ArticleBMC health services research2021
Human resource and governance challenges in the delivery of primary eye care: a mixed methods feasibility study in Nigeria.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors that influence eye care utilization in Nigeria: a systematic review.BMC public health · 2026Pooled it
- Seeing Inequalities: Self-Reported Visual Difficulty and Eye Care Utilization Among Women in Malawi, a Secondary Analysis of the 2024 Demographic and Health Survey Data.Vision (Basel, Switzerland) · 2026Article
- Integrating Community Health System Activities and Participation into the Primary Healthcare System for Ensuring Effective Community Participation and Achieving Health Goals in Nigeria.Annals of global health · 2026Article
- Experiences of primary eye care use among adults in Southern Ethiopia: A qualitative study.Health SA = SA Gesondheid · 2024Article
- Factors limiting glaucoma care among glaucoma patients in Nigeria: A scoping review.PLOS global public health · 2024Article
- Article
- Configurations associated with the efficiency of the ophthalmology departments in public hospitals of Central South China.PloS one · 2024Article
- Impact of Employees' Workplace Environment on Employees' Performance: A Multi-Mediation Model.Frontiers in public health · 2022Article
- Assessing the capacity of primary health care facilities in Nigeria to deliver eye health promotion: Results of a mixed-methods feasibility study.PLOS global public health · 2022Article
- Policies for primary eye health care in Nigeria: a case study.Community eye health · 2021Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTo increase access to eye care, the World Health Organization's Africa Region recently launched a primary eye care (PEC) package for sub-Saharan Africa. To determine the technical feasibility of implementing this package, the capacity of health systems at primary level needs to be assessed, to identify capacity gaps that would need to be addressed to deliver effective and sustainable PEC. This study reports on the human resource and governance challenges for delivering PEC in Anambra State, Nigeria.
methodsDesign: This was a mixed methods feasibility study. A desk review of relevant Nigerian national health policy documents on both eye health and primary health care was conducted, and 48 primary health care facilities in Anambra state were surveyed. Data on human resource and governance in primary health facilities were collected using structured questionnaires and through observation with checklists. In-depth interviews were conducted with district supervisors and selected heads of facilities to explore the opportunities and challenges for the delivery of PEC in their facilities/districts. Data were analysed using the World Health Organization's health system framework.
resultsA clear policy for PEC is lacking. Supervision was conducted at least quarterly in 54% of facilities and 56% of facilities did not use the standard clinical management guidelines. There were critical shortages of health workers with 82% of facilities working with less than 20% of the number recommended. Many facilities used volunteers and/or ad hoc workers to mitigate staff shortages.
conclusionOur study highlights the policy, governance and health workforce gaps that will need to be addressed to deliver PEC in Nigeria. Developing and implementing a specific policy for PEC is recommended. Implementation of existing national health policies may help address health workforce shortages at the primary health care level.
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