ABU Journal, Department Of Public Administration
Volume No: 1|
Page No: 78
Title: EXAMINATION OF THE ROLE OF CAPACITY BUILDING IN MATERNAL HEALTH CARE SERVICE DELIVERY: A STUDY OF THE INTERVENTION BY ROTARY INTERNATIONAL
YEMISI IBIWUMI OGUNLELA
DEPARTMENT PUBLIC ADMIN. ABU, ZARIA, NIGERIA.
Nigeria presents one of the poorest indices of maternal health in the world, efforts had been made at governmental levels to redress the situation. However, it has been reported that the efforts seem to have made little impact on the reach or penetration into the population. To improve this, there was an intervention by Rotary International 3-H Project in six states in the northern part of Nigeria, through Capacity Building. The focus of this study was to find out the nature of the intervention and the strategy adopted. Data were obtained from secondary sources comprising of statistics obtained from weekly and monthly reports submitted by the Field Officers of the project from the year 2001 to year 2007. The Pre-Intervention statistics of the child spacing at the health facilities were computed and compared with the Post-Intervention statistics, in order to find out how many of the health facilities had fully functional child spacing clinics (fully functional here means clinics where there are basic equipment for child spacing services, competent health care personnel to render such services, availability of contraceptive commodities). The expected outcomes of project indicators were measured against the observed outcome indicators in order to find the arithmetic average or mean score. The chi-square test (x2) was applied. The Decision rule was that if the calculated value is greater than the critical value at 5% level of significance, the null hypothesis should be rejected, and the alternate hypothesis should be accepted. Findings revealed that, Training, Equipment and Commodity flow were the strategies adopted. This changed the status of the Public Health facilities from a pre-intervention of 305 ‘fully functional’ child spacing clinics, to 1,785 fully functional child spacing clinics, at Post-Intervention. Rotary International however, encountered some initial challenges which included cultural
This study revealed that the capacity building strategies employed by Rotary International contributed towards improving maternal health care delivery system in the six project states. It increased access to child spacing services as well as other maternal health care services. This shows that when such services are made available, clients will utilize them, and as utilization increases, maternal health will improve, and on the long run, it will produce a distal effect of reduction in maternal mortality rate. This explains the proximal and distal effects as contained in the Program Impact theory of Evaluation.