Bassey Ebenso
Biographic Data
| ID | 207060 |
|---|---|
| NAME | Bassey Ebenso |
| GIVEN NAMES | Bassey |
| FAMILY NAME | Ebenso |
| SIGNATURE | EBENSO B |
| AFFILIATIONS | University of Leeds |
| ORCID | 0000-0003-4147-0968 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Primary health care networks and impacts in low- and middle-income countries
Primary healthcare provider networks (PHCPNs) are increasingly recognized as promising strategies to effectively strengthen health systems in low- and middle-income countries (LMICs). However, there is limited information on the influence PHCPNs may have on the process and clinical outcomes of health services. This study sought to answer the questions: what is the extent, range, and nature of research on PHCPNs in LMICs, what are the types of PHC…
Referral experiences of healthcare consumers
Introduction: The inadequate referral system in Nigeria is partly due to the proliferation of informal healthcare providers (IHPs) and constraints within formal providers in urban slums. With limited data on patient referral experiences across these providers, this paper explores referral experiences in urban slums in southeast Nigeria. Methods: This study involved 1,025 people in eight slums in Enugu and Anambra states, using multi-stage purposi…
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:…
“…I feel like I am just staying here waiting for death”
Refugees and migrants with advanced illness frequently face fragmented and inconsistent access to health services. Structural barriers delay symptom management, undermine continuity of care, and limit access to palliative support. A clearer understanding of their lived experiences is essential to inform equitable health system responses and inclusive models of care. This study explored the lived experiences of individuals with advanced illness in…
Remote Symptom Monitoring to Enhance the Delivery of Palliative Cancer Care in Low-Resource Settings
This paper brings together researchers, clinicians, technology developers and digital innovators to outline current applications of remote symptom monitoring being developed for palliative cancer care delivery in Africa. We outline three remote symptom monitoring approaches from three countries, highlighting their models of delivery and intended outcomes, and draw on their experiences of implementation to guide further developments and evaluation…
Leveraging big data for improving the estimation of close to reality travel time to obstetric emergency services in urban low- and middle-income settings
Maternal and perinatal mortality remain huge challenges globally, particularly in low- and middle-income countries (LMICs) where >98% of these deaths occur. Emergency obstetric care (EmOC) provided by skilled health personnel is an evidence-based package of interventions effective in reducing these deaths associated with pregnancy and childbirth. Until recently, pregnant women residing in urban areas have been considered to have good access to ca…
Impact of sustained health policy and population-level interventions on reducing the prevalence of obesity in the Caribbean region
Background: The 2020 Global Nutrition Report highlights that despite improvements in select nutrition indicators, progress is too slow to meet the 2025 Global Nutrition Targets. While the Latin America and the Caribbean (LAC) region has achieved the greatest global reduction in undernutrition (stunting, underweight, and wasting) in the past decade, it also has the highest prevalence of people with overweight worldwide. Since the early 2000s, the …
Research priorities to reduce the impact of Covid-19 in low- and middle-income countries
Background: The COVID-19 pandemic has caused disruptions to the functioning of societies and their health systems. Prior to the pandemic, health systems in low- and middle-income countries (LMIC) were particularly stretched and vulnerable. The International Society of Global Health (ISoGH) sought to systematically identify priorities for health research that would have the potential to reduce the impact of the COVID-19 pandemic in LMICs. Methods:…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
Tracking the uptake and trajectory of Covid-19 vaccination coverage in 15 West African countries
The African Union Bureau of Heads of State and Government endorsed the COVID-19 Vaccine Development and Access Strategy to vaccinate at least 60% of each country’s population with a safe and efficacious vaccine by 2022, to achieve the population-level immunity needed to bring the pandemic under control. Using publicly available, country-level population estimates and COVID-19 vaccination data, we provide unique insights into the uptake trends of …
How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh
BACKGROUND: Well-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal-agent relationships. METHODS: We collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-dep…
Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh
This paper documents, and reflects on key strengths and weaknesses of, existing patient feedback management systems at primary health care in Bangladesh and proposes key implications for future policy and practice. A mixed-method study was conducted in two Upazila (sub-district) Health Complexes (UHC) within one district in Bangladesh. It reports qualitative data from thematic analysis of in-depth interviews ( n = 15) with key stakeholders; non-p…
Socio-cultural and economic barriers, and facilitators influencing men’s involvement in antenatal care including HIV testing
Peer and economic influences were the most influential barriers of men attending ANC and testing for HIV with their pregnant partners. Addressing these socio-economic barriers and having a male friendly clinic are promising interventions to promote male ANC attendance in this setting
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Was the Maternal Health Cash Transfer Programme in Nigeria Sustainable and Cost-Effective
Background: The Subsidy Reinvestment and Empowerment Programme (SURE-P), Maternal and Child Health (MCH) was introduced by the Nigerian government to increase the use of skilled maternal health services and reduce maternal mortality. The programme, funded out of a reduction in the fuel subsidy, was implemented between October 2012 and April 2015 and incorporated a conditional cash transfer to women to encourage use of facility based maternal serv…
