The objective of this study was to explore the implementation of the SURE-P intervention on primary healthcare among the selected local government areas of Niger State, Nigeria. In these local governments, the primary health centers are not enough, and the existing ones are dilapidated with the absence of facilities needed to operate effectively. To access medical services, some communities must travel long distances, resulting in high mortality rates. This study examined the perceptions of Desk Officers regarding implementing the SURE-P intervention in primary healthcare among the selected local government. A descriptive design within the qualitative tradition was used in the Study. Thirteen SURE-P desk officers from the state and selected local governments were purposively selected as participants for this study. Semi-structured interviews were used to collect data, and a thematic framework was used for interpretation. The results revealed that the primary healthcare SURE-P initiative had improved access to medical facilities across the selected local governments, resulting in a slide reduction in maternal motility. Furthermore, there was a lack of adequate assessment of needs, insufficient funding, relatively low inclusion, and political pressure in the implementation process. Based on findings, it is recommended that the SURE-P intervention be sustained, adequately financed, that the community members' priority needs should be addressed, that the community members should be more inclusive, and track the implementation of the SURE-P intervention.

Rural areas play an essential role in the national economy, the environment, and society, contribute to the preservation of cultural heritage and the sustainable income of peasants in the rural areas in Nigeria hence, diverse strategies for rural community development. However, rural community development efforts by local governments and policies hindered by challenges. SURE-P was an intervention by the government of Nigeria after the partial removal of the subsidy and resolved to invest the proceeds in pursuing rural development across Nigeria. Rural development is a multifaceted phenomenon that requires a policy with multi-side sword effects in curbing the challenges. The research objective was to examine the challenges of local government and SURE-P implementation on rural community development in the selected local government in Niger, Nigeria. The study employed primary data collection and qualitative analytical method analysis. The research founds that SURE-P implementation challenges hindered the local government’s efforts in meeting the rural community development objective. It is recommended that, need for thorough community’s needs identification, community participation, and adequate funding with a holistic process devoid of political interference as a viable mechanism for curbing rural development challenges.