Table 5

Summary of resilience barriers experienced by PDs and comparator LGAs

Comparison of PDs and comparatorsPD
Financing gaps reduced the ability to conduct community engagement and outreachLarge difference, only cited by comparators0/12 cited this barrier7/12 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 PHCSmall difference, only cited by comparators0/12 cited this barrier3/12 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
Long-standing human resource shortages placed additional burden on health workersSmall difference, more frequently cited by comparators4/12 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
Health worker shortages caused the temporary closure of facilities or reduction in servicesModerate difference, only cited by comparators0/12 cited this barrier5/12 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.