OYEYEMI, Adeola I. and Covenant University, Theses (2021) CITIZENS’ PARTICIPATION AND NIGERIA’S PRIMARY HEALTHCARE POLICY IMPLEMENTATION IN OGUN STATE (2009-2019). ["eprint_fieldopt_thesis_type_phd" not defined] thesis, Covenant University.
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Abstract
This study focused on investigating the relationship between citizens’ participation and primary healthcare policy implementation in Ogun State, Nigeria from 2009-2019. Citizens’ participation is a component of primary healthcare that has been minimally researched in developing countries such as Nigeria. However, it has been utilised in many external countries in creating accountability and enhancing healthcare policy implementation. This way, the healthcare system is universal and equitable, ensuring good health and wellbeing of all citizens for a robust national and sustainable development. To accomplish this, four specific objectives were formulated. The study was predicated upon the application of Political Systems Theory which explains the need and influence of diverse stakeholders in the public and health systems discourse. A cross-sectional research design was employed with qualitative and quantitative method of data collection: in-depth interviews, focus group discussions and Citizens’ Participation Questionnaire to gather information from citizens at 12 Local Government Areas (LGAs) of Ogun State. Corroborating materials were obtained from primary healthcare coordinators/medical doctors and other health professionals. Through a multi-stage sampling technique (stratified, purposive and simple random), 500 respondents were sampled. Data collected were analysed with univariate statistical tools of frequency and percentage, bivariate analysis of inferential statistics with Karl Pearson Product Moment Correlation and Linear Regression; and qualitativequalitative data were coded and thematically analysed under five (5) themes. The significant level was considered when p<0.05. The results revealed that there is a positive and significant relationship between citizens’ participation and a successful primary healthcare policy implementation in Ogun State. This was corroborated by the high percentage of citizens as members within local and state associations, forms of citizens’ participation mechanisms, which resonates to a sense of citizens empowerment. However, the impact of the relationship and participation are not seen in the citizens nor within their communities, thereby revealing a tokenism level of participation to appease the citizens. The study therefore underscores a departure from the norm with the need for a more integrated and inclusive policy process that emphasizes citizens’ participation through bottom-top approach to healthcare operations. Also, a utilisation reprogramming of community health extension workers for maximum reach.
| Item Type: | Thesis (["eprint_fieldopt_thesis_type_phd" not defined]) |
|---|---|
| Uncontrolled Keywords: | Citizens’ participation, policy implementation, primary healthcare, Ogun State, Nigeria |
| Subjects: | J Political Science > JA Political science (General) J Political Science > JZ International relations |
| Divisions: | Faculty of Law, Arts and Social Sciences > School of Social Sciences |
| Depositing User: | Mrs Hannah Akinwumi |
| Date Deposited: | 15 Apr 2021 11:10 |
| Last Modified: | 15 Apr 2021 11:10 |
| URI: | http://eprints.covenantuniversity.edu.ng/id/eprint/13984 |
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