ACHIEVING LOCAL DEVELOPMENT GOALS: ANALYZING 2023 LGAS ANNUAL OPERATIONAL PLANS IN NORTHWESTERN NIGERIA
DOI:
https://doi.org/10.55197/qjmhs.v4i1.124Keywords:
annual operational plan, implementation, local government health authority, health system performance, Northwestern Nigeria, primary healthcareAbstract
Effective implementation of Annual Operational Plans (AOP) is critical for achieving health system goals, particularly in decentralized governance structures. This study evaluates the 2023 implementation of AOPs across 21 Local Government Areas (LGAs) in Kebbi State, Northwestern Nigeria to identify performance trends, strengths, and challenges. A tracking methodology was employed, involving five data collectors assigned to geographically clustered LGAs. Data collectors engaged directly with Local Government Health Authority (LGHA) members during monthly sessions to track implementation progress using a structured Google Sheets-based tracker. Descriptive and comparative analyses were conducted to assess implementation rates across LGAs and operational planning pillars. The average implementation rates across LGAs ranged from 79% in Zuru to 94% in Bagudo, with most LGAs achieving over 80%. Pillar-specific analysis revealed high performance in Health Promotion (96%) and Leadership and Governance (94%), while Partnership for Health and Public Health Emergencies lagged at 67%. Funding contributions from various stakeholders demonstrated strong collaboration, with key insights pointing to geographic disparities and systemic challenges in underperforming areas. The findings highlight significant achievements in the implementation of the 2023 AOP while uncovering critical areas requiring attention, particularly in infrastructure and partnerships. These insights provide a robust foundation for improving planning and resource allocation in future cycles, contributing to the sustainability of primary healthcare services.
References
Adam, A., Fusheini, A., Kipo-Sunyehzi, D.D. (2021): A collaborative health promotion approach to improve rural health delivery and health outcomes in Ghana: a case example of a community-based health planning and services (CHPS) strategy. – In Rural Health, IntechOpen 28p.
Adetunji, A., Addo, B., Abegunde, D., Kalamar, A., Tulsiani, N.J., Sripad, P., Oyedokun-Adegbabo, F., Ankomah, A. (2025): Improving health outcomes by strengthening public sector capacity in social and behaviour change programming in Nigeria: a qualitative study. – BMJ Open 15(1): 11p.
AlTaweel, I.R., Al-Hawary, S.I. (2021): The mediating role of innovation capability on the relationship between strategic agility and organizational performance. – Sustainability 13(14): 14p.
Al-Assaf, K., Alzahmi, W., Alshaikh, R., Bahroun, Z., Ahmed, V. (2024): The relative importance of key factors for integrating Enterprise Resource Planning (ERP) systems and performance management practices in the UAE Healthcare Sector. – Big Data and Cognitive Computing 8(9): 33p.
Al Awaidy, S.T., Khamis, F., Al Attar, F., Razzaq, N.A., Al Dabal, L., Al Enani, M., Alfouzan, W., Al Maslamani, M., Al Romaihi, H., Al Salman, J., Altawalah, H. (2021): COVID-19 in the Gulf Cooperation Council member states: an evidence of effective response. – Oman Medical Journal 36(5): 8p.
Al Kurdi, B., Alshurideh, M., Akour, I., Tariq, E., Alhamad, A., Alzoubi, H.M. (2022): The effect of social media influencers’ characteristics on consumer intention and attitude toward Keto products purchase intention. – International Journal of Data and Network Science 6(4): 1135-1146.
Arfi, W.B., Nasr, I.B., Kondrateva, G., Hikkerova, L. (2021): The role of trust in intention to use the IoT in eHealth: Application of the modified UTAUT in a consumer context. – Technological Forecasting and Social Change 167: 15p.
Aruleba, K., Jere, N. (2022): Exploring digital transforming challenges in rural areas of South Africa through a systematic review of empirical studies. – Scientific African 16: 13p.
Badewa, A.S., Dinbabo, M.F. (2023): Multisectoral intervention on food security in complex emergencies: a discourse on regional resilience praxis in Northeast Nigeria. – GeoJournal 88(2): 1231-1250.
