Primary health care management effectiveness as a driver of family planning service readiness: A cross-sectional survey in central Mozambique

Abstract

Objective: To assess the relationship between management effectiveness and family planning service readiness among primary health care facilities in an on-going Health Alliance International study in central Mozambique. Methods: Using a selection of indicators from the Service Availability and Readiness Assessment (2018) and the Service Delivery Indicators management module (2018), we used descriptive statistics to evaluate the management and readiness environment, and we used logistic quantile regression equations to model associations between management effectiveness and family planning service readiness. Results: Only 26.5% of facility managers ever received official management training, and the average proportion of daily time spent on management responsibilities was 63%. Higher management effectiveness and urban health facilities were significantly associated with higher readiness for family planning service delivery.