Table 4 Summary of application of ACF to MCH policy advocacy in Nigeria
Territorial scope | Sub-territorial scope | Subsystem | Policy core beliefs | Advocacy coalitions | External shock | Policy brokers | Perceived outcome of advocacy events |
|---|---|---|---|---|---|---|---|
Nigeria (national and state levels) | MCH policy sector in Nigeria | Actors: CSOs, NGOs, private sector, media, implementation partners, government workers, donor agencies, health professional associations | Poor MCH. Right of an individual to life and health. The desire to protect the lives of so many children and mothers | Coalition of CSOs, coalition of development partners, coalition of specific professional groups, coalition of media houses, coalition of implementers, coalition of state-level coalition for accountability, health sector reform coalition (HSRC) | High maternal mortality result published by development partners. Sudden withdrawal of the free MCH programme following a change in government | Policy decision-makers, mainly the government at the national and state levels | Free MCH in some states, enactment of MCH policies—NSHDP, increased funding for MCH; revitalization of PHCs; human resources for health intervention increased accountability in MCH programmes Introduction of new interventions country-wide e.g. Basic Health Care Provision Fund (BHCPF), CHIPS, reduced MCH indices by 2018, legal backing of MCH activities, government ownership of programmes |