Towards improvement in malaria policy implementation in Nigeria: a qualitative study on factors influencing the translation of malaria policies to practice.

Abstract

Malaria is a severe health issue in Nigeria, particularly for pregnant women and children <5y of age, despite all malaria control programs. From the standpoint of major stakeholders in Nigeria, this study explored both promoting and limiting factors affecting the implementation of malaria policy. From March to June 2019, in-depth interviews were conducted with 16 key respondents. Key informants such as malaria researchers, policy advisers and program managers were identified using purposive and snowballing sampling strategies. Interviews were performed in English, recorded, transcribed and analysed using QSR NVivo 11. Some of the variables increasing the implementation of malaria policies in Nigeria, according to respondents, were political will, access to funds from donors, and staff commitment. Insufficient planning, lack of commitment, poor finance, manpower shortages, and a lack of synergy between academics and policymakers, on the other hand, were recognized as important barriers to the malaria policy implementation process by respondents. Implementation gaps may result from a lack of capability for the policy implementation process and a lack of support for policy objectives. The difficulties in implementing malaria policy in Nigeria were highlighted in this study, and relevant recommendations were made.