2023
DOI: 10.1136/bmjgh-2023-012700
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What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria

Rachel Neill,
Michael A Peters,
Segun Bello
et al.

Abstract: IntroductionThe SARS-CoV-2 (COVID-19) pandemic overwhelmed some primary health care (PHC) systems, while others adapted and recovered. In Nigeria, large, within-state variations existed in the ability to maintain PHC service volumes. Identifying characteristics of high-performing local government areas (LGAs) can improve understanding of subnational health systems resilience.MethodsEmploying a sequential explanatory mixed-methods design, we quantitatively identified ‘positive deviant’ LGAs based on their speed… Show more

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