Balogun, J.A. (2022): The vulnerabilities of the Nigerian healthcare system. – In The Nigerian healthcare System: Pathway to Universal and High-Quality Health Care, Cham: Springer International Publishing 35p.
Belay, T., Chugunov, D., Dahal, M., De Simone, M.E., Gafar, A., Isser, D., Nweje, I.J., Okunola, O.O., Parajuli, D., Pradhan, E. (2024): Human Capital Public Expenditure and Institutional Review-An analysis of financing and governace constraints for the delievry of basic education and primary health care in Nigeria. – World Bank 106p.
Chidi, E.N., Ukorah, C.P., Ifeoma, C.N., Ifeoma, P.U. (2023): Social injustice and the threat of insurgency in Nigeria: An evaluation. – International Journal of Social Science and Management Studies 2(4): 1-13.
Elemuwa, C.O., Ainu, M., Adias, T.C., Ufuoma, R.S., Sunday, O.A., Elemuwa, U.G., Henshaw, A., Adebisi, O.L., Oyetunde, A.B., Raimi, M.O. (2024): Transforming primary healthcare in Nigeria: Enhancing universal health coverage through strong and sustainable primary healthcare laboratories. – Qeios 31p.
Grieco, L., Utley, M., Crowe, S. (2021): Operational research applied to decisions in home health care: A systematic literature review. – Journal of the Operational Research Society 72(9): 1960-1991.
Kotharkar, R., Ghosh, A. (2022): Progress in extreme heat management and warning systems: A systematic review of heat-health action plans (1995-2020). – Sustainable Cities and Society 76: 25p.
Lawal, I.K., Suleiman, A.K., Bagudu, Z., Kanmodi, K.K., Abdulsalam, G.A., Olakunle, O.S. (2021): Planning and advocating for cervical cancer prevention in Kebbi State, Nigeria: Learning points for the global call to eliminate cervical cancer. – International Journal of Gynecology & Obstetrics 152(1): 26-31.
Mohammed, Y., Reynolds, H.W., Waziri, H., Attahiru, A., Olowo-Okere, A., Kamateeka, M., Waziri, N.E., Garba, A.M., Corrêa, G.C., Garba, R., Vollmer, N. (2024): Exploring the landscape of routine immunization in Nigeria: A scoping review of barriers and facilitators. – Vaccine: X 20: 13p.
Mustafa, S., Zhang, Y., Zibwowa, Z., Seifeldin, R., Ako-Egbe, L., McDarby, G., Kelley, E., Saikat, S. (2022): COVID-19 Preparedness and Response Plans from 106 countries: a review from a health systems resilience perspective. – Health Policy and Planning 37(2): 255-268.
Nakayama, L.F., Binotti, W.W., Link Woite, N., Fernandes, C.O., Alfonso, P.G., Celi, L.A., Regatieri, C.V. (2023): The digital divide in Brazil and barriers to telehealth and equal digital health care: analysis of internet access using publicly available data. – Journal of Medical Internet Research 25: 10p.
Olazabal, M., De Gopegui, M.R. (2021): Adaptation planning in large cities is unlikely to be effective. – Landscape and Urban Planning 206: 18p.
Pereira, R.H., Braga, C.K.V., Servo, L.M., Serra, B., Amaral, P., Gouveia, N., Paez, A. (2021): Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach. – Social Science & Medicine 273: 13p.
Stefanakis, A.I., Calheiros, C.S., Nikolaou, I. (2021): Nature-based solutions as a tool in the new circular economic model for climate change adaptation. – Circular Economy and Sustainability 1: 303-318.
Towoju, F.V. (2023): Exploring the role of socio-economic and cultural factors influencing the occurrence of VVF in Northern Nigeria. – Manchester Metropolitan University 435p.
World Health Organization (WHO) (2021a): Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach. – World Health Organization 594p.
World Health Organization (WHO) (2021b): Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. – World Health Organization 108p.
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Copyright (c) 2025 KABIRU GULMA, TIJJANI UMAR, ALIYU MOHAMMED, MUSA MAGANA, HAMZA SADIQ, MUHAMMAD WAZIRI, NUHU SHEHU HUSSAINI
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