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Indicator label
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Secure facilities [mean(SD)]
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Insecure facilities [mean(SD)]
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P-value1
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Based on patient-provider observation:
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Patient history and physical exam
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0.71 (.29)
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0.88 (0.17)
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<0.001
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Based on patient exit interview:
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Patient satisfaction
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0.76 (0.30)
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0.81 (0.26)
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0.26
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Patient perceptions of quality
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0.67 (0.22)
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0.74 (0.15)
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0.005
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Based on health worker interview:
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Salary payment current
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0.27 (0.45)
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0.26 (0.45)
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0.85
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Provider knowledge: vaccination
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0.83 (0.27)
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0.68 (0.36)
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0.07
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Provider knowledge: integrated management of childhood illness
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0.51 (0.22)
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0.40 (0.14)
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0.12
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Provider knowledge: reproductive health
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0.56 (0.22)
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0.67 (0.078)
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0.30
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Based on facility record audit:
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Drug availability
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0.93 (0.18)
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0.88 (0.25)
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0.65
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Family planning availability
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0.84 (0.17)
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0.83 (0.24)
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0.92
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Health management information systems use
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0.70 (0.31)
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0.64 (0.39)
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0.67
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Clinical guidelines
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0.73 (0.23)
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0.56 (0.28)
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0.17
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General infrastructure
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0.70 (0.26)
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0.64 (0.27)
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0.79
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Proper sharps disposal
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0.82 (0.41)
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0.85 (0.38)
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0.75
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Outpatient service utilization
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0.88 (0.35)
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0.63 (0.52)
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0.28
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Facilities providing antenatal care
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0.73 (0.47)
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0.54 (0.52)
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0.40
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Delivery care according to national guidelines
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0.82 (0.41)
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0.39 (0.51)
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0.03
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Females as proportion of new outpatients
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0.58 (0.078)
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0.56 (0.13)
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0.65
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Service utilization
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3018 (1960)
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1494 (1024)
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0.04
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Tuberculosis register
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0.55 (0.52)
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0.53 (0.52)
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0.71
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- Mean scores represent the average score for that indicator among all facilities of a given security status (11 secure facilities versus 13 insecure facilities). Only facilities that were surveyed by the locally-based approach are included above. Scores ranged from 0 (poor) to 1 (excellent). Among variables used to calculate the indicator scores, 46 of 4312 (1.7%) and 81 of 4312 (1.9%) observations were missing for the secure and insecure facilities, respectively.
- SD = Standard Deviation.
- 1p-value calculated using multiple linear regression to compare indicator scores by security level, controlling for facility type (SHC, BHC, CHC); p-values <0.05 are in bold.