Barriers and Facilitators to the Implementation of Maternal and Child Health Programs in Nasarawa State, Nigeria
Abstract:
Due to its impact on social development, population well-being, and the effectiveness of the healthcare system, maternal and child health (MCH) continues to be a major global public health concern. Barriers to the successful implementation and utilization of mother and child health programs still exist in Nigeria despite a number of interventions and legislative attempts, especially in underprivileged states like Nasarawa. This study used a cross-sectional descriptive mixed methods methodology to investigate the obstacles influencing the implementation of maternal and child health programs in Nasarawa State, Nigeria. Structured questionnaires were used to gather quantitative data from community stakeholders, health professionals, pregnant women, nursing mothers, and women of reproductive age. Focus groups and key informant interviews with program managers, healthcare professionals, service users, and community actors were used to gather qualitative data. The results showed that distance to health facilities, poor facilities conditions, transportation challenges were the identified obstacles mentioned by service consumers. Health professionals recognized limited infrastructure, staff shortages, weak motivation, operational difficulties, and delayed funding as major obstacles to program delivery. Poor service utilization was also influenced by staff attitudes, language barriers, and cultural beliefs. The study comes to the conclusion that obstacles on both the supply and demand sides seriously impede the execution and efficacy of maternal and child health initiatives in Nasarawa State. Improving mother and child health outcomes requires bolstering funding, hospital facilities, workforce capacity, and community involvement. Policymakers looking for sustainable, equitable, and accessible healthcare delivery throughout the state's rural communities can benefit from the findings.References:
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