Productivity of Health Workers in Primary Healthcare Facilities in Nigeria: Why is the Average Caseload Estimated to be Low?

This chapter adds to the growing literature around primary health care (PHC) productivity by first quantifying the current caseloads of consulting health workers in Nigeria, then quantifying the associations between contextual factors and caseloads in Nigerian facilities, and lastly concluding with recommendations for optimizing worker productivity within the country. We explore resource productivity, including (a) how productive is PHC, measured by caseload, (b) what health workers are observed to do with their productive time, (c) how patient demand influences caseload, and (d) what are the modifiable factors that are correlated with caseload.