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ORIGINAL ARTICLE
Year : 2018  |  Volume : 27  |  Issue : 1  |  Page : 59-68

Exploring actors roles in formulation of the human resources for health policy in Nigeria


1 Department of Preventive Dentistry; Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
2 Health Policy Research Group, Department of Pharmacology and Therapeutics; Department of Health Administratio and Management, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
3 Health Policy Research Group, Department of Pharmacology and Therapeutics; Department of Health Administration and Management; Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
4 Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Nigeria
5 Instituto de Higiene e Medicina Tropical (IHMT), The New University of Lisbon, Portugal
6 Nuffield Centre for International Health and Development, Leeds Institute for Health Sciences, University of Leeds, United Kingdom

Correspondence Address:
Nkoli Uguru
Department of Preventive Dentistry, College of Medicine, University of Nigeria, Enugu Campus
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1115-2613.278231

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BACKGROUND: Most policies in Nigeria are deliberate choices based on political mechanism, oversight, and lack of appropriate information. However in recent times there has been a global shift towards evidence based policy making. Thus Actors' views on evidence and their role in policy development appear critical to the use of evidence. OBJECTIVE: This study aimed to examine how actors' perception, roles and levels of power influenced Human Resources for Health policy development in Nigeria. METHOD: The research was conducted using a case study approach. Systematic reviews of relevant policy documents and reports, in-depth interviews of twelve respondents comprising government policymakers, academia, civil society organizations, health-workers and development partners were done. Interviews were analysed using NVivo 10 software for qualitative analysis. FINDINGS: Most respondents perceived evidence to be factual and concrete to support a given decision. The government policymakers wielded a high level of power and spearheaded the policy process. Development partners were major decision makers because they had financial and technical power. Civil society groups had the power of advocacy and generated evidence. The academia had medium power level of power and also generated evidence. CONCLUSION: The actors' with the highest level of power greatly influenced policy use and type of evidence used in formulating the Human Resources for Health policy. Stakeholders with coercive, financial or group power influenced the type of evidence finally used in formulating the Human Resources for Health policy.


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