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Abstract
The objectives of this cross-sectional intervention study were to improve policy makers' understanding of health sector reforms through a training workshop and to assess the perception of policy makers and the general public about health systems performance in Nigeria. Health systems performance was generally rated low by respondents (< 2.5 out of 4). Health service delivery and health workforce were the lowest rated health systems components (< 2.2 out of 4). Efforts need to be intensified to enhance competencies of policy makers to adopt an evidence-informed process in health reform programs. Inputs from the public must be given adequate consideration in addressing the challenges of health systems.
Notes
The authors are grateful to the World Health Organization for its provision of financial support for this study through the Alliance for Health Policy and Systems Research (research grant no. 2009/25025-0; PO-No. 2 00072059). This is the fifth of the series of interventional workshops designed to promote evidence-informed health policy making in Nigeria. The authors are grateful to the Honorable Commissioner for Health, Ebonyi State, Nigeria, Dr. Sunday Nwangele for approving the participation of the directors, heads of department, and project managers from the Health Ministry in this workshop. The authors thank all the researchers, policy makers, and other stakeholders for their cooperation and participation.
*The values represent a Likert rating of 1–4 points, where 1 = grossly inadequate, 2 = inadequate, 3 = fairly adequate, and 4 = very adequate. In terms of analysis, values ranging from 1.00 to 2.49 points are considered low, whereas values ranging from 2.50 to 4.00 points are considered high.