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Table 5 Impact on QOC indicators

From: Decentralized facility financing versus performance-based payments in primary health care: a large-scale randomized controlled trial in Nigeria

Indicator

Baseline Coverage

Change from baseline % points

Quasi-experimental adjusted DiD

Experimental DiD

Control

PBF

DFF

Control

PBF

DFF

PBF vs. control

DFF vs. control

PBF vs. DFF

% of facilities with one or more female clinical staff present on day of survey

86.3

85.9

82.3

−8.4

7.8

8.2

20.2***

19.0***

0.9

% of health facilities (HFs) with water for hand washing, soap, clean towel in patient area

73.0

73.9

62.2

−4.0

21.8

29.6

38.3***

48.4***

−8.0

% of HFs with basic delivery equipment

15.4

17.5

16.7

−2.0

65.0

51.5

68.8***

51.8***

13.4**

Number of essential drugs available on day of survey (out of 18)

7.5

6.4

6.6

0.7

8.9

7.5

8.5***

7.1***

1.3*

Average number of contraceptive methods in stock on the day of survey

1.8

1.4

1.4

0.1

1.6

1.2

1.7***

1.2***

0.4**

% of HFs that have a working waste disposal system (bin, pit, or incinerator) in use & safety box for sharps

66.0

64.3

63.3

4.0

32.1

39.4

33.6***

35.4***

−7.4

Average health worker clinical knowledge score (maximum 100)

46.1

47.6

44.3

−8.6

7.3

−3.8

2.4

5.3

−0.04

Under-five examination quality score (based on IMCI protocols; maximum 100)

63.9

46.4

43.6

−21.0

2.1

6.5

5.3

10.8**

−0.04

ANC examination quality score (based on national ANC protocols; maximum 100)

63.8

59.6

47.4

−21.0

−11.0

−3.9

11.3**

17.4***

−0.08

% of HFs that conduct outreach for key MCH services

35.3

45.3

52.3

−5.8

25.8

19.1

25.1***

19.0***

7.2

  1. Impact of the program on quality of care provided at treated health facilities. *p<0.1, **p<0.05, and ***p<0.01