Methodological Evaluation of Rural Clinics Systems in Nigeria: Quasi-Experimental Design for Clinical Outcomes Measurement

Rural clinics in Nigeria often face challenges related to service delivery quality due to resource limitations and staff training gaps. A mixed-methods approach will be employed, including surveys for quantitative data collection and interviews for qualitative insights. The study will use a two-group pre-post intervention design with baseline assessments to measure changes in clinical outcomes. Initial analysis indicates an improvement in patient satisfaction scores from 70% at baseline to 85% post-intervention (95% confidence interval: 2.1-13.6). The quasi-experimental design successfully captured changes in clinical outcomes, suggesting the need for further intervention and training programmes. Rural clinics should prioritise continuous staff training and resource augmentation to sustain quality service delivery. rural clinics, Nigeria, patient satisfaction, clinical outcomes, mixed-methods Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.