Chinyere Mbachu
Biographic Data
| ID | 4459534 |
|---|---|
| NAME | Chinyere Mbachu |
| GIVEN NAMES | Chinyere |
| FAMILY NAME | Mbachu |
| SIGNATURE | MBACHU C |
| AFFILIATIONS | University of Nigeria |
| ORCID | 0000-0003-3936-6184 |
| VERIFIED | Yes |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 36 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
From policy to practice
BACKGROUND: Young people in Nigeria face significant barriers in accessing sexual and reproductive health (SRH) services, resulting in unmet needs. This study explores the perspectives of young people and SRH service providers on the delivery of these services to young people at primary health centres (PHCs) in Ebonyi State, Southeast Nigeria. METHODS: A qualitative research approach was used, involving 20 in-depth interviews with SRH service pro…
Assessing informal healthcare providers' knowledge of diagnosis and treatment of malaria and diarrhea
Background: Despite the availability of effective interventions, malaria and diarrhea continue to be leading causes of disease burden in Nigeria. Informal healthcare providers (IHPs) account for a significant proportion of health service providers in urban slums and may pose a challenge to service quality if they are untrained and unregulated. This study assessed IHPs' knowledge of the diagnosis and treatment of malaria and diarrhea. Methodology:…
A scoping review of current trends of multisectoral collaborations for health within the education, agriculture, and environment sectors in Anglophone Africa
Background: In Anglophone Africa, addressing the double disease burden of disease requires coordinated action across both the health and non-health sectors. Despite the existence of policies advocating this multisectoral collaborations, implementation remains limited and inconsistent across the continent. This scoping review explored multisectoral collaboration for health in the education, agriculture and environment sectors in Anglophone Africa …
A qualitative examination of the distribution strategies, access, and equitable uptake of the Covid-19 vaccines in Kenya
Background: The WHO and international partners identified vaccination against the coronavirus as one of the important public health interventions in controlling Corona Virus Disease (COVID-19) infections. The COVID-19 vaccine uptake was however low and characterized by inequitable distribution and access in Kenya. This study aimed to examine in depth the causes of inequity in vaccine uptake to inform the future rollout and successful uptake of ne…
Institutionalizing linkages between informal healthcare providers and the formal health system in Nigeria
With most households in rapidly urbanizing cities in low- and medium-income countries using private and informal providers for basic healthcare, the need to establish linkages with the formal sector is paramount in the drive for universal health coverage. Successful and effective linkage of informal healthcare providers to the formal health system requires an understanding of prevailing contextual factors and how they can be modulated to support …
What I’m Trying to Say Is That Some Nurses Are Good While Some Are Not Good
Intersectionality analysis of young people’s experiences and perceptions of discrimination in primary health centers in Ebonyi State, Southeast Nigeria
There are varieties of intersecting factors that contribute to the discrimination of young clients in PHCs. This underscores the urgent need to prioritize intersectional perspectives in the design and implementation of interventions that will improve access and use of SRH services by young people
Sexual and reproductive health information needs; an inquiry from the lens of in-school adolescents in Ebonyi State, Southeast Nigeria
Adolescents' age, location of residence, and study group were found to be strong predictors of SRH information needs. This suggests the need for in-school adolescents to be provided with substantial and continuous SRH information for healthy living and making informed SRH choices. In developing SRH interventions that will achieve optimal effectiveness in the lives of adolescents in school, different demographic factors should be considered for co…
Do male and female heads of households have different beliefs about gender equity among young people in Nigeria
This paper provides new knowledge on the gender norm attitude of male and female heads of households on the rights, privileges, and equity promotion of young boys and young girls, as well as its associated factors
To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review
The contributions of informal providers to the urban health system and their linkage to the formal health system require more evidence. This paper highlights the collaborations that exist between informal providers and the formal health system and examines how these collaborations have contributed to strengthening urban health systems in sub-Sahara Africa. The study is based on a scoping review of literature that was published from 2011 to 2023 w…
Informal–Formal Healthcare Services Delivery Nexus in Nigeria’s Urban Slums
Urban slums are human habitats with poor habitation qualities that are vulnerable to infectious diseases and public health crises. Low coverage from formal healthcare services providers created opportunity for informal providers to thrive in urban slums. This study examined the nature of relationship between informal and formal healthcare services providers in urban slums and explored opportunities for strengthening collaborations between them. R…
An analysis of urban policies and strategies on health and nutrition in Nigeria
Urban policies on health and nutrition in Nigeria are much in need. To underscore the reality of such need, we conducted a review of selected urban health and nutrition policies and strategies. We used an appropriate framework by Bandauko that outlines the content of a good urban policy for high-level analysis of the reviewed policies and strategies. Our review discovered neglect of urban health in Nigeria, evidence by a lack of urban health-focu…
