Addressing health worker absenteeism in Nigeria: design, implementation and rollout of interventions in Enugu State

Authors: Obinna Onwujekwe, Okechukwu Ozo, Onochie Eze, Ifunanya Agu, Pamela Ogbozor, Aloysius Odii, Chukwudi Nwokolo C, Izuchukwu Ndukaihe, Chinelo Obi, Mystery Ojiakor, Paul Onu, Kingsley Ude, Chinyere Mbachu, Pallavi Roy, Dina Balabanova
Publication date: March 2026

This progress report documents the design, implementation and rollout of a pilot intervention to reduce health worker absenteeism in primary healthcare facilities in Enugu State, Nigeria. The project approach shifts the focus from punitive enforcement to absenteeism as a governance challenge, using the Power-Capabilities-Interest framework.