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…
Time to apply a social determinants of health lens to addressing sickle cell disorders in sub-Saharan Africa
Sickle cell disorders are a complex multisystem inherited genetic blood disorders that affect millions of people worldwide and complications of the disorders can include anaemia, pain episodes and organ damage. Medical advances, early detection, intervention in infancy and specialised care across the life-course are transforming these genetic blood disorders into chronic conditions, with longer life expectancies and better quality of life, yet pu…
Tackling Covid-19
Events have progressed with dizzying rapidity since the World Health Organization (WHO) was first alerted to cases of severe pneumonia in the Wuhan City of China on December 31st 2019. The novel SARS-CoV-2 coronavirus disease (COVID-19) was declared a pandemic on March 11th 2020. As of April 7th, a total of 1.38 million cases of COVID-19 had been diagnosed globally with over 78 000 deaths attributable to the disease [1]. Comparisons have been dra…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Contextual influences on the role of evidence in health policy development
This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included…
Using indigenous proverbs to understand social knowledge and attitudes to leprosy among the Yoruba of southwest Nigeria
Following a systematic analysis of 23 proverbs obtained from ethnographic research and from literature searches, this article presents the cultural knowledge and attitudes about leprosy in Yorubaland, southwest Nigeria. Our analysis indicates that contrary to fragmentary evidence portraying Yoruba attitudes to leprosy as entirely negative, there is a mixed pattern of social responses to leprosy which range from drastic exclusion to empathy and ac…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Contextual influences on the role of evidence in health policy development
This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included…
Using indigenous proverbs to understand social knowledge and attitudes to leprosy among the Yoruba of southwest Nigeria
Following a systematic analysis of 23 proverbs obtained from ethnographic research and from literature searches, this article presents the cultural knowledge and attitudes about leprosy in Yorubaland, southwest Nigeria. Our analysis indicates that contrary to fragmentary evidence portraying Yoruba attitudes to leprosy as entirely negative, there is a mixed pattern of social responses to leprosy which range from drastic exclusion to empathy and ac…
Contextual influences on the role of evidence in health policy development
This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included…
Was the Maternal Health Cash Transfer Programme in Nigeria Sustainable and Cost-Effective
Background: The Subsidy Reinvestment and Empowerment Programme (SURE-P), Maternal and Child Health (MCH) was introduced by the Nigerian government to increase the use of skilled maternal health services and reduce maternal mortality. The programme, funded out of a reduction in the fuel subsidy, was implemented between October 2012 and April 2015 and incorporated a conditional cash transfer to women to encourage use of facility based maternal serv…
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…
Time to apply a social determinants of health lens to addressing sickle cell disorders in sub-Saharan Africa
Sickle cell disorders are a complex multisystem inherited genetic blood disorders that affect millions of people worldwide and complications of the disorders can include anaemia, pain episodes and organ damage. Medical advances, early detection, intervention in infancy and specialised care across the life-course are transforming these genetic blood disorders into chronic conditions, with longer life expectancies and better quality of life, yet pu…
Tackling Covid-19
Events have progressed with dizzying rapidity since the World Health Organization (WHO) was first alerted to cases of severe pneumonia in the Wuhan City of China on December 31st 2019. The novel SARS-CoV-2 coronavirus disease (COVID-19) was declared a pandemic on March 11th 2020. As of April 7th, a total of 1.38 million cases of COVID-19 had been diagnosed globally with over 78 000 deaths attributable to the disease [1]. Comparisons have been dra…
Tracing theories in realist evaluations of large-scale health programmes in low- and middle-income countries
Realist evaluations (RE) are increasingly popular in assessing health programmes in low- and middle-income countries (LMICs). This article reflects on processes of gleaning, developing, testing, consolidating and refining two programme theories (PTs) from a longitudinal mixed-methods RE of a national maternal and child health programme in Nigeria. The two PTs, facility security and patient–provider trust, represent complex and diverse issues: tru…
Influence of Conditional Cash Transfers on the Uptake of Maternal and Child Health Services in Nigeria
Background: Increasing access to maternal and child health (MCH) services is crucial to achieving universal health coverage (UHC) among pregnant women and children under-five (CU5). The Nigerian government between 2012 and 2015 implemented an innovative MCH programme to reduce maternal and CU5 mortality by reducing financial barriers of access to essential health services. The study explores how the implementation of a financial incentive through…
Tracking the uptake and trajectory of Covid-19 vaccination coverage in 15 West African countries
The African Union Bureau of Heads of State and Government endorsed the COVID-19 Vaccine Development and Access Strategy to vaccinate at least 60% of each country’s population with a safe and efficacious vaccine by 2022, to achieve the population-level immunity needed to bring the pandemic under control. Using publicly available, country-level population estimates and COVID-19 vaccination data, we provide unique insights into the uptake trends of …
