ABSTRACT
The West African Health Organization (WAHO) supported an innovative regional initiative that contributes to building effective decision making, community and researcher partnerships to strengthen equitable health systems and influence local programmes and policies. Four projects were funded in Nigeria, Sierra Leone, Burkina Faso and Senegal, supported by a Regional Advisory Committee of experts and local Steering Committees. Based on a framework drawn from WAHO objectives, we reviewed documents, conducted 56 project stakeholder interviews and undertook thematic analysis. A diverse range of stakeholders perceived that the projects were in line with national priorities, were well managed and were equitably implemented. The projects generated evidence that could increase access to and improve quality maternal health services. Sustainable partnerships were formed and stakeholder and research team capacity were strengthened. Our study provides insight into project implementation in West Africa, bearing in mind context-specific issues. (Afr J Reprod Health 2022; 26[5]: 81-89).
Subject(s)
Equity in Access to Health Services , Structures Strengthening , Africa, Western , Delivery of Health Care , Regional Health Planning , Health GovernanceABSTRACT
Background:Health care workers are at risk of various occupational hazards such as blood borne and other pathogens infections in the hospital in the course of carrying out their duties. This study aims to assess the factors affecting compliance with standard precautions (SP)s among Health care workers in primary, secondary and tertiary hospitals in NigeriaMethods: A cross-sectional survey of 332 health care workers involved in clinical practices from 19 Government health facilities in North central Nigeria. A multi-staged sampling technique was used and data collected using a semi-structured self-administered questionnaire and analysed using Epi-info 7 and associations tested using chi square test and logistic regression. Level of significance was set at 5% Results:Of 332 participants interviewed, knowledge was above average in 274 (82.6%) of the respondents out of which 141 (42.5%) had good knowledge and 133 (40.1%) had fair knowledge. Majority of the respondents (76.2%) were compliant with SPs. Factors significantly affecting health care worker’s compliance type of health facility (p=0.022) and years of practice (p=0.044). Conclusion: Health care workers in primary health facilities were less likely to be compliant with standard precautions than those in tertiary health facilities. Training on infection prevention and control, was recommended.