Health reform in Nigeria: the politics of primary health care and universal health coverage

Article Public, Environmental & Occupational Health

Aspirations and realities of intergovernmental collaboration in national- level interventions: insights from maternal, neonatal and child health policy processes in Nigeria, 2009-2019

Enyi Etiaba et al.

Summary: In Nigeria's federal government system, collaboration across government levels is needed for the implementation of national healthcare policies. However, misaligned governance structures currently limit successful implementation. To improve collaboration, it is recommended that national authorities fully devolve responsibilities to subnational governments, with the national level providing evaluation and guidance.

BMJ GLOBAL HEALTH (2023)

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Review Medicine, General & Internal

The Lancet Nigeria Commission: investing in health and the future of the nation

Ibrahim Abubakar et al.

LANCET (2022)

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Article Health Policy & Services

How (not) to promote sub-national ownership of national initiatives in decentralised health systems: The free maternal and child health programme in Nigeria, 2008-2015

Uchenna Ezenwaka et al.

Summary: This study examines the reasons why a pilot maternal and child health program in Nigeria was not adopted or scaled up by sub-national governments. Through qualitative evaluation and analysis, the researchers found that limited involvement of sub-national governments and lack of community advocacy were the main factors contributing to the lack of program ownership and poor implementation.

INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT (2022)

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Article Health Policy & Services

The Political Economy of the Design of the Bask Health Care Provision Fund (BHCPF) in Nigeria: A Retrospective Analysis for Prospective Action

Gafar Alawode et al.

Summary: Nigeria has implemented health financing reforms like the Basic Health Care Provision Fund to promote Universal Health Coverage, but the influence of stakeholders has created challenges in the design and implementation of the reform, potentially leading to various issues.

HEALTH SYSTEMS & REFORM (2022)

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Article Medicine, General & Internal

Decentralized facility financing versus performance-based payments in primary health care: a large-scale randomized controlled trial in Nigeria

Madhulika Khanna et al.

Summary: The study found that performance-based financing (PBF) and direct facility financing (DFF) in Nigeria significantly improved maternal and child healthcare service provision and quality of care compared to business-as-usual. However, apart from institutional deliveries, there was no significant difference between PBF and DFF despite PBF disbursing $2 for every dollar disbursed by DFF.

BMC MEDICINE (2021)

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Article Health Care Sciences & Services