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Primary healthcare planning, bottleneck analysis and performance improvement: An evaluation of processes and outcomes in a Nigerian context

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  • Eboreime, Ejemai Amaize
  • Idika, Obinna
  • Omitiran, Kasarachi
  • Eboreime, Oghenekome
  • Ibisomi, Latifat

Abstract

Operational planning of interventions defines roadmaps, timelines and resources necessary for translating policies into expected health outcomes along the evidence-policy-implementation continuum. However, bottlenecks often hinder the attainment of objectives and the timely delivery of intervention packages leading to sub-optimal performance of health systems. Bottleneck identification, analysis and removal approaches to planning, which requires key stakeholders’ participation, have been recommended to improve health system outcomes in LMICs. This study demonstrates how integration of participatory action research (PAR) within a quality improvement model can help navigate the complexities of health system bottleneck analyses, planning and performance improvement in a Nigerian sub-national context.

Suggested Citation

  • Eboreime, Ejemai Amaize & Idika, Obinna & Omitiran, Kasarachi & Eboreime, Oghenekome & Ibisomi, Latifat, 2019. "Primary healthcare planning, bottleneck analysis and performance improvement: An evaluation of processes and outcomes in a Nigerian context," Evaluation and Program Planning, Elsevier, vol. 77(C).
    • Handle: RePEc:eee:epplan:v:77:y:2019:i:c:s014971891930182x
    DOI: 10.1016/j.evalprogplan.2019.101712
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    References listed on IDEAS

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    1. Mburu, F. M., 1994. "Health delivery standards: Vested interests in health planning," Social Science & Medicine, Elsevier, vol. 39(9), pages 1375-1384, November.
    2. Bradley, Janet E. & Mayfield, Marcia V. & Mehta, Manisha P. & Rukonge, Anatole, 2002. "Participatory evaluation of reproductive health care quality in developing countries," Social Science & Medicine, Elsevier, vol. 55(2), pages 269-282, July.
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    Cited by:

    1. Eboreime, Ejemai Amaize & Olawepo, John Olajide & Banke-Thomas, Aduragbemi & Ramaswamy, Rohit, 2021. "Evaluating the design and implementation fidelity of an adapted Plan-Do-Study-Act approach to improve health system performance in a Nigerian state," Evaluation and Program Planning, Elsevier, vol. 84(C).

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