What are the Perspectives of Stakeholders on Integrated Development in Nigeria? Findings from a Survey among Program Managers, Donors and Policymakers

Download Article

DOI: 10.21522/TIJPH.2013.09.02.Art027

Authors : Edward Adekola Oladele, Tolulope Oladele, Utibe Ebong, Olusesan Ayodeji Makinde, Robert Chiegil

Abstract:

Integrated development generally refers to integrated implementation of quality interventions within or across sectors aimed at stimulating development. Funders/donors, policymakers, and programme managers are key stakeholder groups that determine the success of integrated development interventions. A shared convergence in their perspectives enables joint plans and actions. Our objectives were to determine the perspectives of integrated development, among selected stakeholder groups in Nigeria, and to discuss implications for practice. This was a quantitative survey. We used a multi-stage random sampling technique to select a representative sample of 301 key stakeholders in Nigeria. We analysed the data using SPSS. Almost half (49.5%) of these respondents were senior level stakeholders and 46.5% of them had over 10 years of experience. Respondents’ perspectives of the meaning of integrated development varied. Respondents mostly (69.8%) felt that ID meant multi-sectoral interventions. Perspectives also varied by stakeholder type, sector and characteristics. Enhancing collaborations and strengthening human capacity was the predominant benefit among funders/donors (70.4%) while the most predominantly expressed benefit among the policy makers (78.9%) and programme managers (78.3%) was that ID yields more impactful and sustainable interventions. These findings clearly show that nuanced communication of integrated development is needed to achieve consensus and programme success.

References:

[1] FHI 360, Defining Integrated Development at FHI 360. 2016, FHI 360: Washington DC.

[2] Holveck, J.C., et al., Prevention, control, and elimination of neglected diseases in the Americas: pathways to integrated, inter-programmatic, inter-sectoral action for health and development. BMC Public Health, 2007. 7: p. 6.

[3] WHO, Rio Political Declaration on Social Determinants of Health, in World Conference on Social Determinants of Health. 2011, World Health Organization: Rio de Janeiro, Brazil.

[4] Van Minh, H., et al., Millennium Development Goals in Vietnam: Taking Multi-sectoral Action to Improve Health and Address the Social Determinants. Glob Health Action, 2016. 9: p. 31271.

[5] UNDP, Human Development Report 2016. 2016, United Nations Development Programme: New York.

[6] Sheikh, M.R., et al., Multisectoral development for improved health outcomes: evaluation of community-based initiatives in the Islamic Republic of Iran. East Mediterr Health J, 2010. 16(12): p. 1231-6.

[7] Harris, J. and A. Buchsbaum, Growing Together? Experiences of Intersectoral Integration in an NGO Nutrition Program: A Study of HKI’s Enhanced Homestead Food Production Model in Burkina Faso. 2014, USAID/Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project: Arlington, VA.

[8] Green, G., Intersectoral planning for city health development. J Urban Health, 2012. 89(2): p. 247-57.

[9] Gonzales, F., K. Dearden, and W. Jimenez, do multi-sectoral development programmes affect health? A Bolivian case studies. Health Policy Plan, 1999. 14(4): p. 400-8.

[10] Glouberman, S., et al., A toolbox for improving health in cities: a discussion paper. 2003, Caledon Institute of Social Policy: Ottawa.

[11] Gakh, M., Law, the health in all policies approach, and cross-sector collaboration. Public Health Rep, 2015. 130(1): p. 96-100.

[12] Fulop, T., New approaches to a permanent problem. The integrated development of health services and health manpower. WHO Chron, 1976. 30(11): p. 433-41.

[13] Ulfelder, J., Development as Ideology, in Dart-throwing chimp - thoughtful analysis or bloviation? your call. 2013.

[14] Odey, M.O., A Critique of the Notion of Africa as the "Third World": Towards a New Perspective, in The Political Economy of Development and Underdevelopment in Africa, T. Falola and J. Achberger, Editors. 2013, Routledge: New York.

[15] UNDP, Human Development Report 1992. 1992, United Nations Development Programme: Oxford.

[16] UNDP, Human Development Report 1990. 1990, United Nations Development Programme: Oxford.

[17] Haq, M.u., Reflections on human development: how the focus of development economics shifted from national income accounting to people-centred policies, told by one of the chief architects of the new paradigm. 1995, New York: Oxford University Press.