How do patient feedback systems work in low-income and middle-income countries? Insights from a realist evaluation in Bangladesh
BACKGROUND: Well-functioning patient feedback systems can contribute to improved quality of healthcare and systems accountability. We used realist evaluation to examine patient feedback systems at health facilities in Bangladesh, informed by theories of citizenship and principal-agent relationships. METHODS: We collected and analysed data in two stages, using: document review; secondary analysis of data from publicly available web-portals; in-dep…
Patient Feedback Systems at the Primary Level of Health Care Centres in Bangladesh
This paper documents, and reflects on key strengths and weaknesses of, existing patient feedback management systems at primary health care in Bangladesh and proposes key implications for future policy and practice. A mixed-method study was conducted in two Upazila (sub-district) Health Complexes (UHC) within one district in Bangladesh. It reports qualitative data from thematic analysis of in-depth interviews ( n = 15) with key stakeholders; non-p…
Socio-cultural and economic barriers, and facilitators influencing men’s involvement in antenatal care including HIV testing
Peer and economic influences were the most influential barriers of men attending ANC and testing for HIV with their pregnant partners. Addressing these socio-economic barriers and having a male friendly clinic are promising interventions to promote male ANC attendance in this setting
Exploring the drivers of ethnic and religious exclusion from public services in Nigeria
Purpose The importance of social exclusion and the disadvantage experienced by many minority ethnic and religious populations are rooted in SDG 10. To address this exclusion effectively it is important to understand their key drivers. This paper aimed to establish the key drivers of exclusion and their outcomes in Nigeria. Design/methodology/approach The methods involved a scoping review of literature and stakeholder workshops that focused on dri…
Leveraging big data for improving the estimation of close to reality travel time to obstetric emergency services in urban low- and middle-income settings
Maternal and perinatal mortality remain huge challenges globally, particularly in low- and middle-income countries (LMICs) where >98% of these deaths occur. Emergency obstetric care (EmOC) provided by skilled health personnel is an evidence-based package of interventions effective in reducing these deaths associated with pregnancy and childbirth. Until recently, pregnant women residing in urban areas have been considered to have good access to ca…
Impact of sustained health policy and population-level interventions on reducing the prevalence of obesity in the Caribbean region
Background: The 2020 Global Nutrition Report highlights that despite improvements in select nutrition indicators, progress is too slow to meet the 2025 Global Nutrition Targets. While the Latin America and the Caribbean (LAC) region has achieved the greatest global reduction in undernutrition (stunting, underweight, and wasting) in the past decade, it also has the highest prevalence of people with overweight worldwide. Since the early 2000s, the …
Research priorities to reduce the impact of Covid-19 in low- and middle-income countries
Background: The COVID-19 pandemic has caused disruptions to the functioning of societies and their health systems. Prior to the pandemic, health systems in low- and middle-income countries (LMIC) were particularly stretched and vulnerable. The International Society of Global Health (ISoGH) sought to systematically identify priorities for health research that would have the potential to reduce the impact of the COVID-19 pandemic in LMICs. Methods:…
Role of trust in sustaining provision and uptake of maternal and child healthcare
Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users…
Remote Symptom Monitoring to Enhance the Delivery of Palliative Cancer Care in Low-Resource Settings
This paper brings together researchers, clinicians, technology developers and digital innovators to outline current applications of remote symptom monitoring being developed for palliative cancer care delivery in Africa. We outline three remote symptom monitoring approaches from three countries, highlighting their models of delivery and intended outcomes, and draw on their experiences of implementation to guide further developments and evaluation…
Referral experiences of healthcare consumers
Introduction: The inadequate referral system in Nigeria is partly due to the proliferation of informal healthcare providers (IHPs) and constraints within formal providers in urban slums. With limited data on patient referral experiences across these providers, this paper explores referral experiences in urban slums in southeast Nigeria. Methods: This study involved 1,025 people in eight slums in Enugu and Anambra states, using multi-stage purposi…
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:…
“…I feel like I am just staying here waiting for death”
Refugees and migrants with advanced illness frequently face fragmented and inconsistent access to health services. Structural barriers delay symptom management, undermine continuity of care, and limit access to palliative support. A clearer understanding of their lived experiences is essential to inform equitable health system responses and inclusive models of care. This study explored the lived experiences of individuals with advanced illness in…
Primary health care networks and impacts in low- and middle-income countries
Primary healthcare provider networks (PHCPNs) are increasingly recognized as promising strategies to effectively strengthen health systems in low- and middle-income countries (LMICs). However, there is limited information on the influence PHCPNs may have on the process and clinical outcomes of health services. This study sought to answer the questions: what is the extent, range, and nature of research on PHCPNs in LMICs, what are the types of PHC…
Economic growth (15 works) · Medicine (15 works) · Global Maternal and Child Health (14 works) · Economics (10 works) · Business (9 works) · Environmental health (9 works) · Health care (8 works) · Nursing (8 works) · Political science (8 works) · Population (8 works)