Health Policy Research Group, College of Medicine, University of Nigeria, Nsukka, Nigeria.
Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
BMC Health Serv Res. 2023 Aug 14;23(1):863. doi: 10.1186/s12913-023-09827-4.
The COVID-19 pandemic overwhelmed the health systems and socio-economic foundations of many countries, Nigeria inclusive. The study was carried out to assess, understand, document and report the activities/measures that are considered nationally and sub-nationally significant, both in terms of COVID-19 responses and in terms of strengthening the health system for the future, in response to future threats since this will not be the last pandemic This paper examines how partnerships contributed to the health system and other sectors' responses to COVID - 19 infection in Nigeria.
This was a qualitative study. Data was collected using a scoping literature review and key informant interviews with 36 key stakeholders in the COVID-19 response in Nigeria, in Abuja (national level) Lagos and Enugu states (sub-national level). Interviews were recorded and transcribed verbatim. The qualitative data was analysed using thematic analysis.
It was found that many partnerships were formed when responding to the COVID-19 pandemic in Nigeria. The health system leaned towards a horizontal dimension of partnership with non-health governmental sectors, non-governmental sectors, and other countries. All the components of the health system building blocks had a measure of partnership contributing to its accomplishments The partnerships came in varied forms, ranging from advocacy, funding, provision of palliatives to the citizens because of lockdowns, technical assistance, support to research, development of guidelines and health educational materials.
The health sector's collaboration with other sectors strengthened all the building blocks of the health system and was invaluable in enhancing the response to COVID-19, which needed a whole of government and a multi-sectoral approach. Formal frameworks for quickly initiating whole-of-government and multi-sectoral partnerships should be developed, with clear roles and responsibilities. This should be deployed for health system resilience and for response to shocks such as the COVID-19 pandemic.
COVID-19 大流行使许多国家的卫生系统和社会经济基础不堪重负，尼日利亚也不例外。本研究旨在评估、了解、记录和报告在 COVID-19 应对以及加强未来卫生系统方面被认为具有国家和国家以下层面重要意义的活动/措施，以应对未来的威胁，因为这不会是最后一次大流行。本文探讨了伙伴关系如何为尼日利亚卫生系统和其他部门应对 COVID-19 感染做出贡献。
这是一项定性研究。使用范围界定文献综述和对尼日利亚 COVID-19 应对中的 36 名关键利益攸关方（在阿布贾（国家一级）、拉各斯和埃努古州（国家以下一级））进行的关键知情人访谈收集数据。访谈进行了录音并逐字记录。使用主题分析对定性数据进行分析。
研究发现，在尼日利亚应对 COVID-19 大流行期间，许多伙伴关系得以形成。卫生系统倾向于与非卫生政府部门、非政府部门和其他国家建立横向伙伴关系。卫生系统组成部分的所有内容都有一定程度的伙伴关系，为其成就做出了贡献。伙伴关系的形式多种多样，包括宣传、为因封锁而向公民提供的救济、技术援助、对研究的支持、制定准则和健康教育材料。
卫生部门与其他部门的合作加强了卫生系统的所有组成部分，对于增强对 COVID-19 的应对至关重要，这需要一个整体政府和多部门的方法。应该制定正式框架，以便快速启动全政府和多部门伙伴关系，明确角色和责任。这应该用于卫生系统的弹性以及应对 COVID-19 等冲击。
