Methodological Evaluation of Urban Primary Care Networks in Senegal: A Quasi-experimental Assessment of Clinical Outcomes

Urban primary care networks in Senegal are crucial for addressing health disparities among urban populations. However, their effectiveness and operational efficiency require rigorous methodological evaluation. A mixed-methods approach combining quantitative data from clinic records and qualitative insights through interviews will be employed. The sample size includes 500 patients randomly selected across three urban primary care centers in Dakar. Initial findings suggest a positive trend towards improved patient satisfaction (78%) over baseline levels, with significant improvement in treatment adherence observed among participants who received comprehensive health education and follow-up support. The quasi-experimental design successfully identified key areas for enhancement within the urban primary care networks, particularly in educational outreach and supportive services delivery. Future research should explore long-term effects of these interventions on patient outcomes and sustainability of such programmes. Policy recommendations include expanding funding to support network expansion and improving training for healthcare providers. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.