Policy intervention and child health governance in Southwestern Nigeria
| dc.contributor.author | Abe, Teniola Deborah. | |
| dc.date.accessioned | 2025-10-08T16:23:19Z | |
| dc.date.available | 2025-10-08T16:23:19Z | |
| dc.date.issued | 2024 | |
| dc.description | xiii,89p. | |
| dc.description.abstract | This study examined the strategies of policy intervention put in place for the management of neonatal mortality in Southwestern Nigeria; determined the effectiveness of policy intervention strategies on the management of neonatal mortality in the study area; and analysed the challenges of policy intervention affecting the management of neonatal mortality in Southwestern Nigeria. These were with a view to providing insights on the contributions of policy intervention on neonatal mortality management in Southwestern Nigeria. The study utilised a descriptive research design. The population of the study (105) consisted of Doctors, Midwives, Nurses, Health workers, Officials of the Ministry of Health, Budget and Planning and Women Affairs, pregnant women, and neonatal mothers. Two (2) states were purposively selected from the Southwestern Region namely: Lagos and Ogun State. The two (2) states were selected because they are states with highest neonatal mortality rate (Ogun State) and lowest neonatal mortality rate (Lagos State) respectively compared to other southwestern states, according to the Multiple Indicator Cluster Survey (MICS 6, 2021). In the selected states, the following were interviewed: 1 official in each ministry, 5 medical practitioners in each of tertiary health care, 3 medical practitioners in each of the secondary health care and 3 medical practitioners each in the primary health, making a total of (3) official from the ministry in Lagos and Ogun state, 15 officials from the tertiary hospital, (2) tertiary health care in Lagos which is Private and Public and (1) tertiary health care in Ogun State which is Public, 18 officials from secondary health care (9 from each), and 18 primary health care workers (9 from each state) - 3 FGDs was conducted in each state among the pregnant women and nursing mothers each which constituted of 8 people, making a total of 24 people per state. Secondary data was obtained from books, journals, articles the internet, annual reports, workshops, conferences seminar papers, newspapers, and policy documents relating to the subject matter. Data collected was analysed using content analysis. The findings revealed that Lagos and Ogun States had implemented various strategies to manage neonatal mortality, but with differing levels of successes and challenges. Lagos State has prioritized exclusive breastfeeding promotion, immunization drives, free antenatal and delivery services, collaborating with NGOs and private entities, which has effectively reduced neonatal mortality rates. However, challenges like inadequate infrastructure and financial constraints persist. The Ibidero Scheme in Ogun State aims to reduce the use of traditional birth attendants by providing free antenatal and delivery services, along with financial incentives given after delivery. While the initiative has made some progress, it faces significant challenges, including inconsistent funding and a lack of healthcare facilities in rural areas. Public-private partnerships in both states have provided additional resources and expertise, yet socio-economic factors continue to influence the effectiveness of these interventions, leading to disparities in health outcomes across different regions and socio economic groups. The study concluded that policy intervention has been successful in reducing neonatal mortality in Lagos, while in Ogun State, it has been fairly successful, indicating the need for further improvements to achieve a reduction in neonatal mortality in child health governance. | |
| dc.identifier.citation | Abe, T. D. (2024). Policy intervention and child health governance in Southwestern Nigeria, Department of Political Science, Faculty of Social Sciences. Obafemi Awolowo University Ile-Ife | |
| dc.identifier.other | ror.org/04nhqa82 | |
| dc.identifier.uri | https://ir.oauife.edu.ng/handle/123456789/7096 | |
| dc.language.iso | en | |
| dc.publisher | Department of Political Science, Obafemi Awolowo University. | |
| dc.title | Policy intervention and child health governance in Southwestern Nigeria | |
| dc.type | Thesis |