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September 02-03, 2019 | Vienna, Austria
WORLD NURSING FORUM
RHEUMATOLOGY & TRAUMA CARE
13
th
International Conference on
&
Nursing Forum 2019 & Rheumatology 2019
September 02-03, 2019
Journal name: Journal of Nursing Research and Practice
J Nurs Res Pract, Volume 3
Volume 3 | ISSSN: 2632-251X
Nurses involvement in policy making, service delivery and evaluation of Nigeria’s
HIV/AIDS response program
Godwin Etim Asuquo
Africa Centre for Health Leadership, Nigeria
Statement of Problem
: The recent HIV prevalence survey data has shown significant drop in HIV prevalence in Nigeria
from 5.8% in 2001 to 1.4% in 2019. This resulted from more than two decades of collective action by several stakeholders
implementing the multi-sectoral HIV/AIDS response covering prevention, treatment, care and support. Health workers have
been at the centre of implementation of this program in a health care system characterized by persistent inter-professional rivalry
and power games which have affected the contributions of various professional cadres to the program. This study examined the
extent to which nurses have been involved in the decision-making process, in service delivery and in the recently concluded
National AIDS Impact and Indicator Survey.
Methology
: A qualitative design was used for a select group of 400 nurses - 200 from the north and 200 from the southern parts
of the country. Data was collected through in-depth interviews, administration of questionnaires addressing specific variables
on Nurses involvement in policy formulation, service delivery and program evaluation and complemented by 3 focus group
discussions. This was preceded by a desk review focusing on the national health policies, strategic plans and frameworks and
implementation data. The theoretical framework for this study was informed by the Critical Social Theory (CST) and Power
Theory which enabled an understanding of the barriers, power issues and inequities in our societies.
Findings
: Finding from the study indicates that, fewer nurses (18%) alluded to being involved in making decisions, 70% of nurses
perceived they were adequately involved in the provision of care while only 8% were involved in monitoring and evaluation.
Conclusion and Significance
: This study points to inadequate involvement of nurses both at the policy level and in monitoring
and evaluation which may well explain the quality of care issues which have characterized the program since its inception. This
study will help policy makers and planners in repositioning the response for better outcomes of nurses both at the policy level
and in monitoring and evaluation of the program. As a key stakeholder in service delivery, inadequate involvement of nurses in
these critical areas may well explain the quality of care issues which have characterized the program since its inception. This
study will help policy makers and planners in repositioning the response for better outcomes.
Biography
Godwin Asuquo is an international public health leader with about 20 years’ experience in nursing, reproductive health and child
rights, governance, HIV/AIDS/ TB and primary health care program management including health systems strengthening. He has
consistently worked in senior leadership positions delivering impactful results for communities served in Africa including Nigeria,
Chad, Senegal, Egypt, Morocco, Ethiopia, Rwanda, South Africa and Tanzania. Tasks undertaken during these assignments range
from policy development, program management, training, research, organizational development, and strengthening capacity for HIV/
AIDS, obstetrical care and human resources for health. He was the Chief of Party/Program Director for Save the Children’s Global
Fund Program in Tanzania till June, 2018. He is currently providing leadership to the Africa Centre for Health Leadership in Nigeria.
Previously, he served as Primary Health Coordinator, Nurse and midwives Educator and a Lecturer in Public Health and Nursing at the
University of Maiduguri and Imo State University in Nigeria.
geasuquo@yahoo.com