EXPLORING ORGANIZATIONAL CAPACITY STRENGTHENING FACTORS INFLUENCING THE USE OF COMMUNICATION FOR DEVELOPMENT TECHNIQUES FOR ENHANCEMENT OF PRIMARY HEALTH CARE SERVICES ADMINISTRATION IN NIGERIA
DOI:
https://doi.org/10.20319/pijss.2019.51.554575Keywords:
Communication for Development, Primary Health Care Services, NGO, OCAT, Organizational Capacity Assessment Tool, PHC, Organizational Capacity Strengthening, SustainabilityAbstract
The impacts of organizational capacity-strengthening support provided by local non-governmental organizations toward the utilization of communication for development techniques (advocacy and behavior change communication) for the improvement of primary health care services administration in the North-eastern Nigerian state of Yobe were explored. Using the organizational capacity assessment tool model and critical discourse analysis, the responses of five key management personnel of Yobe State Primary Health Care Management Board were analyzed. Organizational capacity strengthening in respect of organizational governance, coordination and partnerships, organizational planning, human resource development and management board dimensions appeared to have salient influences on the utilization of communication for development techniques in primary health care services administration with budgeting and financing dimensions having weaker influences. Perceived sustainability crisis and government political commitment appeared to play a moderating role.
References
Breuer, E., Lee, L., De Silva, M., & Lund, C. (2016). Using theory of change to design and evaluate public health interventions: A systematic review. Implementation Science, 11(63), 1-17. https://doi.org/10.1186/s13012-016-0422-6
Chibuzor, O. (2018, November 30). Yobe proposes N91.6bn budget for 2019. ThisDay. Retrieved from https://www.thisdaylive.com/index.php/2018/11/30/yobe-proposes-n91-6bn-budget-for-2019/?amp
Craig, A. C. & Allen, W. M. (2013). Sustainability information sources: Employee knowledge, perceptions and learning. Journal of Communication Management, 17(4), 292-307. https://doi.org/10.1108/JCOM-05-2012-0035
Creswell, J. W. & Poth, C. N. (2017). Qualitative inquiry and research design: Choosing among five approaches. New Delhi: Sage Publications, p. 59.
Dart, J. & Davies, R. (2003). A dialogical, story-based evaluation tool: The most significant change technique. The American Journal of Evaluation, 24(2), 137-155. https://doi.org/10.1177/109821400302400202
Das, M. K. (2018). Visibility and scope for information and communication functions in India’s development sector. Journal of Development Communication, 29(2), 27-38.
Das, M. K. (2017). Prioritizing communication in development initiatives: The missing link between theory and practice in India’s development sector. The Journal of Development Communication, 28 (1-2), 12-22.
Ebenso, B., Manzano, A., Uzochukwu, B., Etiaba, E., Huss, R., Ensor, T., et al. (2018). Dealing with context in logic model development: Reflections from a realist evaluation of a community health worker program in Nigeria. Evaluation and Program Planning, 73(2019), 97-110. https://doi.org/10.1016/j.evalprogplan.2018.12.002
Ebenso, B., Manzano, A., Uzochukwu, B., Huss, R., Etiaba, E., Ensor, T., et al. (2015). Research methodology. REVAMP project: Determinants of effectiveness and sustainability of a novel community health workers program in improving mother and child health in Nigeria. Leeds, UK: University of Leeds unpublished.
FMOH (2017). National health facility survey 2016 final report. Federal Ministry of Health Report, May 2017, Abuja, Nigeria, p. 33, 99.
Ghaffar, A., Langlois, E. V., Rasanathan, K., Peterson, S., Adedokun, L., & Tran, N. T. (2017). Strengthening health systems through embedded research. Bulletin of the World Health Organization, 95(7), 87. https://doi.org/10.2471/BLT.16.189126
Gurman, T. A., Awatang, G., & Leslie, L. T. (2018). Evaluating capacity strengthening for social and behavior change communication through outcome harvesting: Insights from Ethiopia, Bangladesh and Liberia. Journal of Development Communication, 29(2), 1-16.
Health Communication Capacity Collaborative (HC3). (2016). The SBCC Capacity EcosystemTM: A model for social and behavior change communication capacity strengthening. Retrieved from https://healthcommcapacity.org/wpcontent/uploads/2016/07/CapacityEcosystem-Public6-13.pdf
Ichplani, P., Kumar, A., & Mayberry, J. (2018). Engaging rural communities in communication processes: Lessons from video volunteers’ India unheard program. Journal of Development Communication, 29(2), 39-55.
Judge, K., & Bauld, L. (2001). Strong theory, flexible methods: Evaluating complex community-based initiatives. Critical Public Health, 11(1), 19-38. https://doi.org/10.1080/09581590010028237
Kabo, I., Orobaton, N., Abdulkarim, M., Otolorin, E., Akomolafe, T., Abegunde, D., et al. (2018). Strengthening and monitoring health system’s capacity to improve availability, utilization and quality of emergency obstetric care in Northern Nigeria. PLoS ONE, 14(2), e0211858. https://doi.org/10.1371/journal.pone.0211858
Kareithi R. & Reichert K. (2012). Report on validating and weighting the BLC organizational capacity assessment tool. MSH, BLC Project, Pretoria, South Africa.
LeMay, N. (2010). Managing information: Monitoring and evaluation (Chapter 8). In Health systems in Action: An E-Handbook for Leaders and Managers. Cambridge, USA: Management Sciences for Health.
Lindlof, T. R., & Taylor, B. C. (2002). Qualitative communication research methods, Thousand Oaks, CA: Sage.
McLaughlin, J. A., & Jordan, G. B. (2015). Using logic models. In K. E. Newcomer, H. P. Hatry, & J. S. Wholey (Eds.), Handbook of practical program evaluation (4th ed.) (pp. 62–87). New Jersey: Wiley. https://doi.org/10.1002/9781119171386.ch3
Melkote, S. & Steeves, H. L. (2001), Communication for development in the Third World: Theory and practice for empowerment, New Delhi: Sage Publications. https://doi.org/10.4135/9788132113751
Moemeka, A. A. (1994). Development communication: A historical and conceptual overview. In A. A. Moemeka (Ed.), Communication for development: A new pan-disciplinary perspective (pp. 3-22). Albany, N.Y: State University of New York Press.
Mirzoev, T., Etiaba, E., Ebenso, B., Uzochukwu, B., Manzano, A., Onwujekwe, O., et al. (2016). Study protocol: Realist evaluation of effectiveness and sustainability of a community health workers program in improving maternal and child health in Nigeria. Implementation Science, 11(83), 1-11. https://doi.org/10.1186/s13012-016-0443-1
Mirzoev, T., Omar, M., Green, A., Bird, P., Lund, C., Ofori-Atta, A., et al. (2012). Research-policy partnerships – Experiences of the mental health and poverty project in Ghana,
South Africa, Uganda and Zambia. Health Research Policy and Systems, 10(30), 1-14. Retrieved from http://www.health-policy-systems.com/content/10/1/30
MSH (2010). Challenges encountered in capacity building: Review of literature and selected tools. Position Paper No 10, April 2010. Retrieved from http://www.msh.org/resourcecenter/publications/challenges-encountered-in-capacity-building.cfm
Powell, B. J., Beidas, R. S., Lewis, C. C., Aarons, G. A., McMillen, J. C., Proctor, E. K., et al. (2017). Methods to improve the selection and tailoring of implementation strategies. The Journal of Behavioral Health Services & Research, 44(2), 177-194. https://doi.org/10.1007/s11414-015-9475-6
Reijseger, G., Peeters, M. C. W., Taris, T. W., & Schaufeli, W. B. (2017). From motivation to activation: Why engaged workers are better performers. Journal of Business Psychology 32, 117-130. https://doi.org/10.1007/s10869-016-9435-z
Riggio, R. E. (2013). Introduction to industrial/organizational psychology (6th Ed.), New York: Pearson Education, Inc.
Shadish, W. R., Cook, T. D., & Leviton, L. C. (1991). Foundations of program evaluation: Theories of practice. Newbury Park, CA: Sage Publications.
Shapiro, J. (2007). Monitoring and evaluation. Civicus: Johannesburg/Washington.
Silvestri, G., Wittmayer, J. M., Schipper, K., Kulabako, K., Oduro-Kwarteng, S., Nyenje, et al. (2018). Transition management for improving the sustainability of WASH services in informal settlements in Sub-Saharan Africa: An exploration. Sustainability, 10(4052). 1-19. https://doi.org/10.3390/su10114052
Sinha, D. (2013). Development communication: Contexts for the twenty-first century. Hyderabad: Orient Blackswan Private Limited.
The World Bank (2017). Service delivery indicators. Retrieved from http://www.givewell.org/service-delivery-indicators/March-2015-update#SDIs_progress
The World Bank (2016). Birth and death rates, crude (per 1,000 people): Overview per country. Retrieved from http://data.worldbank.org/indicator/SP.DYN.CBRT.IN?end=2014&start=1961
UNDP (2011). Communication for development: Strengthening the effectiveness of the United Nations. New York, NY: UNDP, p. 1. Retrieved from https://www.undp.org/governance
UNESCO (2007). Towards a common UN system Approach: The role of communication for development in achieving the MDGs. UNESCO Background Paper for 10th Inter-Agency Round Table on Communication for Development Round Table. In Towards a common UN System Approach: Harnessing Communication to Achieve the Millennium Development Goals, Paris: UNESCO/UNDP.
UNFPA (2015). Facility assessment for reproductive health commodities and services in Nigeria: 2014 survey report. Abuja: UNFPA.
USAID (2012). Country ownership and organizational capacity building: Beyond principles to practices. Arlington: Prentice-Hill.
USAID & MSH (2013 September). Building local capacity for delivery of HIV services in Southern Africa project: BLC organizational capacity assessment tool user guide. Washington DC: United States Agency for International Development and Management Sciences for Health.
Van Dijk, T. A. (1993). Principles of critical discourse analysis. Discourse and Society, 4(2), 249-283. https://doi.org/10.1177/0957926593004002006
Vanguard (2016, December 2). Only 4% of Nigerians covered by NHIS. Vanguard. Reprieved from http://www.vanguardngr.com/2016/12/4-nigerians-covered-nhis/
Van Iddekinge, C. H. (2018). A meta-analysis of the interactive, additive and relative effects of cognitive ability and motivation on performance. Journal of Management, 44(1), 249-279. https://doi.org/10.1177/0149206317702220
Wieczorek, A. (2018). Sustainability transitions in developing countries: Major insights and their implications for research and policy. Environ. Sci. Policy, 84, 204-216. https://doi.org/10.1016/j.envsci.2017.08.008
YSMOH (2014). Yobe State Government health sector: Medium term sector strategy (rollover 2015-2017). Yobe State Ministry of Health report, October, Damaturu, Yobe State, Nigeria, p. 10.
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