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TL;DR
This qualitative realist evaluation used interviews and focus groups to explore how the context and mechanisms of the Abiye Safe Motherhood program in Ondo State, Nigeria, led to health system strengthening outcomes.
Frontiers in Health Services · 2 authors, 3 centres
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This qualitative realist evaluation used interviews and focus groups to explore how the context and mechanisms of the Abiye Safe Motherhood program in Ondo State, Nigeria, led to health system strengthening outcomes.
The study employed a qualitative realist evaluation methodology to explore the implementation of the Abiye Safe Motherhood program in Ondo State, Nigeria. Researchers conducted 10 key informant interviews with policymakers, 28 in-depth interviews with health workers and mothers, and six focus group discussions with community members. Thematic analysis identified 13 contextual factors across five principal areas, eight mechanisms that either facilitated or constrained program outcomes, and developed six Context-Mechanism-Outcome configurations. A key outcome identified was health system strengthening. The study concludes that the realist approach generated evidence on 'what works for whom, how, why, and under what circumstances' which can inform policymaking for public health interventions in low- and middle-income countries.