Primary Health Care Delivery Models in Conflict Settings of Cameroon and Nigeria


University of Cambridge




Conflict-Affected Settings
Models of Care
Primary Health Care


Behavioral: Program support

Study type


Funder types




Details and patient eligibility


The overall objective of this research is to understand the PHC landscape in conflict-affected settings including choice of PHC delivery models and quality interventions used by humanitarian organisations

Full description

There is sparse evidence to guide the selection and design of primary health care (PHC) services that improves and maintains quality care in humanitarian settings. The Northwest and Southwest regions of Cameroon, and Northeast Nigeria have protracted humanitarian crises. Various models of PHC are used in these settings; ensuring quality of PHC models of care is essential to improve health outcomes. We aim to explore how PHC models are selected by humanitarian organizations and through stakeholder engagement design a toolkit for evaluation of quality in PHC care delivery across different models. The specific objectives of the study are; To map different primary health care delivery models used by public, private and humanitarian organization in the conflict affected settings of NWSW Cameroon and North East Nigeria by conducting a mapping survey To explore the factors influencing the selection of primary health care delivery models used by humanitarian organizations to guide the selection of models of care and strengthening of programming efforts in conflict settings by conducting an exploratory qualitative study To determine the coverage and gaps in services across the different PHC models to develop a pilot questionnaire to evaluate quality in conflict settings by conducting an exploratory qualitative study The humanitarian crisis in North West and South West regions of Cameroon and North East Nigeria, has led to the closure of 269/933 and 617/2367 health facilities respectively with over 2.21 million IDPs and 350,000 returnees(2, 3), creating a huge gap in the availability and accessibility of health services to affected communities. The need to conduct this study becomes even more pertinent to inform program developers and donors on key considerations to make before using different models of care, and how quality can be improved to foster sustainability


200 estimated patients




21+ years old


Accepts Healthy Volunteers

Inclusion criteria

  • Male and female staff of humanitarian organisations, internally displaced persons (confirmed to be a resident of an IDP or host community);
  • Age 21 years of age or older;
  • Ability to provide informed consent or assent to participate in the research

Exclusion criteria

  • Individuals who are mentally ill or with limitations to communicate well;
  • Those who cannot speak or understand the local languages so that they cannot understand the interviewer.
  • Those who refuse to provide consent to the study or who do not want to participate in the study

Trial design

200 participants in 2 patient groups

Humanitarian workers
Staff working in humanitarian organisations will be recruited for interviews
Behavioral: Program support
Internally displaced persons
Internally displaced persons living in conflict settings will be recruited for interviews
Behavioral: Program support

Trial contacts and locations



Central trial contact

LUNDI-ANNE OMAM N BIBAA; Rosalind Parkes-Ratanshi

Data sourced from

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