Table 3

Knowledge and capacity gaps impacting UHC advancement (summary of participants’ quotes)

SubthemesQuotes
Poor information/data management to monitor progress towards UHC1. ‘And then of course another thing that we have to look at is the documentation of even the disease burden. The magnitude of the kind of ailments and illnesses that we have and how that goes into getting data that would be effective for planning purposes and decision-making purposes.’ (Federal-level stakeholder)
2. ‘…We don’t have information and when we have information, do we have adequate capacity to translate this information to action? No.’ (CSO)
Poor knowledge and capacity on health insurance implementation at subnational levels3. ‘…when our focus is UHC and investments on health insurance, what we would like to see in the nearest future is, more government supporting health insurance decentralization policy in Nigeria, where the states can develop and nurture and effectively manage their own state health insurance scheme.’ (Federal-level stakeholder)
4. ‘I’ve met a couple of [policy makers] that had the mindset that health insurance is going to absolve [the] government of its financial responsibility in the health sector. [They seem to think] even health insurance will even mobilize money for [the] government to spend.’ (Development partner)
Limited knowledge and capacity on health financing and economics for UHC5. ‘…to start looking at more capacity building, including training and hiring some people with background in economics or health financing, to deploy them to some of the planning departments at the federal [level] or even some of the agencies.’ (Development partner)
6. ‘Financing. Understanding the economic analyses of any intervention, right? There’s only so much money the country will always have.’ (Federal-level stakeholder)
Limited communication and interagency collaboration between MDAs7. ‘…in Nigeria, most of the organizations have worked solo [alone] in whatever they do so, that interagency collaboration, it’s actually weak, and seems troublesome in Nigeria simply because they’ve just not been happening.’ (Federal-level stakeholder)
8. ‘…so, in retrospect, part of what I’m looking at is that probably going forward in terms of doing collaborations very well maybe probably we should foster more of effective collaboration, effective communication sort of, then let the roles be very very clear in terms of areas of interdependency…’ (Development partner)
  • CSO, civil society organisation; MDA, ministries, departments and agencies; UHC, universal health coverage.