The Role of the Private Sector in the Covid-19 Pandemic
As societies urbanize, their populations have become increasingly dependent on the private sector for essential services. The way the private sector responds to health emergencies such as the COVID-19 pandemic can determine the health and economic wellbeing of urban populations, an effect amplified for poorer communities. Here we present a qualitative document analysis of media reports and policy documents in four low resource settings-Bangladesh…
The Role of Contextual Factors in Private Sector Engagement
The Private Sector Coalition against COVID-19 (CACOVID) was established on the 27th of March 2020 to mobilize private sector resources toward supporting the government's response to the COVID-19 pandemic. More specifically, CACOVID set out to provide leadership functions, raise public awareness, provide buy-in for COVID-19 prevention, and provide direct support to strengthen the health system's capacity to respond to the crisis. In this paper, we…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
Effect of nutrition education on nutritional status and serum zinc level of HIV and Aids clients
Background: People living with HIV or AIDS in resource-limited settings are faced with challenges in their nutrition and micronutrient levels. This study aimed to determine the effect of nutrition education on the nutrition status and serum zinc level of HIV and AIDS clients, and its implication for HIV care in resource-limited settings. Methods: This intervention study was conducted among HIV clients at the University of Nigeria Teaching Hospita…
An analysis on the roles and involvements of different stakeholders in the provision of adolescent sexual and reproductive health services in Southeast Nigeria
Although key stakeholders appear to play supportive roles in the implementation of ASRH programs in Ebonyi State, many of the relevant government and non-government institutions are not involved in the policy-making process. There is a need for more intentional and active involvement of relevant stakeholders in policy-making for better ownership and sustainability of ASRH interventions
Gender norms and ideologies about adolescent sexuality
Adolescents' beliefs about sexuality underline the need to contextualize interventions to address these norms and ideologies
Feasibility of implementing formal long-distance mentorship for public health physicians
There are enabling structures to incorporate a formal long-distance mentorship program for public health physicians in Nigeria, and physicians are willing to participate in such a program. However, the feasibility of establishing a successful and sustainable program will require robust coordination, technical expertise, demand creation, and financial commitment at both institutional and college levels
Prevalence and predictors of child labour among junior public secondary school students in Enugu, Nigeria
The prevalence of child labour among junior students in public secondary schools in Enugu is high, and is predicted by the level of schooling and income earned. Economic and social reforms could contribute to addressing the predictors of child labour
Characteristics and Effects of Multiple and Mixed Funding Flows to Public Healthcare Facilities on Financing Outcomes
Most public hospitals in Nigeria are financed by funding flows from different health financing mechanisms, which could trigger different provider behaviours that can affect the health system goals of efficiency, equity and quality of care. The study examined how healthcare providers respond to multiple funding flows (MFF) and the implications of such flows for achieving equity, efficiency and quality. A qualitative study of healthcare providers a…
Which mechanisms explain the motivation of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria
INTRODUCTION: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation w…
Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria
Utilization of contraception is constrained by an interplay of factors acting at various levels. Addressing these barriers could contribute to improved access to contraceptive services for adolescents, as well as reduction in unwanted teenage pregnancy
Exploring issues in caregivers and parent communication of sexual and reproductive health matters with adolescents in Ebonyi state, Nigeria
Communication between parents and adolescents on sexual health and reproductive-related matters rarely occurs. However, when it does, it mostly consists of strict warnings that may not protect adolescents from making unhealthy sexual and reproductive health choices. Interventions to improve parent-adolescent communication of sexual and reproductive health (SRH) should aim at improving parents' capacity to communicate sexual and reproductive healt…
Collaborating to co-produce strategies for delivering adolescent sexual and reproductive health interventions
Implementation science embraces collaboration between academic researchers and key stakeholders/implementers for the dual purpose of capacity building and context-adaptation. Co-production ensures that knowledge created with inputs from various groups of stakeholders is more reflective of local contexts. This paper highlights the experiences of academic researchers and non-academic implementers in collaborating to design implementation strategies…
Gender norms and ideologies about adolescent sexuality
Adolescents' beliefs about sexuality underline the need to contextualize interventions to address these norms and ideologies
Do male and female heads of households have different beliefs about gender equity among young people in Nigeria
This paper provides new knowledge on the gender norm attitude of male and female heads of households on the rights, privileges, and equity promotion of young boys and young girls, as well as its associated factors
To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review
