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July 26, 2026The International Journal of Health Planning and Management

Governance Coordination, Financing Reform, and Equity‐Targeted Interventions as Structural Determinants of Health System Performance in Southwest Nigeria: A Convergent Mixed‐Methods Study

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Authors

BKBabatunde Folorunso KolajoJOJohnson Olusola OLAOSEBIKANHIHenry Inegbedion

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Overview

Convergent mixed-methods study examines health system performance determinants in Southwest Nigeria, indicating key policy impacts.

Key Points

  • The study aims to explore how governance coordination, financing reforms, and equity-targeted interventions affect health system performance in Southwest Nigeria.
  • Examination of cross-sectional survey data from health sector stakeholders in Southwest Nigeria.
  • Use of robust ordinary least squares regression models with heteroskedasticity-consistent standard errors.
  • Inclusion of state fixed effects and stakeholder controls in all models.
  • Governance coordination has a significant positive association with service delivery effectiveness (β = 0.295, p < 0.01).
  • Financing reform implementation is strongly linked to improved financial protection (β = 0.311, p < 0.01).
  • Equity-targeted interventions show the strongest link to equitable access outcomes (β = 0.335, p < 0.01).

Cite This Study

Kolajo et al. (2026) studied this question.

synapsesocial.com/papers/6a65a76fd3aea3239cd78474https://doi.org/10.1002/hpm.70107
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