How do health workers and community members perceive and practice community participation in the Bamako Initiative programme in Nigeria? A case study of Oji River local government area

Community accountability at peripheral health facilities: a review of the empirical literature and development of a conceptual framework

“…(2001)

Individual participation

Customer service offices

User associations

Cali district, ColombiaPrimary level hospital/health centres (rural and urban)Mixed methodology study

Group discussions

Structured and semi-structured interviews

The social representations of different actors (policymakers, civil servants, user associations and users) that may hinder or enable effective implementation of participatory policyMubyazi et al . (2007) Village Development CommitteesWard Development Committees Lushoto and Muheza districts, TanzaniaRural and urban community health centresExploratory case study Multi-stage sampling: 4 villages per districtFGDs with committee members and households Community knowledge of health sector report, their participation in health priority setting, and how committees perform their duties in relation to community expectationSchmidt and Rifkin (1996) Women groupsVillage health committees Lushoto district, TanzaniaRural health centreDescriptive case study Group and key informant interviewsParticipant and non-participant observationReview of relevant documentsw Breadth of community participation in needs assessment, leadership, organization, resource mobilization, and managementSepehri and Pettigrew (1996)Government and NGO Village health committees Two villages linked to an NGO in NepalCommunity-run health post and state-run health post; both ruralSmall scale descriptive study Questionnaire guided interviewsParticipant observationPersonal interviews Extent to which community financing widened scope and extent of participationUzochukwu et al . (2004)Government

District and village health committees

Oji River Local Government Area, Enugu State, NigeriaRural health centres

FGDs with committee members

Participant observations of committee meetings

Health facility in charge questionnaire

Knowledge of and satisfaction with committees

Involvement of committees in the health centre

Committee member and district staff awareness of and involvement in t...

…”

Anchoring contextual analysis in health policy and systems research: A narrative review of contextual factors influencing health committees in low and middle income countries

“…Uzochukwu et al (2004) report that an HC in Nigeria was able to have a poorperforming nurse removed and replaced with a highly motivated nurse, generating praise and respect from community members. Loewenson et al (2005) identified numerous ways in which HCs in Zimbabwe addressed local issues and gained community support, such as constructing wells, building toilets, employing a security guard and buying benches for various clinics.…”

“…Another mechanism for facilitating community trust in HCs was including members from a variety of other community organizations, such as religious groups, unions, farmer's groups and youth clubs (Uzochukwu et al, 2004). Several authors linked the poor functioning of HCs to the fact that they had little contact with other village organizations (Zakus, 1998;Sepehri and Pettigrew, 1996).…”

People’s Participation in Health Services: A Study of Bangladesh’s Rural Health Complex

“…The empirical findings suggest that the effectiveness and ability of community groups to function as spaces for participation and provide the means for developing capabilities to participate is limited, being constrained by poverty, social inequality and dependency relationships, invisibility, low self-esteem and absence of political clout. Uzochukwu, Akpala and Onwujekwe (2004) assessed the perceptions and practices of health workers and households in relation to community participation in the Bamako Initiative (BI) program. The study was conducted in the Oji River local government area of South-East Nigeria, where the BI program has been operational since 1993.…”