Figure 1. The DIVA Model (Source: UNICEF)

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Figure 1. The DIVA Model (Source: UNICEF) Figure 1. The DIVA Model (Source: UNICEF). The four-step DIVA model in which ‘Diagnose’ identifies bottlenecks to ... Figure 1. The DIVA Model (Source: UNICEF). The four-step DIVA model in which ‘Diagnose’ identifies bottlenecks to programme interventions; ‘Intervene’ develops/implements action plans addressing the bottlenecks; while ‘Verify/Adjust’ monitor performance and revise plans Unless provided in the caption above, the following copyright applies to the content of this slide: © The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.comThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices) Health Policy Plan, Volume 33, Issue 6, 08 May 2018, Pages 715–728, https://doi.org/10.1093/heapol/czy042 The content of this slide may be subject to copyright: please see the slide notes for details.

Figure 4. Contextual domain subtotals as proportions of highest possible domain scores. The bar chart illustrates the ... Figure 4. Contextual domain subtotals as proportions of highest possible domain scores. The bar chart illustrates the performance of each LGA with respect to contextual domains. The greatest contextual challenge in both LGAs was with respect organizational factors, i.e. issues relating to LGA leadership and management even though external support accounted for the greatest contextual disparities Unless provided in the caption above, the following copyright applies to the content of this slide: © The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.comThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices) Health Policy Plan, Volume 33, Issue 6, 08 May 2018, Pages 715–728, https://doi.org/10.1093/heapol/czy042 The content of this slide may be subject to copyright: please see the slide notes for details.

Figure 2. Decentralized health system governance in Nigeria The three-tier structure of government and how each relates ... Figure 2. Decentralized health system governance in Nigeria The three-tier structure of government and how each relates to the Nigerian health system and the community. The LGA (through its health department) is the implementing level for PHC with strong interaction with the community. The state PHC Development Agency oversees the activities of the LGA health departments while the National PHC Development Agency interacts strongly with the State PHC Agency with respect to PHC policy thrusts. Interactions between PHC facilities and other levels of care are weak (mostly limited to referrals) Unless provided in the caption above, the following copyright applies to the content of this slide: © The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.comThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices) Health Policy Plan, Volume 33, Issue 6, 08 May 2018, Pages 715–728, https://doi.org/10.1093/heapol/czy042 The content of this slide may be subject to copyright: please see the slide notes for details.

Figure 3. Typical LGA PHC line management (microsystem) in Kaduna state. The typical line management structure at the ... Figure 3. Typical LGA PHC line management (microsystem) in Kaduna state. The typical line management structure at the LGA level in Kaduna and their various roles in DIVA implementation. The PHC directors, monitoring and evaluation officers, programme officers for immunization, reproductive health and malaria are directly involved with DIVA presently. Operationally, however, the management structure at this level is a strong matrix rather than purely linear Unless provided in the caption above, the following copyright applies to the content of this slide: © The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.comThis article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/about_us/legal/notices) Health Policy Plan, Volume 33, Issue 6, 08 May 2018, Pages 715–728, https://doi.org/10.1093/heapol/czy042 The content of this slide may be subject to copyright: please see the slide notes for details.