Abstract
Objectives: This paper seeks to examine the history of HIV/AIDS in Nigeria while presenting a clear picture of some of the issues that exist in service delivery. Lastly, this paper explores how an evidence-based management approach offers an effective set of tools to HIV/AIDS organizations. Methods: Content analysis and a qualitative desk review of the literature. Results: Findings from this paper reveal that through the use of evidence-based management, preconceived notions can be challenged so as to yield a diversity of thought and a more people-centered approach to public health delivery. This paper also shows that in the Nigerian setting, an evidence-based management framework can be a transformative tool in ensuring that key populations can receive critical care and treatment in the long run despite the uncertainty that might exist when it comes to funding and resources. Conclusions: Evidence-based management is a rigorous framework that can be used for understanding how a multitude of factors can position an organization to achieve its theory of change, which in turn can lead to sustainable impact in the long run. Incorporating the use of evidence in everyday organizational behavior involves not only looking at the manner in which data is aggregated, but also how it is disseminated. In order to ensure that the evidence is not manipulated, nonprofit organizations are often viewed as being best suited for collecting evidence since they are not heavily plagued by systemic corruption and political tides, compared to their government counterparts.
Highlights
This paper seeks to examine the history of HIV/AIDS in Nigeria while presenting a clear picture of some of the issues that exist in service delivery
This paper shows that in the Nigerian setting, an evidence-based management framework can be a transformative tool in ensuring that key populations can receive critical care and treatment in the long run despite the uncertainty that might exist when it comes to funding and resources
Evidence-based management is a rigorous framework that can be used for understanding how a multitude of factors can position an organization to achieve its theory of change, which in turn can lead to sustainable impact in the long run
Summary
Stronger financing mechanisms cannot solely strengthen health outcomes This is because there are other barriers associated with delivering HIV/AIDS services that include ineffective inter-organizational management, legal ramifications that criminalize certain sexual minority groups, and low number of care facilities (1078)—as estimated by Avert in the year 2018 that provide HIV treatment. Delivering effective HIV/AIDS services in the Nigerian NGO landscape is often plagued by issues centered around corruption and organizational politics [19] These two conditions can result in the deprivation of essential drugs/treatments from those in dire need. NGOs must interact with these private institutions in their efforts to tackle the epidemic These entities face issues with conducting in-service training of health care workers at the primary health care level since there is no widely utilized framework for providing training to HIV/AIDS personnel in clinics and hospitals who lack the necessary skill set. There is a density-based clustering of skills across organizations and many staff within nongovernmental organizations are reluctant to provide capacity building opportunities to workers who can rise up the ranks and request a transfer to other facilities
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