Evaluating the sub-national fidelity of national Initiatives in decentralized health systems: Integrated Primary Health Care Governance in Nigeria
作者: Ejemai Amaize EboreimeSeye AbimbolaFelix Abrahams ObiObinna EbirimOlalekan OlubajoJohn EylesNonhlanhla Lynette NxumaloFaith Nankasa Mambulu
作者单位: 1University of the Witwatersrand
2National Primary Healthcare Development Agency
3University of Sydney, School of Public Health
4University of Nigeria
5Direct Consulting and Logistics
6McMaster University
刊名: BMC Health Services Research, 2017, Vol.17 (1)
来源数据库: Springer Journal
DOI: 10.1186/s12913-017-2179-2
关键词: Primary healthcareImplementation fidelityDecentralizationNigeriaHealth policy
英文摘要: Policy making, translation and implementation in politically and administratively decentralized systems can be challenging. Beyond the mere sub-national acceptance of national initiatives, adherence to policy implementation processes is often poor, particularly in low and middle-income countries. In this study, we explore the implementation fidelity of integrated PHC governance policy in Nigeria’s decentralized governance system and its implications on closing implementation gaps with respect to other top-down health policies and initiatives.
原始语种摘要: Policy making, translation and implementation in politically and administratively decentralized systems can be challenging. Beyond the mere sub-national acceptance of national initiatives, adherence to policy implementation processes is often poor, particularly in low and middle-income countries. In this study, we explore the implementation fidelity of integrated PHC governance policy in Nigeria’s decentralized governance system and its implications on closing implementation gaps with respect to other top-down health policies and initiatives.
全文获取路径: Springer  (合作)
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影响因子:1.773 (2012)

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关键词翻译
关键词翻译
  • decentralized 分散
  • national 国家的
  • governance 统治方式
  • systems 系统科学与软件
  • fidelity 保真性
  • implementation 执行
  • income 收入
  • policy 政策
  • politically 政治上
  • making 制定