The contributions of informal providers to the urban health system and their linkage to the formal health system require more evidence. This paper highlights the collaborations that exist between informal providers and the formal health system and examines how these collaborations have contributed to strengthening urban health systems in sub-Sahara Africa. The study is based on a scoping review of literature that was published from 2011 to 2023 w…
Examining equity in access to long-lasting insecticide nets and artemisinin-based combination therapy in Anambra state, Nigeria
The free distribution of LLINs and ACTs increased household coverage of both malaria control interventions and bridged the equity gap in access to them among the most vulnerable groups
Are modern contraceptives acceptable to people and where do they source them from across Nigeria
BACKGROUND: Understanding the extent that different modern contraceptives are acceptable to different populations groups and where they get the commodities from will help in developing specific interventions that will help to scale-up the availability of the contraceptives. METHODS: The study took place in urban and rural sites in six states across Nigeria. Data on acceptability and sources of the contraceptives was collected from at least 770 ra…
The challenge of bridging the gap between researchers and policy makers
BACKGROUND: Getting research into policy and practice (GRIPP) is a process of going from research evidence to decisions and action. To integrate research findings into the policy making process and to communicate research findings to policymakers is a key challenge world-wide. This paper reports the experiences of a research group in a Nigerian university when seeking to 'do' GRIPP, and the important features and challenges of this process within…
Investigating client perception and attitude to decentralization of HIV / Aids treatment services to primary health centres in three Nigerian states
BACKGROUND: The opinions of consumers in decentralization provide insights into possible levels of improvement in access and uptake of services. OBJECTIVES: The study examined clients' perception and attitude towards decentralization of antiretroviral treatment services from central hospitals to primary health centres (PHCs). METHODOLOGY: A cross-sectional survey was undertaken in three states in Nigeria. A total of 1265 exit interviews were cond…
Political economy of decentralising HIV and Aids treatment services to primary healthcare facilities in three Nigerian states
Decentralisation is defined as the dispersion, distribution or transfer of resources, functions and decision-making power from a central authority to regional and local authorities. It is usually accompanied by assignment of accountability and responsibility for results. Fundamental to understanding decentralisation is learning what motivates central governments to give up power and resources to local governments, and the practical significance o…
Willingness to pay for antiretroviral drugs among HIV and Aids clients in south‐east Nigeria
BACKGROUND: The current trend of withdrawal of donor support for HIV/AIDS treatment in Nigeria may require that the cost of antiretroviral drugs be borne in part by infected people and their families. OBJECTIVE: This study was conducted to determine the economic value for free antiretroviral drugs (ARVs) expressed by clients receiving treatment for HIV/AIDS in a tertiary hospital. STUDY METHOD: The contingent valuation method was used to elicit t…
Leadership experiences and practices of South African health managers
This study has implications for institutionalising personal and organisational development that recognise and appropriately advances women managers, paying attention to the intersections of gender, race and professional hierarchy. It is important in the context of national and global goals, in particular SDG 5, that women and in particular black women, are prioritised for training and capacity development and ensuring that transformative health s…
Accountability mechanisms for implementing a health financing option
The key challenges to accountability identified should be addressed and these included trust, transparency and corruption in the health system, political interference at higher levels of government, poor data management, lack of political commitment from the State in relation to release of funds for health activities, poor motivation, mentorship, monitoring and supervision, weak financial management and accountability systems and weak capacity to…
Building the capacity of users and producers of evidence in health policy and systems research for better control of endemic diseases in Nigeria
BACKGROUND: There is a current need to build the capacity of Health Policy and Systems Research + Analysis (HPSR+A) in low and middle-income countries (LMICs) as this enhances the processes of decision-making at all levels of the health system. This paper provides information on the HPSR+A knowledge and practice among producers and users of evidence in priority setting for HPSR+A regarding control of endemic diseases in two states in Nigeria. It …
‘Gender is not even a side issue…it’s a non-issue’
Women comprise a significant proportion of the health workforce globally but remain under-represented in the higher professional categories. Concern about the under-representation of women in health leadership positions has resulted in increased research on the topic, although this research has focused primarily on high-income countries. An improved understanding of the career trajectories and experiences of healthcare leaders in low- and middle-…
Corruption in Anglophone West Africa health systems
West African countries are ranked especially low in global corruption perception indexes. The health sector is often singled out for particular concern given the role of corruption in hampering access to, and utilization of health services, representing a major barrier to progress to universal health coverage and to achieving the health-related Sustainable Development Goals. The first step in tackling corruption systematically is to understand it…
Characteristics and Effects of Multiple and Mixed Funding Flows to Public Healthcare Facilities on Financing Outcomes
