ASSESSING THE MANAGERIAL CONSTRAINT IN THE IMPLEMENTATION OF EYE HEALTH CARE POLICY (2019) IN SELECTED LOCAL GOVERNMENTS OF GOMBE STATE

Abstract

This study assessed managerial constraints affecting the implementation of the national eye health care policy of 2019 in Gombe State, Nigeria, with particular focus on governance, financing, service delivery, and health information systems. Eye diseases, including cataract, glaucoma, uncorrected refractive errors, and diabetic retinopathy, remain significant public health challenges in Nigeria, contributing to avoidable blindness and visual impairment, especially in underserved populations. Using a descriptive survey design, data were collected from 500 respondents across four Local Government Areas—Gombe, Billiri, Yamaltu Deba, and Bajoga—through structured questionnaires capturing demographic characteristics and perspectives on eye health policy implementation. Findings revealed that managerial constraints, including limited government oversight, inconsistent stakeholder participation, and weak regulatory mechanisms, affect the effective implementation of the National Eye Health Policy. While pooling and allocation of funds exist, delayed disbursement and inadequate tracking hinder optimal resource utilization. Service delivery was found to positively impact eye care outcomes, with evidence-based planning, private sector engagement, and community participation contributing to improved service coverage. Additionally, the operational Eye Health Information System demonstrated adequate functionality in data capture, analysis, and policy support, though challenges in pharmaceutical availability and distribution persist. The study concludes that strengthening managerial capacity, improving funding mechanisms, and enhancing governance and information systems are essential for achieving Universal Eye Health coverage in Gombe State. Recommendations include enhanced coordination, resource allocation, and policy-driven oversight to improve access, quality, and equity in eye health services.