Table 4

Primary care dimension mean scores in South West health zone, Malawi, in July and August 2018, comparing rural and urban health facilities

CharacteristicTotal
(95% CI)
Neno
Health centres (Rural)
(95% CI)
Thyolo health centres (Rural)
(95% CI)
Blantyre Urban Health centres
(95% CI)
Sample size962152226301
First contact—access2.6 (2.4 to 2.7)3.0 (2.9 to 3.1)**1.8 (1.7 to 1.9)**##2.5 (2.4 to 2.6)**##
Communication continuity3.4 (3.3 to 3.5)3.6 (3.5 to 3.7)3.4 (3.3 to 3.5)3.4 (3.3 to 3.5)
Relational continuity1.8 (1.7 to 1.9)2.3 (2.1 to 2.5)**1.8 (1.7 to 1.9)**#1.6 (1.5 to 1.6)**#
Coordination2.0 (1.8 to 2.2)3.6 (3.3 to 3.9)**1.7 (1.4 to 2.0)**1.7 (1.5 to 1.9)**
Comprehensiveness
  Services available2.3 (2.2 to 2.4)2.4 (2.3 to 2.5)**1.4 (1.3 to 1.5)**##2.2 (2.1 to 2.3)**##
  Services provided2.5 (2.4 to 2.6)2.9 (2.8 to 3.0)**2.5 (2.4 to 2.6)**#2.3 (2.2 to 2.4)**#
Community orientation2.9 (2.8 to 3.0)3.1 (3.0 to 3.2)*2.6 (2.4 to 2.7)*2.7 (2.6 to 2.8)*
Total PCAT-Mw score17.5 (17.3 to 17.7)20.9 (20.4 to 21.4)**15.2 (14.8 to 15.6)**##16.4 (16.1 to 16.7)**##
  • Based on ANOVA Bonferroni post-hoc means test.

  • *P<0.05, Duration of facility affiliation. **P<0.01 comparing Neno and Thyolo and Blantyre.

  • #P<0.05, ##P<0.01 comparing Thyolo and Blantyre.

  • ANOVA, analysis of variance; PCAT-Mw, Malawian version of the primary care assessment set of tools.