[18] Easterly, W. The Ideology of Development. Foreign Policy, 2009.

[19] Paulus, A., et al., Integrated health care from an economic point of view. Journal of Economic Studies, 2000. 27(3): p. 200-210.

[20] Briggs, C.J. and P. Garner, Strategies for integrating primary health services in middle- and low-income countries at the point of delivery. Cochrane Database of Systematic Reviews, 2006(2).

[21] FHI 360, Guidance for Evaluating Integrated Global Development Programs. 2016, FHI 360: Washington DC.

[22] Lloyd, J. and S. Wait, Integrated Care: a Guide for Policymakers. 2006, London: Alliance for Health and the Future.

[23] Bautista, M.A.C., et al., Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties. The Milbank Quarterly, 2016. 94(4): p. 862-917.

[24] Kania, J. and M. Kramer, Nonprofit Management: Collective impact, in Stanford Social Innovation Review. 2011, Leland Stanford Jr University: Stanford, CA.

[25] SEED Foundation. Government parastatals and agencies in Abuja. 2019 [cited 2019 22nd April]; Available from: https://www.abuja-ng.com/parastatals-agencies-in-abuja.html

[26] SEED Foundation. NGOs in Abuja Nigeria. 2019 [cited 2019 22nd April]; Available from: https://www.abuja-ng.com/ngos-in-abuja.html.

[27] SEED Foundation. International Organizations and their Offices in Abuja. 2019 [cited 2019 22nd April]; Available from: https://www.abuja-ng.com/international-organizations.html.

[28] SEED Foundation. Federal Ministries in Abuja. 2019 [cited 2019 22nd April]; Available from: https://www.abuja-ng.com/federal-ministries-in-abuja.html.

[29] Gill, J. and P. Johnson, Research methods for managers. 4th ed. 2010, London: SAGE.

[30] Price, P.C., R.S. Jhangiani, and I. Chiang, Research methods in psychology - 2nd Canadian Edition. 2015, Victoria, B.C.: BC Campus.

[31] IBM Corp., IBM SPSS Statistics for Windows, Version 25.0. 2017, IBM Corp.: Armonk, NY.

[32] George, D. and P. Mallery, SPSS for Windows Step by Step: A Simple Guide and Reference. 11.0 update. 4th ed. 2003, Boston: Allyn & Bacon.

[33] Shigayeva, A., et al., Health systems, ommunicable diseases and integration. Health Policy and Planning, 2010. 25(suppl_1): p. i4-i20.

[34] Contandriopoulos, A.-P., et al., The integration of health care: Dimensions and implementation. 2003.

[35] Suther, E., et al., Ten Key Principles for Successful Health Systems Integration. Healthc Q, 2009: p. 13 (Spec No.): 16-23.

[36] Teague, J., E. Johnston, and J. Graham, Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health, 2014: p. DOI: 10.1007/s00038-014-0580-8.

[37] Sachs, J.D., Lessons from the Millennium Villages Project: a personal perspective. The Lancet Global Health, 2018. 6(5): p. e472-e474.

[38] FHI 360, Integration of global health and other development sectors: A review of the evidence. 2016, FHI 360: Washington DC.

[39] WHO, Integrated Health Services-What and Why, in Technical Brief No. 1. 2008, World Health Organization: Geneva.

[40] Ringheim, K., J. Gribble, and M. Foreman, Policy Brief: Integrating Family Planning and Maternal and Child Health Care: Saving Lives, Money, and Time. 2011, Population Reference Bureau Washington.

[41] Richey, L.A., HIV/AIDS in the Shadows of Reproductive Health Interventions. Reproductive Health Matters, 2003. 11(22): p. 30-35.

[42] WHO, WHO: Advancing the right to health: the vital role of law. Geneva: World Health Organization., 2017.

[43] Swanson, R., et al., Rethinking health systems
strengthening: key systems thinking tools and strategies for transformational change. Health Policy Plan, 2012: p. 27(Suppl 4):54-61.

[44] Kodner, D.L. and C. Spreeuwenberg, Integrated care: meaning, logic, applications, and implications--a discussion paper. Int J Integr Care, 2002. 2: p. e12.

[45] Mooss, A., M. Hartman, and G. Ibanez, Manual development: A strategy for identifying core components of integrated health programs. Eval Program Plann, 2015. 53: p. 57-64.