ACHIEVING LOCAL DEVELOPMENT GOALS: ANALYZING 2023 LGAS ANNUAL OPERATIONAL PLANS IN NORTHWESTERN NIGERIA

Effective implementation of Annual Operational Plans (AOP) is critical for achieving health system goals, particularly in decentralized governance structures. This study evaluates the 2023 implementation of AOPs across 21 Local Government Areas (LGAs) in Kebbi State, Northwestern Nigeria to identify performance trends, strengths, and challenges. A tracking methodology was employed, involving five data collectors assigned to geographically clustered LGAs. Data collectors engaged directly with Local Government Health Authority (LGHA) members during monthly sessions to track implementation progress using a structured Google Sheets-based tracker. Descriptive and comparative analyses were conducted to assess implementation rates across LGAs and operational planning pillars. The average implementation rates across LGAs ranged from 79% in Zuru to 94% in Bagudo, with most LGAs achieving over 80%. Pillar-specific analysis revealed high performance in Health Promotion (96%) and Leadership and Governance (94%), while Partnership for Health and Public Health Emergencies lagged at 67%. Funding contributions from various stakeholders demonstrated strong collaboration, with key insights pointing to geographic disparities and systemic challenges in underperforming areas. The findings highlight significant achievements in the implementation of the 2023 AOP while uncovering critical areas requiring attention, particularly in infrastructure and partnerships. These insights provide a robust foundation for improving planning and resource allocation in future cycles, contributing to the sustainability of primary healthcare services.