Most public hospitals in Nigeria are financed by funding flows from different health financing mechanisms, which could trigger different provider behaviours that can affect the health system goals of efficiency, equity and quality of care. The study examined how healthcare providers respond to multiple funding flows (MFF) and the implications of such flows for achieving equity, efficiency and quality. A qualitative study of healthcare providers a…
Which mechanisms explain the motivation of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria
INTRODUCTION: Well-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation w…
Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria
Utilization of contraception is constrained by an interplay of factors acting at various levels. Addressing these barriers could contribute to improved access to contraceptive services for adolescents, as well as reduction in unwanted teenage pregnancy
Exploring issues in caregivers and parent communication of sexual and reproductive health matters with adolescents in Ebonyi state, Nigeria
Communication between parents and adolescents on sexual health and reproductive-related matters rarely occurs. However, when it does, it mostly consists of strict warnings that may not protect adolescents from making unhealthy sexual and reproductive health choices. Interventions to improve parent-adolescent communication of sexual and reproductive health (SRH) should aim at improving parents' capacity to communicate sexual and reproductive healt…
Collaborating to co-produce strategies for delivering adolescent sexual and reproductive health interventions
Implementation science embraces collaboration between academic researchers and key stakeholders/implementers for the dual purpose of capacity building and context-adaptation. Co-production ensures that knowledge created with inputs from various groups of stakeholders is more reflective of local contexts. This paper highlights the experiences of academic researchers and non-academic implementers in collaborating to design implementation strategies…
Feasibility of implementing formal long-distance mentorship for public health physicians
There are enabling structures to incorporate a formal long-distance mentorship program for public health physicians in Nigeria, and physicians are willing to participate in such a program. However, the feasibility of establishing a successful and sustainable program will require robust coordination, technical expertise, demand creation, and financial commitment at both institutional and college levels
Prevalence and predictors of child labour among junior public secondary school students in Enugu, Nigeria
The prevalence of child labour among junior students in public secondary schools in Enugu is high, and is predicted by the level of schooling and income earned. Economic and social reforms could contribute to addressing the predictors of child labour
The Role of the Private Sector in the Covid-19 Pandemic
As societies urbanize, their populations have become increasingly dependent on the private sector for essential services. The way the private sector responds to health emergencies such as the COVID-19 pandemic can determine the health and economic wellbeing of urban populations, an effect amplified for poorer communities. Here we present a qualitative document analysis of media reports and policy documents in four low resource settings-Bangladesh…
The Role of Contextual Factors in Private Sector Engagement
The Private Sector Coalition against COVID-19 (CACOVID) was established on the 27th of March 2020 to mobilize private sector resources toward supporting the government's response to the COVID-19 pandemic. More specifically, CACOVID set out to provide leadership functions, raise public awareness, provide buy-in for COVID-19 prevention, and provide direct support to strengthen the health system's capacity to respond to the crisis. In this paper, we…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
Effect of nutrition education on nutritional status and serum zinc level of HIV and Aids clients
Background: People living with HIV or AIDS in resource-limited settings are faced with challenges in their nutrition and micronutrient levels. This study aimed to determine the effect of nutrition education on the nutrition status and serum zinc level of HIV and AIDS clients, and its implication for HIV care in resource-limited settings. Methods: This intervention study was conducted among HIV clients at the University of Nigeria Teaching Hospita…
An analysis on the roles and involvements of different stakeholders in the provision of adolescent sexual and reproductive health services in Southeast Nigeria
Although key stakeholders appear to play supportive roles in the implementation of ASRH programs in Ebonyi State, many of the relevant government and non-government institutions are not involved in the policy-making process. There is a need for more intentional and active involvement of relevant stakeholders in policy-making for better ownership and sustainability of ASRH interventions
Gender norms and ideologies about adolescent sexuality
Adolescents' beliefs about sexuality underline the need to contextualize interventions to address these norms and ideologies
An analysis of urban policies and strategies on health and nutrition in Nigeria
Urban policies on health and nutrition in Nigeria are much in need. To underscore the reality of such need, we conducted a review of selected urban health and nutrition policies and strategies. We used an appropriate framework by Bandauko that outlines the content of a good urban policy for high-level analysis of the reviewed policies and strategies. Our review discovered neglect of urban health in Nigeria, evidence by a lack of urban health-focu…
Medicine (23 works) · Global Maternal and Child Health (19 works) · Political science (19 works) · Business (16 works) · Economic growth (16 works) · Nursing (16 works) · Population (14 works) · Public health (13 works) · Public relations (13 works) · Sociology (13 works)