Original Research

Using Delphi Technique and the P-Process model to assess health communication programmes in Nigeria

Abimbola Onigbanjo-Williams, Stella Iwuagwu
African Evaluation Journal | Vol 3, No 2 | a157 | DOI: https://doi.org/10.4102/aej.v3i2.157 | © 2015 Abimbola Onigbanjo-Williams, Stella Iwuagwu | This work is licensed under CC Attribution 4.0
Submitted: 15 May 2015 | Published: 12 October 2015

About the author(s)

Abimbola Onigbanjo-Williams, Department of Mental Health, Johns Hopkins Bloomberg School of Public Health and Department of Epidemiology, Rutgers the State University of New Jersey, United States
Stella Iwuagwu, School of Health Sciences, Cleveland State University, United States


Strategic health communication is an integral part of the programmes and development that influence decisions regarding health. Health communication is often integrated into public health interventions to improve programme outcomes. Despite the massive donor funding for public health programmes in Nigeria, there is limited information on the current status of health communication programmes. This study aims to identify the knowledge gaps, describe the future direction and highlight recommendations for strengthening health communication programmes in Nigeria. Using a purposive sampling methodology, the online study used a two-staged Delphi Technique and the P-Process model to collect data from key stakeholders. Stakeholders included donors, government, civil society organisations, research institutions, education and training institutions, and communities. Descriptive analysis was done using SPSS. Capacity-building gaps were identified and a conceptual framework was developed. These gaps included: the low technical capacity of stakeholders in health communication, limited resources for organisations to implement activities, the lack of a strategic framework to guide the implementation of health communication programmes, and minimal collaboration with stakeholders. These findings provided an insight into the current state of health communication programmes, which is mainly at the programme activity level. In this study, the findings highlighted a critical need to develop and strengthen health communication programmes in Nigeria with a view to improving performance and health outcomes and optimising healthservice delivery in the country.


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