Role of trust in sustaining provision and uptake of maternal and child healthcare: Evidence from a national programme in Nigeria.

ABSTRACT: Despite increasing attention to implementation research in global health, evidence from low- and middle-income countries (LMICs) using realist evaluations, in understanding how complex health programmes work remains limited. This paper contributes to bridging this knowledge gap by reporting how, why and in what circumstances, the implementation and subsequent termination of a maternal and child health programme affected the trust of service users and healthcare providers in Nigeria. Key documents were reviewed, and initial programme theories of how context triggers mechanisms to produce intended and unintended outcomes were developed. These were tested, consolidated and refined through iterative cycles of data collection and analysis. Testing and validation of the trust theory utilized eig

SUBMITTER: Ezumah N 

PROVIDER: S-EPMC8819156 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature