Queen Margaret University logo
    • Login
    View Item 
    •   QMU Repositories
    • eResearch
    • School of Health Sciences
    • The Institute for Global Health and Development
    • View Item
    •   QMU Repositories
    • eResearch
    • School of Health Sciences
    • The Institute for Global Health and Development
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    A case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency

    View/Open
    eResearch%204216.pdf (2.982Mb)
    Date
    2014-10
    Author
    Lembani, Martina
    Mohammed, Abdulaziz
    Abdulwahab, Ahmad
    Garba, Ashiru
    de Pinho, Helen
    Delobelle, Peter
    Zarowsky, Christina
    Ager, Alastair
    Metadata
    Show full item record
    Citation
    Lembani, M., Mohammed, A., Abdulwahab, A., Garba, A., de Pinho, H., Delobelle, P., Zarowsky, C. & Ager, A. (2014) A case study of health service provision in Yobe State, Nigeria in the context of the Boko Haram insurgency. ReBUILD Consortium.
    Abstract
    Health Systems Resilience: A Systems Analysis is a ReBUILD affiliate research project applying a systems dynamics approach to understand, predict and identify mechanisms that influence the resilience of health systems in contexts of adversity. The project is implemented by the Mailman School of Public Health, Columbia University, in collaboration with the School of Public Health, University of Western Cape. Resilience is now a dominant concept underpinning development and humanitarian support in contexts vulnerable to crisis, including conflict. This paper is an analysis of the circumstances in the health sector in Yobe state in northern Nigeria, related, and in response to the Boko Haram insurgency beginning around 2011 and continuing to the present. The paper makes a number of Key Points: Yobe State has faced severe disruption of its health service as a result of the Boko Haram insurgency. -Population migration and transport restrictions have severely impacted access to health provision . -The human resource for health capability of the state has been severely diminished through the outward migration of (especially nonindigenous) health workers and the suspension of programmes providing external technical assistance -The political will of the Yobe State government to strengthen health provision - through lifting a moratorium on recruitment and providing incentives for retention and support of staff - has supported a recovery of health systems functioning -Policies of free-drug provision and decentralized drug supply appear to have been protective of the operation of the health system -Community resources and cohesion have been significant assets in combatting the impacts of the insurgency on service utilization and quality -Staff commitment and motivation - particularly amongst staff indigenous to the state - has protected health care quality and enabled flexibility of human resource deployment -Systems modelling provided a mechanism to enable stakeholders to articulate a vivid picture of the interplay of key factors seen to influence response to the crisis -The methodology adopted appears promising for consolidating insights from multiple stakeholders regarding factors supporting - or undermining - health systems resilience
    URI
    https://rebuildconsortium.com/resources/research-reports/health-systems-resilience-yobe-case-study/
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/4216
    Collections
    • The Institute for Global Health and Development

    Queen Margaret University: Research Repositories
    Accessibility Statement | Repository Policies | Contact Us | Send Feedback | HTML Sitemap

     

    Browse

    All QMU RepositoriesCommunities & CollectionsBy YearBy PersonBy TitleBy QMU AuthorBy Research CentreThis CollectionBy YearBy PersonBy TitleBy QMU AuthorBy Research Centre

    My Account

    LoginRegister

    Queen Margaret University: Research Repositories
    Accessibility Statement | Repository Policies | Contact Us | Send Feedback | HTML Sitemap