Nigeria

Building Human Resources for Health Governance and Leadership Capacity at the Country Level: Approaches, Results, and Recommendations

CapacityPlus used three types of leadership approaches—thought leadership, community leadership, and implementing for results leadership—to develop HRH governance and leadership capacity at the country level. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster summarizes the results and outputs achieved in the Dominican Republic, Ghana, Nigeria, and Uganda.

Investing in Health Workforce Education and Training for Expanded Access to Essential Health Services for Underserved Populations

CapacityPlus developed and applied methodologies and instruments to estimate the cost to an educational institution and its affiliated clinical practice facilities of educating a single health worker; identify targeted investments likely to increase production while maintaining the quality of graduates; and strengthen the capacity of school leaders to better manage human, financial, material, and intellectual resources. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster highlights methods and findings from costing studies performed at one medical school in South Africa and two nursing and midwifery schools in Ethiopia, as well as broader capacity assessments of 19 Nigerian health professional schools.

Developing a Human Resources for Health (HRH) Effort Index to Measure Country-Level Status in HRH

Human resources for health (HRH) are an essential component of health systems and crucial to increased accessibility and quality of services. However, there is a scarcity of HRH indicators and the few that exist are often unreliable, inconsistently related to outcomes, or do not inform on the multidimensional nature of the area. Based on HRH and performance-based frameworks, CapacityPlus and a technical advisory group developed the HRH Effort Index to measure inputs and outputs in HRH. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster highlights preliminary results from testing the HRH Effort Index in Kenya and Nigeria.

Increasing the Production of Competent and Qualified Frontline Health Workers in Nigeria

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. Findings of a rapid bottlenecks assessment of midwifery, nursing, and health technology schools in Nigeria informed CapacityPlus’s work with federal- and state-level stakeholders to develop a plan to increase the production of certified graduates. This included providing educational resources, training tutors in up-to-date clinical guidelines and computer assisted pedagogy, and supporting students at risk of dropping out through scholarships. This comprehensive support has reduced student drop-out rates and increased pass rates on national certification examinations.

Report of Training Needs Assessment for Community Health Workers in South-South Geopolitical Region of Nigeria

One of the recommendations from a 2013 CapacityPlus assessment of PEPFAR-funded in-service training in Nigeria was to ensure broader access to new developments in knowledge and technology, as well as sustainability of training, by integrating the in-service training contents into preservice education curricula and continuing professional development programs. This assessment explored community health extension worker and community health officer perceptions of globally-accepted competency domains for public health practitioners across the areas of importance, and confidence in their ability to demonstrate those competencies. To corroborate findings at the domain level, the assessment also assessed these health workers at the individual skill/ability levels, which are mapped to the competency domain areas. Need scores were calculated for each competency domain and individual skill/ability levels. A need score ranking placed the need for computer and information technology access and skills as the top priority among health workers who participated in the study. Financial planning and management and public health science skills ranked a close second and third. Read more »

Study of Attrition, Availability, and Retention of Midwife Service Scheme Officers in Nigeria

The Midwives Service Scheme, established in 2009 to reduce Nigeria’s high maternal mortality rate, supplies midwives to rural and remote areas where they are most needed. CapacityPlus collaborated with the National Primary Health Care Development Agency to study factors underpinning attrition, availability, and retention of personnel and propose measures for motivating and retaining rural-based midwives. Presented at the Third Global Symposium on Health Systems Research in Cape Town, South Africa, on October 1, 2014, this poster presents findings from the study.

Preservice Education of Community Health Extension Workers, Nurses, and Midwives in Nigeria: Findings and Recommendations from a Rapid Scoping Assessment

Using a modified version of the CapacityPlus Bottlenecks and Best Buys approach, CapacityPlus assessed 19 institutions training targeted health cadres. The intent was to find areas where support by CapacityPlus could assist Nigerian training institutions to maximize the number of newly trained health workers produced between August 2012 and October 2013. Based on the findings, the assessment team recommended six possible activities for CapacityPlus support to schools of midwifery and health technology. (The project subsequently acted on these recommendations in close collaboration with Nigerian stakeholders.)

Assessing the Relevance, Efficiency, and Sustainability of HIV/AIDS In-Service Training in Nigeria

This article presents the results of an assessment of HIV/AIDS in-service training provided to Nigerian health workers through funding from the US President’s Emergency Plan for AIDS Relief (PEPFAR). CapacityPlus conducted the assessment with an online survey tool developed using the In-Service Training Improvement Framework. A total of 39 partners providing PEPFAR-funded in-service training in Nigeria completed the survey. The survey captured the landscape of the types of training provided; the cadres of health workers receiving training; and the processes, procedures, and resources used by partners over the period January 2007–July 2012. Based on the findings, the authors make a number of recommendations for increasing the effectiveness of HIV/AIDS in-service training in Nigeria.

Nigeria’s Primary Health Care Training Institutions: Challenges and Progress

Nigeria is one of 57 countries defined by the World Health Organization as having a critical shortage of health workers. CapacityPlus undertook an assessment of Nigerian midwifery, health technology, and nursing schools to better understand the progress and challenges in producing greater numbers of competent and qualified health providers. Nineteen schools were assessed through focus group interviews and on-site evaluations. Presented at the 9th Annual Physician Workforce Research Conference in Alexandria, VA on May 2-3, 2013, this poster depicts the challenges that health care training institutions face in Nigeria, along with recommendations to overcome these challenges.

Situational Analysis of the Twinning Center Para-Social Worker Training Program in Tanzania, Ethiopia, and Nigeria

CapacityPlus conducted a situational analysis of a para-social worker training program in three country contexts. Para-social workers are volunteers who have received training in foundational skills in basic social service delivery to help address the human resources crisis in delivering social services to vulnerable populations, including children. This analysis validated that the twinning model is adaptable and should be employed to build a cadre of para-social workers at the local level. The analysis also provides the needed data for promoting and funding twinning practices and creating para-social worker cadres as an emergency human resources response to serving children made vulnerable by HIV/AIDS.

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