Improving the number and quality of health workers: Strengthening the capacity of Health Training Institutions in northern Nigeria. W4H

Authors: Rukkaya Mangga, Adetoro Adegoke, Fatima Adamu, Usman Gwarzo, Abdul Salele, Mustapha Goni
Document Type: Presentations
Publication Date: 2016

This presentation was delivered as part of a Women for Health (W4H) programme team panel at Accountability NOW: A national summit to Advance Newborn and Maternal Health in Nigeria held in Abuja on 16 – 18 February 2016.

This presentation describes a root cause analysis of the health-workers crisis in Northern Nigeria conducted in 2011. The study revealed emergency proportions of (HRH) shortages and the “massive underinvestment in pre-service education is the single greatest driver of this problem”. A three phase intervention was introduced.

A root cause analysis of the health-workers crisis in northern Nigeria conducted in 2011 revealed the emergency proportions of the human resources for health (HRH) shortage with only 5,452 nurses and midwives available; a ratio of 0.16 to 0.27 nurses and midwives per 1,000 population, as against the 44,873 minimum number needed for a target of 1.73 per 1,000 population. For ongoing interventions to substantially close this gap, the study recommended “transformational investments” in HRH and a paradigm-shift to strengthen pre-service education of health-workers. This presentation outlines the response delivered by the W4H programme.

A core area of W4H support targets health training institutions (this), strengthening 16 HTIs in five northern states. 

Key results to date include: A total of 7 HTIs (43.8%, n=7/16) now have full accreditation status compared with the national figures of 21.3% (n= 32/150). Full accreditation of 7 HTIs is a significant increase when compared with just one HTI (6.6%, n=1/16) at baseline.

All the five HTIs that had been denied accreditation at baseline had received provisional accreditation. A total of 11 (69%) HTIs are currently on provisional accreditation compared with only 10 (62.5%) HTIs in 2013, while only one (6.6%) HTI is on denied accreditation, compared with a total of 5 (33.3%) HTIs that had no accreditation at baseline. 

Prescribed numbers of tutors set by the regulatory-bodies have been met by 13 HTIs compared with zero at baseline. Four state governments were supported to establish new HTIs and additional programme (Community Midwifery). All the newly established HTIs have been given provisional accreditation status by the regulatory bodies.

The improvement in accreditation status and the establishment of new HTIs and programmes have led to significant increase in the number of students recruited and indexed by the HTIs, from 943 at W4H inception to 1613 in 2015.

Strengthening pre-service education of health-workers is crucial to reducing the critical shortage of HRH in sub-Saharan Africa.


Download the presentation here (257kb)

Tags: Nigeria, Capacity building, Monitoring and evaluation, Midwifery, Women for Health, Northern Nigeria, gender equality, DFID, women and health, Access to health care, girls education, Gender empowerment, W4H, female health workers, midwives, HTIs, Health Training Institutes, nursing, nurses, M & E, quality of education, pre-service education, accreditation, Women and Children, health equity,