Development of oral health policy in Nigeria

Bibliographic Details
Main Author: Etiaba, Enyi
Publication Date: 2015
Other Authors: Uguru, Nkoli, Ebenso, Bassey, Russo, Giuliano, Ezumah, Nkoli, Uzochukwu, Benjamin, Onwujekwe, Obinna
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://doi.org/10.1186/s12903-015-0040-8
Summary: PMID: 25943102 WOS:000354080300001
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spelling Development of oral health policy in NigeriaAn analysis of the role of context, actors and policy processActorsContextOral healthOral health policyProcessDentistry(all)SDG 3 - Good Health and Well-beingPMID: 25943102 WOS:000354080300001Background: In Nigeria, there is a high burden of oral health diseases, poor coordination of health services and human resources for delivery of oral health services. Previous attempts to develop an Oral Health Policy (OHP) to decrease the oral disease burden failed. However, a policy was eventually developed in November 2012. This paper explores the role of contextual factors, actors and the policy process in the development of the OHP and possible reasons why the current approved OHP succeeded. Methods: The study was undertaken across Nigeria; information gathered through document reviews and in-depth interviews with five groups of purposively selected respondents. Analysis of the policy development process was guided by the policy triangle framework, examining context, policy process and actors involved in the policy development. Results: The foremost enabling factor was the yearning among policy actors for a policy, having had four failed attempts. Other factors were the presence of a democratically elected government, a framework for health sector reform instituted by the Federal Ministry of Health (FMOH). The approved OHP went through all stages required for policy development unlike the previous attempts. Three groups of actors played crucial roles in the process, namely academics/researchers, development partners and policy makers. They either had decision making powers or influenced policy through funding or technical ability to generate credible research evidence, all sharing a common interest in developing the OHP. Although evidence was used to inform the development of the policy, the complex interactions between the context and actors facilitated its approval. Conclusions: The OHP development succeeded through a complex inter-relationship of context, process and actors, clearly illustrating that none of these factors could have, in isolation, catalyzed the policy development. Availability of evidence is necessary but not sufficient for developing policies in this area. Wider socio-political contexts in which actors develop policy can facilitate and/or constrain actors' roles and interests as well as policy process. These must be taken into consideration at stages of policy development in order to produce policies that will strengthen the health system, especially in low and middle-income countries, where policy processes and influences can be often less than transparent.Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)Global Health and Tropical Medicine (GHTM)RUNEtiaba, EnyiUguru, NkoliEbenso, BasseyRusso, GiulianoEzumah, NkoliUzochukwu, BenjaminOnwujekwe, Obinna2018-05-14T22:01:41Z2015-05-062015-05-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1186/s12903-015-0040-8engPURE: 1663037http://www.scopus.com/inward/record.url?scp=84928879868&partnerID=8YFLogxKhttps://doi.org/10.1186/s12903-015-0040-8info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-07-22T01:35:49Zoai:run.unl.pt:10362/36929Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:03:43.348044Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Development of oral health policy in Nigeria
An analysis of the role of context, actors and policy process
title Development of oral health policy in Nigeria
spellingShingle Development of oral health policy in Nigeria
Etiaba, Enyi
Actors
Context
Oral health
Oral health policy
Process
Dentistry(all)
SDG 3 - Good Health and Well-being
title_short Development of oral health policy in Nigeria
title_full Development of oral health policy in Nigeria
title_fullStr Development of oral health policy in Nigeria
title_full_unstemmed Development of oral health policy in Nigeria
title_sort Development of oral health policy in Nigeria
author Etiaba, Enyi
author_facet Etiaba, Enyi
Uguru, Nkoli
Ebenso, Bassey
Russo, Giuliano
Ezumah, Nkoli
Uzochukwu, Benjamin
Onwujekwe, Obinna
author_role author
author2 Uguru, Nkoli
Ebenso, Bassey
Russo, Giuliano
Ezumah, Nkoli
Uzochukwu, Benjamin
Onwujekwe, Obinna
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Higiene e Medicina Tropical (IHMT)
Population health, policies and services (PPS)
Global Health and Tropical Medicine (GHTM)
RUN
dc.contributor.author.fl_str_mv Etiaba, Enyi
Uguru, Nkoli
Ebenso, Bassey
Russo, Giuliano
Ezumah, Nkoli
Uzochukwu, Benjamin
Onwujekwe, Obinna
dc.subject.por.fl_str_mv Actors
Context
Oral health
Oral health policy
Process
Dentistry(all)
SDG 3 - Good Health and Well-being
topic Actors
Context
Oral health
Oral health policy
Process
Dentistry(all)
SDG 3 - Good Health and Well-being
description PMID: 25943102 WOS:000354080300001
publishDate 2015
dc.date.none.fl_str_mv 2015-05-06
2015-05-06T00:00:00Z
2018-05-14T22:01:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.1186/s12903-015-0040-8
url https://doi.org/10.1186/s12903-015-0040-8
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv PURE: 1663037
http://www.scopus.com/inward/record.url?scp=84928879868&partnerID=8YFLogxK
https://doi.org/10.1186/s12903-015-0040-8
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
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repository.mail.fl_str_mv info@rcaap.pt
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