Despite the high coverage of care, this study has detected limitations in the quality of care,
particularly in relation to the management of a sick child. A range of other studies have
indicated the dubious quality of care provided through private facilities. There is no systematic
strategy for ensuring quality in this sector. Yet it is to this sector that most families turn in the
event of child illness.
Operational Districts and health centres have demonstrated that they can generate a large
demand for immunization, antenatal care, HIV testing and counselling, and birth delivery
services. Despite these successes, the vast majority of the very poor still prefer to access