What made primary health care resilient against COVID-19? A mixed-methods positive deviance study in Nigeria.
Rachel NeillMichael A PetersSegun BelloMagbagbeola David DairoViviane AzaisAyodele Samuel JegedeKehinde Adebola AtoloyeCharles E NzeluNgozi AzodoAnthony AdogheWilliam WangRebecca BartleinAnne LiuMunirat OgunlayiSaudatu Umma YaraduaGil ShapiraPeter M HansenOlufunmilayo Ibitola FawoleTashrik AhmedPublished in: BMJ global health (2023)
Sufficient flexible financing, adequate PHC staffing and local leadership enabled health systems to recover service volumes during COVID-19. Resilient PHC requires simultaneous attention to bottom-up and top-down capabilities connected by strong leadership.