“We have either obsolete knowledge, obsolete equipment or obsolete skills”: policy-makers and clinical managers’ views on maternal health delivery in rural Nigeria

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dc.contributor.authorUdenigwe, Ogochukwu
dc.contributor.authorOkonofua, Friday Ehbodaghe
dc.contributor.authorImongan, Wilson
dc.date.accessioned2023-05-20T11:35:46Z
dc.date.available2023-05-20T11:35:46Z
dc.date.issued2021-08-03
dc.description.abstractObjective: The objective of this paper is to explore policy-makers and clinical managers' views on maternal health service delivery in rural Nigeria. Design: This is a qualitative study using key informant interviews. Participants' responses were audio recorded and reflective field notes supplemented the transcripts. Data were further analysed with a deductive approach whereby themes were organised based on existing literature and theories on service delivery. Setting: The study was set in Esan South East (ESE) and Etsako East (ETE), two mainly rural local government areas of Edo state, Nigeria. Participants: The study participants consisted of 13 key informants who are policy-makers and clinical managers in ESE and ETE in Edo state. Key informants were chosen using a purposeful criterion sampling technique whereby participants were identified because they meet or exceed a specific criterion related to the subject matter. Results: Respondents generally depicted maternal care services in primary healthcare centres as inaccessible due to undue barriers of cost and geographic location but deemed it acceptable to women. Respondents' notion of quality of service delivery encompassed factors such as patient-provider relationships, hygienic conditions of primary healthcare centres, availability of skilled healthcare staff and infrastructural constraints. Conclusion: This study revealed that while some key aspects of service delivery are inadequate in rural primary healthcare centres, there are promising policy reforms underway to address some of the issues. It is important that health officials advocate for strong policies and implementation strategies.en_US
dc.description.sponsorshipACE: Reproductive Health Innovationen_US
dc.identifier.citationUdenigwe O, Okonofua FE, Ntoimo LFC, Imongan W, Igboin B, Yaya S. "We have either obsolete knowledge, obsolete equipment or obsolete skills": policy-makers and clinical managers' views on maternal health delivery in rural Nigeria. Fam Med Community Health. 2021 Aug;9(3):e000994. doi: 10.1136/fmch-2021-000994. PMID: 34344765; PMCID: PMC8336186.en_US
dc.identifier.issn2305-6983
dc.identifier.issn2009-8774
dc.identifier.urihttp://hdl.handle.net/123456789/1805
dc.language.isoenen_US
dc.publisherBMJen_US
dc.relation.ispartofseriesFamily Medicine and Community Health;2021;9
dc.subjectGlobal healthen_US
dc.subjectCommunity Health Centersen_US
dc.subjectWomen's Health Servicesen_US
dc.subjectMaternal-Child Health Serviceen_US
dc.subjectWilson Imongan,en_US
dc.subjectBrian Igboinen_US
dc.subjectACE: Reproductive Health Innovationen_US
dc.subjectCERHIen_US
dc.subjectUniversity of Beninen_US
dc.subjectNigeriaen_US
dc.title“We have either obsolete knowledge, obsolete equipment or obsolete skills”: policy-makers and clinical managers’ views on maternal health delivery in rural Nigeriaen_US
dc.typeArticleen_US
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