PBF Rapid Assessment
Semi-Structured Interview Guide
P Vergeer and G Fritsche/HDNHE
Nigerian State Health Investment Program (NSHIP)
Rapid Assessment - Health Center Level
Ondo and Nasarawa State
27-29 September, 2010
1|Page
1 Can you tell us about the health services you offer?
1.1 What problems do you face in offering these services?
1.2 Do you have a monthly activity report/health information report? If yes, can you show it to
us?
1.3 Discuss catchment population, and check expected versus actual coverage of essential
services such as Deliveries, Immunizations, Family Planning, ANC, HIV etc
1.4 Drill down on possibly explanatory factors which explain according to the in-charge the
difficulties she faces in reaching adequate coverage? - demand side and supply side factors - Q:
can you elaborate on the issues you face in achieving coverage for these services?
1.5 Canyou explain to us the referral system? How do you get a seriously ill patient into a
hospital?
2 Can you tell us how the drug supply is organized? (whether Bamamako-type revolving fund
initiative, or central supply of free drugs)
2.1.1 What is your opinion on this system? (level of functioning)
2.1.2 What fees do you charge for your drugs, can you show us the price list? Is this price list
clear for clients? Are there exemption categories? if yes, how do they assess the eligibility?
2.1.3 Are there stock-outs of drugs, if yes, elaborate, and indicate frequency, certain types of
drugs, are you able to buy drugs in case of stock outs, if yes where etc drill down
2.1.4 How do you manage the drug-supply, explain the information system, can you show us the
records and registers you use?
3 Can you tell us how many staff work in your facility, and which types? - drill down
3.1 List the types of staff, with their average take home salary - including all cash allowances
after taxes per month
3.2 Are these salaries paid regularly?
3.3 Are there any contract workers, same information as above
3.4 What is your opinion on the salary levels? Drill down- ask further.
3.5 When difficult: (a) what are the biggest expenses/what are the average cost of livings? and
(b) how do you make ends meet?
2|Page
3.6 How is the staff managed? Elaborate on recruitment, hire, fire, performance assessment,
4 Can you tell us about the income and expenses of your facilities, drill down
4.1 Do you have a monthly financial statement? If yes, can you show it?
4.2 Discuss the income and expense figures: ask further questions
4.3 Do you have bank accounts, if yes: can you show us the account booklets/account
information?
4.4 Can you explain what the procedures are for accessing the accounts? Drill -down issues of
financial management and autonomy
4.5 Can you explain how your financial management is audited, if any?
5 Can you tell us about the relationship between the health center and the community?
Drill down
5.1 Do you have a village health committee?
5.2 If VHC: how often do you meet, do you have minutes of these meetings, what is the role of
the VHC in the management of the facility/ For instance financial management, oversight etc
6 Can you tell us about the relationship between the health center and the LGA and the
urban hospital?
6.1 Supervisory visits frequency and type, and opinion of these
6.2 Can you explain us how the budget is determined and by whom? Do you receive the
allocated budget? Elaborate and drill down
6.3 Can you elaborate on your relationship with the LGA and hospital?
7 Can you tell us about the relationship with NGOs, if any?
3|Page