- The performance of PHC facilities and personnel and variables driving this performance
- The flows of public resources to these facilities and whether there are resource leakages in the system; and
- The roles of the States and LGAs in determining outcomes in primary health care service delivery.
This study provided information for developing strategies to improve health workers performance for an effective and efficient health service delivery system. The study was based on extensive survey work at the level of primary health care facilities, and Local and State Governments. The data collected through these surveys was analyzed using different statistical methodologies and the results compiled into a report analyzing Primary Health Care delivery in four states in Nigeria, with policy options to improve its performance.
The study took place in Lagos, Bauchi, Kaduna and Cross River States.