It was not possible to gather data on patient care indicators as clinic attendance was very low in 23 out of 34 health facilities. Some primary health care facilities had a maximum attendance rate of only three patients per day. Some other facilities were closed and health workers had to be brought from their homes or market places to allow data collectors interview them. However, attendance rate at the secondary health facilities was quite high and enough patients were interviewed. An exception was the South West zone where the state government offered free medical treatment to the populace and so attendance at the PHC level was high.