Reliability Assessment of Community Health Centre Systems in Nigeria: A Randomized Field Trial

Community health centers in Nigeria are critical for providing accessible healthcare services to underserved populations. However, their reliability and effectiveness have not been systematically evaluated. A randomized controlled trial was conducted with 150 randomly selected communities across Nigeria. Data on service delivery, patient outcomes, and system efficiency were collected and analysed using mixed-effects regression models to account for potential confounders. Community health centre systems showed moderate reliability in delivering essential services, with a significant improvement in patient satisfaction scores (mean increase of 15% compared to baseline). The study provides empirical evidence on the performance and reliability of community health centers in Nigeria, contributing to policy development aimed at enhancing healthcare access. Implementing robust data collection systems and continuous quality improvement programmes are recommended for sustaining reliable service delivery across all community health centers. Community Health Centers, Reliability Assessment, Mixed-Effects Regression, Patient Satisfaction Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.