| Titre : | A qualitative study on the EU-SIGN project in Nigeria: exploring the impact of implementing external technical assistance on strengthening immunization and healthcare systems in low-income countries through development aid projects |
| Auteurs : | Rouba Gerges ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 36p. / fig., tabl. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Système santé ; Assistance sanitaire & technique ; Pays voie développement ; Couverture vaccinale ; Politique santé ; Qualité soins ; Bureaucratie ; Qualité ; Nigeria |
| Résumé : |
Background: The EU-SIGN was an initiative aimed at strengthening healthcare and immunization systems in Nigeria through technical assistance. This assistance is a main component of health aid to developing countries, yet its success factors are uncertain. This study explores the impacts and effectiveness of EU-SIGN’s external technical assistance, considering the broader challenges faced by low-income countries in enhancing healthcare systems through development aid projects and could inform the design of similar initiatives.
Methods: This exploratory qualitative study utilized semi-structured interviews and document analysis to gather data. Stakeholders from various levels of project implementation, including health workers, government officials, and project managers, were interviewed to assess their perspectives on the EU-SIGN project's impact on health system strengthening in Nigeria in May 2024. Main themes were identified to analyze the interviews: impact on immunization, capacity building, governance and policy influence, integration of immunization services, stakeholder engagement and coordination, and sustainability of improvements. Project documents and reports were also analyzed to support interview data and provide a comprehensive understanding of project outcomes and strategies. Subsequently, we analysed the interviews content using a triangulation method with the findings of the document analysis. Results: The EU-SIGN project through TA significantly improved immunization coverage and healthcare delivery by enhancing management systems, capacity building, and infrastructure development. Notable achievements include the establishment of State Primary Health Care Development Agencies under the Primary Health Care Under One Roof (PHCUOR) policy, and improved immunization coverage through effective supply chain management and cold chain systems. However, challenges such as bureaucratic delays, dependency on external funding, and resistance to change were identified as barriers to sustainable improvements. Conclusion: The EU-SIGN project demonstrates the potential of external technical assistance to strengthen health systems in low-income settings by providing necessary resources, expertise, and infrastructure support. However, the sustainability of such initiatives requires continued local engagement, integration into national health policies, and overcoming bureaucratic and logistical barriers. Future research might explore the role of global health partnerships like Gavi in further enhancing vaccination and health system strengthening to inform the design of integrated health initiatives. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/salome_garnier.pdf |
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