Improving quality of reproductive health care in Senegal through formative supervision: results from four districts

Table 4 Health facility performance in four areas of service delivery

	Region of Thiès									Region of Louga
	Tivaoune District performance (%)				Khombole District performance (%)				Change in regional performance (%)	Kebemer District performance (%)				Louga District performance (%)				Change in regional performance (%)
	Facilities	2003	2005	Difference	Facilities	2003	2005	Difference		Facilities	2003	2005	Difference	Facilities	2003	2005	Difference
Infrastructure	12	54	58	4	10	54	58	5	4	11	60	65	5	11	56	59	3	4
Services/staff management	12	34	68	34	9	26	39	13	23	10	53	70	17	10	46	60	15	16
Record-keeping
Family planning tools
Patient files	12	90	88	-2	8	68	85	17	7	6	69	87	19	4	67	92	25	22
Registers	13	76	80	4	9	61	76	15	9	8	56	76	20	7	57	69	12	16
Maternity tools
Prenatal care register	13	93	93	0	10	78	89	11	5	5	75	80	4	5	87	77	-10	-3
Delivery room register	11	71	70	-1	9	63	74	12	5	4	64	77	13	7	65	76	11	12
Technical competence
Prenatal care consultation	11	55	49	-6	5	55	51	-4	-5	4	44	64	20	6	45	57	13	16
Family planning consultation	3	30	40	10	0	/	/	/	Unavailable*	1	33	49	16	4	32	48	16	16
Individual counselling	5	49	67	17	0	/	/	/	Unavailable	1	43	66	23	3	50	64	14	19
Group counselling	2	41	74	33	1	46	65	20	26	0	/	/	/	0	/	/	/	Unavailable
Infection prevention	8	34	60	26	6	15	46	31	28	7	20	53	33	9	18	49	30	32
Logistics management	13	45	64	19	10	22	62	40	29	11	57	65	8	11	50	62	12	10

* We are unable to report a percentage of change for regions where there were districts with no facilities in which performance was observed during both supervision visits. This is the case in district of Khombole for technical competence in family planning consultation and individual counselling and in Kebemer and Louga for technical competence in group counselling.