American Journal of Public Health Research
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American Journal of Public Health Research. 2020, 8(3), 93-99
DOI: 10.12691/ajphr-8-3-3
Open AccessArticle

Sustainability of Donor Supported Maternal, Newborn and Child Health Interventions in Bauchi State, Nigeria: Exploring the Perspectives of Stakeholders

Robbinson Yusuf1,

1Directorate of Hospital Services, Hospitals Management Board, Bauchi, 740212, Nigeria

Pub. Date: May 11, 2020

Cite this paper:
Robbinson Yusuf. Sustainability of Donor Supported Maternal, Newborn and Child Health Interventions in Bauchi State, Nigeria: Exploring the Perspectives of Stakeholders. American Journal of Public Health Research. 2020; 8(3):93-99. doi: 10.12691/ajphr-8-3-3

Abstract

Objectives: This study was designed to gain insight into the perspectives of stakeholders in the maternal, newborn and child health services in Bauchi State, Nigeria, regarding sustainability of MNCH interventions supported by donors. Methods: This is a qualitative exploratory study. Recorded semi-structured in-depth interviews and focus group discussions were carried out with three key stakeholder groups selected purposively: program officers (n = 6); healthcare providers (n = 3); and lay community members (n = 3). Qualitative data obtained were transcribed verbatim and subjected to thematic content analysis through inductive and deductive processes. Results: Stakeholders’ perspectives regarding understanding of the concept of sustainability and knowledge of the different donor supported MNCH interventions in the state showed convergence. Several factors that promote and challenge sustainability emerged from the analysis, with community involvement and government commitment being the most recurrent according to stakeholders. Recommendations for enhanced sustainability of MNCH interventions in Bauchi state correlated to major factors influencing sustainability. Conclusion: The use of stakeholders provided contextualised opinions regarding sustainability of donor supported MNCH interventions. Strengthened community involvement that improves their capacity to engage with political leaders and leverage more government funding for MNCH interventions can enhance sustainability more.

Keywords:
sustainability MNCH interventions Bauchi Nigeria stakeholders’ perspectives

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References:

[1]  Merson, M. H., Black, R. E., & Mills, A. J. (eds) (2006b). ‘Chapter 2: In: Management and planning for public health’. In: International Public Health: diseases, programs, systems and policies. University of Liverpool/Laureate Education, Inc., custom ed. Sudbury, M. A. Jones & Butlett Learning, pp 41 – 87.
 
[2]  Ejughemre, U. (2013). ‘Donor support and the impacts on health systems strengthening through a review of the literature’. American Journal of Public Health Research, 1 (7), pp 146-151.
 
[3]  United Nations, NEPAD-OECD (2010). ‘Aid to Africa, Policy brief no. 1 – October 2010’. [Online]. Available from: www.nepad.org/system/files/Layout_Aid_to_Africanew (2).pdf. Accessed on 1/8/2015.
 
[4]  United Nations (2010). ‘Global Strategy for Women’s and Children’s Health’. UN, New York. [Online]. Available from: www.int/pmnch/topics/maternal/20100914_gswch_en.pdf? ua=1. Accessed on 11/4/2015.
 
[5]  Shediac-Rizkellah, M. K. and Bone, L. R. (1998). ‘Planning for the sustainability of community-based health program: a conceptual framework and future directions for research, practice and policy’. Health Educ Res, 13, 1, pp 87-108.
 
[6]  Pluye, P., Potvin, L. and Denis, J. L. (2004). ‘Making public health programs last: conceptualizing sustainability’. Evaluation and Program Planning, 27, 2, pp 121-133.
 
[7]  National Population Commission (NPC) [Nigeria] and ICF Macro. 2014. ‘Nigerian Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF Macro.
 
[8]  Bauchi State Primary Health Care Development Agency (BSPHCDA) (2010). ‘Ward Minimum Health Care Package.
 
[9]  Federal Ministry of Health (2010). ‘Chapter 2: NSHDP Priority Areas. In: National Strategic Health Development Plan (NSHDP) 2010 – 2015’. Pp 24-41. Federal Ministry of Health November 2010.
 
[10]  World Health Organization (2000), “The World health report 2000 - health systems: improving performance”. [Online]. Available from: www.who.int/entity/whr/2000/en/whr00_en.pdf?ua=1. Accessed on 23/3/2014.
 
[11]  Bauchi State Ministry of Health (2010). Bauchi State Strategic Health Development Plan (BSSHDP) 2010-2015, Bauchi State Ministry of Health, 2010.
 
[12]  Olsen, I. T. (1998). ‘Sustainability of health care: a framework for analyses. Health Policy and Planning, 13 (1), pp 287-295.
 
[13]  Schell, S. F., Luke, D. A., Schooley, M.W., Elliot, M. B., Herbers, S. H., Mueller, N. B. and Bunger, A. C. (2013). ‘Public health program capacity for sustainability: a new framework’. Implementation Science, 8 (1), 15.
 
[14]  Bossert, T. J. (1990). ‘Can they get along without us? Sustainability of donor-supported health projects in Central America and Africa’. Social Science and Medicine, 30, pp 1015-1023.
 
[15]  Edvardsson, K., Garvare, R., Ivarsson, A., Eurenius, E. Mogren, I. and Nystrom, A. (2011). ‘Sustainable practice change: professionals experiences with a multisectoral child health promotion programme in Sweden’. BMC Health Services Research, 11, 61.
 
[16]  Middleton, G., Keegan, R. and Henderson, H. (2012). ‘A qualitative exploration of stakeholder perspectives on a school-based, multi-component health promotion nutrition programme’. Journal of Human Nutrition and Dietetics, 25 (6), pp 547.
 
[17]  Sarriot, E. G., Winch, P. J., Ryan, L. J., Edison, J. Bowie, J. Swedberg, E. and Welch, R. (2004). ‘Qualitative research to make practical sense of sustainability in primary health projects implemented by non-governmental organizations’. International Journal of Health Planning and Management, 19 (1), pp 3-22.
 
[18]  Amo-Adjei, J. (2013). ‘Perspectives of stakeholders on the sustainability of Tuberculosis Control Program in Ghana’. Tuberculosis Research and Treatment, 2013, pp 1-6.
 
[19]  Okereke, E., Tukur, J., Aminu, A., Butera, J., Mohammed, B., Tanko, M., Yisa, I., Obonyo, B. and Egboh, M. (2015). ‘An innovation for improving maternal, newborn and child health (MNCH) service delivery in Jigawa State, a northern Nigeria: a qualitative study of stakeholders’ perspectives about clinical mentoring’. BMC Health Services Research, 15 (.), 64.