Journal of Social and Political
Sciences
ISSN 2615-3718 (Online)
ISSN 2621-5675 (Print)
Published: 16 April 2020
The Sub-National Politics of Setting Health Development Agenda: An Insight Into Yobe Health Development Plan
Ali Ibrahim Abbas, Abubakar Umar Sadiq
Yobe State University (Nigeria) Universiti Putra Malaysia (Malaysia), World Health Organisation and Usmanu Danfodio University (Nigeria)
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10.31014/aior.1991.03.02.171
Pages: 313-328
Keywords: Health, Politics, Policy, Agenda Setting, Yobe State, Nigeria
Abstract
Democratic regimes have always been confronted with political, social and economic factors in making decisions in their health development policies. Despite its importance, the health development plans made at sub-national levels are often neglected in most political discourse. In Yobe state, North Eastern region of Nigeria where health indices are poor and financial resource inadequate, the relevance of the health policy agenda setting remains an important starting point. This study influenced by Kingdon’s stream theory provides the health development agenda (HDA) of Governor Gaidam regime from 2009-2015 through the perceptions of health stakeholders in Yobe state. The qualitative study involved 28 interviews with informants and review of policy documents that underscores what, why and how the regime’s HDA was developed. The study highlighted the power play through the regime’s responsibilities, mandates, strategic objectives and priority agenda setting in achieving health development in the state. Furthermore, through the political lenses of agenda setting in the state, the emphasis was laid on the process, content and context of the regime’s HDA. Although the HDA were home-driven, the motivations comes from local health problems related to health goals advocated by international development partners aimed to reduce IMR, UMR, MMR and other diseases all by 2015. Although the SSHDP provided 8 priority areas of key interventions in documents, in practice only 5 priority areas were prominent. Finally, the targets identified will serve as the justification to assess the regime’s accountability since its intentions and goals could be judged from the extent of its performance.
References
Ager, A. K., Lembani, M., Mohammed, A., Mohammed Ashir, G., Abdulwahab, A., de Pinho, H., Zarowsky, C. (2015). Health service resilience in Yobe state, Nigeria in the context of the Boko Haram insurgency: a systems dynamics analysis using group model building. Conflict and Health, 9(June 2016), 30. https://doi.org/10.1186/s13031-015-0056-3
American College of Physicians (2008). Achieving a high-performance health care system with universal access: What the United States can learn from other countries. Annals of Internal Medicine, 148, 55–75. http://www.annals.org/content/148/1/55.full.pdf+html
Andrew. B. J., Basu, D., & Soylu, C. (2016). The effect of public health expenditure on infant mortality: Evidence from a panel of Indian states, 1983–1984 to 2011–2012. The Journal of Development Studies, 0(0), 1–20. https://doi.org/10.1080/00220388.2016.1241384
Arthur, F. E. (2016). Budgeting in Budget Management Centres ( BMCs ) in Sekondi / Takoradi metro health directorate, Journal of Social Science for Policy Implications, 7(2), 208–221. https://doi.org/10.15640/10.15640/jsspi.v4n1a4
Ataguba, J. E., Ojo, K. O., & Ichoku, H. E. (2016). Explaining socio-economic inequalities in immunization coverage in Nigeria. Health Policy and Planning, 31(9), 1212–1224. https://doi.org/10.1093/heapol/czw053
Awosusi, A., Folaranmi, T., & Yates, R. (2015). Nigeria’s new government and public financing for universal health coverage. The Lancet Global Health, 3(9), e514–e515. https://doi.org/10.1016/S2214-109X(15)00088-1
Bezruchka, S. (2012). The hurrier I go the behinder I getThe deteriorating international ranking of the U.S. health status. Annual Review of Public Health, 33,157–73. https://doi.org/10.1146/annurev-publhealth-031811-124649
Cetorelli, V., & Shabila, N. P. (2014). Expansion of health facilities in Iraq a decade after the US-led invasion, 2003-2012. Conflict and Health, 8(1), 16. https://doi.org/10.1186/1752-1505-8-16
Constitution of the Federal Republic of Nigeria (1999 as Amended)
Dlakwa, H.D. (2008). Concepts and models in public policy formulation and analysis. Kaduna; Pyla- Mak Services Limited.
Fischer, S. E., & Strandberg-Larsen, M. (2016). Power and agenda-setting in Tanzanian health policy: An analysis of stakeholder perspectives. International Journal of Health Policy and Management, 5(6), 355–63. https://doi.org/10.15171/ijhpm.2016.09
Font, J. C., Forns, J. R., & Sato, A. (2016). Eliciting health care priorities in developing countries: Experimental evidence from Guatemala. Health Policy and Planning, 31(1), 67–74. https://doi.org/10.1093/heapol/czv022
Gooding, K. (2017). The role of NGOs’ service delivery experience in developing relevant research agendas: experience and challenges among NGOs in Malawi. Health Research Policy and Systems, 15(1), 38. https://doi.org/10.1186/s12961-017-0199-3
Hota, A. K., & Rout, H. S. (2015). Health infrastructure in