Summary of resilience barriers experienced by PDs and comparator LGAs
| Comparison of PDs and comparators | PD Examples | Comparator Examples | |
| Aware | |||
| Financing gaps reduced the ability to conduct community engagement and outreach | Large difference, only cited by comparators | 0/12 cited this barrier | 7/12 cited this barrier ‘Challenges, is the usual one, is money.(…) If I’m sending five people out to outreaches, I will reduce it to two, because we could not afford to cater for the five every week’ LGA official, Comparator |
| General lack of funding support for PHC | Small difference, only cited by comparators | 0/12 cited this barrier | 3/12 cited this barrier Poor funding of health facilities.(…) Nobody reimburses you except your salary. Then anything extra you spend is from your own pocket. Facility Officer in Charge, Comparator |
| Adaptive | |||
| Long-standing human resource shortages placed additional burden on health workers | Small difference, more frequently cited by comparators | 4/12 cited this barrier ‘the staffing that you mentioned, not that it’s not working, but we added some additional responsibilities to the little staff we had.’ LGA official, PD | 8/12 cited this barrier ‘We are having shortages of manpower, and that’s a long challenge. We tried to redistribute staff, so that areas of need we send more staff there and areas that are minimally manned, we maintain it at that level. The health work force has never been [enough), but we try to make do with what we have.’ LGA official, Comparator |
| Self-regulating | |||
| Health worker shortages caused the temporary closure of facilities or reduction in services | Moderate difference, only cited by comparators | 0/12 cited this barrier | 5/12 cited this barrier ‘We formed a team in every health facility which we called [infection prevention and control] IPC team.(…) We were able to mop up people [by] clos(ing] all those other facilities, [to] have enough staffs.’ LGA official, Comparator |
Note: Tabulations displayed in this table are derived from qualitative findings and should be interpreted as descriptive in nature. Informants from the LGA, PHC facility and community levels within a single LGA are considered a ‘case’ and represented jointly in the numerical tabulation of LGAs. No diverse or integrated barriers were identified at saturation.
LGA, local government area; PDs, positive deviants; PHC, primary health care.