Strengthening PHC Facility Management: The Role of Quality Onboarding Training for Ward Development Committees

Ward Development Committee (WDC) is a community-based citizens’ representative group that aims to promote community participation and ownership in primary health care (PHC) system, these committees are meant to serve as a link between communities and health facilities by identifying health and social needs and mobilizing local resources. However, there are concerns about their onboarding training. Hence, this study investigated influence of recruitment and onboarding training on the performance of WDCs in PHC facility management in Southwest Nigeria. A descriptive survey research design was employed. Population of this study was 4,161. Multi-stage sampling procedures was used to select 325 WDC members, 65 OICs, & 13 MOHs samples for this study. An adapted questionnaire and in-depth interview were used to collect data. Data were analyzed and presented through descriptive and inferential statistics such as frequency, percentage, mean, standard deviation, regression & multiple regression analysis at a significance level of P = 0.05. The result showed that there is significant influence of onboarding training with a weighted mean of 2.13 and a standard deviation of 0.90. The multiple correlation coefficient (R) is 0.693 showing a joint influence between recruitment and onboarding training on the performance of WDCs’ performance. This study concluded that there the onboarding training was inadequate or absent, with 83.3% of respondents expressing dissatisfaction with the quality of training received. Therefore, this study recommended that, the State Primary Health Care Development Board/Agency and Local Government Health Authorities adhere to provisions in the National Guidelines for Development of PHC System in Nigeria, that ensured standardized, comprehensive onboarding trainings for WDCs, with technical support from relevant health institutions such as NPHCDA, WHO, and UNICEF.

Keywords: Recruitment, Onboarding Training, Influence, Ward Development Committee, Performance.