Capacity Assessment of Structural Quality of Health Care Centres in Ahoada West Local Government Area Rivers State
Capacity assessment of structural Primary Health Care Centre’s in Ahoada West Local Government Area. Quality systems can help to manage change while maintaining a high quality of care. A new model of quality systems inspired by the works of Donabedian has three factors: This study adopted a descriptive, cross-sectional study (survey) and population of the study comprises of primary health care centers staff in Ahoada West Government Area. The study yielded a sample size of 237, and adjusting for a 10% non – response rate. However, the Local Government Council has only 14 HCs and all these were included in this study. The objectives of this study were to determine the capacity s of primary health care in Ahoada west local government area to render quality health care services. The instrument for the study was a structural quality protested questionnaire on facilities and equipment’s as predictors of effective health care delivery service and checklist of items on infrastructural quality and equipment. All 14 (100%) primary health care facilities in Ahoada West Local Government Area implement Essential Drug List Regulation. The 14 (100%) primary health care facilities have anti-malarial and haemathinics. Twelve (85.7%) of the health facilities have oral Re-Hydration solution (ORS) sachets; two (14.3%) of the facilities did not have oral Rehydration solution sachets. Thirteen (92.9%) of the primary health care facilities have analgesics; one (7.1%) did not have analgesics. Eleven (78.6%) of primary health care centers in the Local Government have anti-convulsant drugs; three (21.4%) did not have anti-convulsant drugs.
However there was need to improve in equipment maintenance, 2- way referral system, nutrition and catering services. Health care service delivery is optimal in PHCS in Awelga: greater percentage of staff rendering service are well trained (94.1% of staff have at least tertiary education), health promotion / counseling services, immunization water- sanitation, strict compliance to Bamako initiative of essential drug list, out- reach service are carried out. Health care workers should ensure that they have adequate knowledge on how to handle their equipment.
Keywords: Human’s Resources, Structural Quality, Primary, Health Care, Capacity, Assessment.

