Primary health care (PHC) is the first contact in a healthcare system and, at its core, includes access to basic interventions that address health needs at the community level. These basic interventions are provided by key frontline health workers—nurses, midwives, and community health extension workers—critical for facilitating immediate access to maternal, newborn, and child health services at PHC facilities. Despite the critical roles of these healthworker cadres, their distribution is uneven and skewed—geographic and within levels of care and governments, in addition to poor distribution of skills—compounded by high attrition due to poor human resources for health (HRH) management and development. The aim of this study is to examine the HRH hiring, deployment, and retention procedures and practices in Cross River and Bauchi states in Nigeria, to generate evidence to support the development of improved and gender-sensitive hiring and deployment guidelines. The study also provides recommendations for improved HRH planning and management for better service delivery.
Dirisu, Osasuyi, Akinwumi Akinola, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril, and George I. Eluwa. 2019. "An assessment of human resources for health hiring, deployment and retention, procedures and practices in Cross river and Bauchi states, Nigeria." Abuja: Population Council.
Enhancing the Ability of Frontline Health Workers to Improve Health in Nigeria