Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: Lessons for strengthening community health systems for Universal Health Coverage

Summary

This research article focuses on optimising the performance of frontline implementers engaged with NTD programme delivery in Nigeria. Optimising frontline implementer performance is essential for the attainment of NTD control and elimination goals, and consequent contribution to achieving the Sustainable Development Goals.

This paper discusses the problems and solutions identified by frontline implementers under three broad themes; technical support, social support and incentives. Areas identified for technical support include training, supervision, human resource management and workload, equipment and resources and timing of mass administration of medicine (MAM) implementation.

The social support needs identified were more equitable drug distributor selection processes, effective community sensitisation mechanisms and being associated with the health system. Incentives identified were both non-financial and financial including receiving positive community feedback and recognition and monetary remuneration.