Understanding Malaria Treatment Patronage from Informal Healthcare Providers in Nigerian Urban Settlements: Insights from community members and providers DOI Creative Commons
Eniola Bamgboye,

Akintayo O. Ogunwale,

Auwal Adamu

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Окт. 24, 2024

Abstract Informal Healthcare Providers (IHCPs), including Proprietary Patent Medicine Vendors (PPMVs), Drug Peddlers (DPs), Traditional Healers (THs), and Herbal Sellers (HDSs) are often the first choice for malaria treatment, especially in urban slums. Unplanned urbanization significantly impacts transmission by creating cities with inadequate safety nets healthcare access, increasing reliance on IHCPs. While WHO recognizes IHCP’s crucial role emphasizes integrating them into formal improved care, they lack requisite training management operate outside official regulations, raising concerns about quality of care. Understanding IHCPs' perceptions practices is essential their proper integration. This study explored perceived burden, competence reasons visiting IHCPs various settlements from both community member provider perspectives. was a qualitative cross-sectional Ibadan Kano metropolis. Eighteen (18) Focus Group Discussions (FGD) among 157 adult members, twelve (12) Key-Informant Interviews (KIIs) PPMVs, DPs, THs, HDSs were conducted these cities. Participants drawn purposively - designated as formal, informal slum based local definitions selected wards within Data collected using pre-tested guides analyzed thematically. Our reveals that remains significant health problem Nigerian Patronage driven affordable mildness illness access to credit facilities while cultural belief key patronage largely residents. Furthermore, had strong managing cases, diagnosis treatment common practices. Educating equipping diagnostic tools, enhancing healthcare, public awareness promoting collaborations care providers.

Язык: Английский

Ungoverned Spaces Among Informal Health Providers in Nigeria and Health Security Implications DOI Creative Commons
Prince Agwu, Enyi Etiaba, Obinna Onwujekwe

и другие.

Journal of Social Service Research, Год журнала: 2024, Номер unknown, С. 1 - 13

Опубликована: Авг. 29, 2024

Ungoverned spaces refer to systems that are evasive of government regulations. They manifest in health when authorities struggle regulate certain healthcare providers. The current study underscored Informal Health Providers (IHPs) such as Patent Medicine Vendors (PMVs), Herbalists, Traditional Birth Attendants (TBAs), etc., typical ungoverned heath Nigeria and a threat citizens' security. Interviews group discussions were used collect data from 90 participants. findings showed some groups IHPs without interface with authorities. Although PMVs TBAs had the government, still found many aspects their practices not governed. Unions could be parallel Indeed, can provide care difficult contexts where formal is lacking, however, continuous operations undermine rights quality healthcare, which conflicts ideals social service workforce. Therefore, future research should focus on co-designing policies programs help pull into an effectively governed pool.

Язык: Английский

Процитировано

4
Understanding malaria treatment patronage from informal healthcare providers in Nigerian urban settlements: insights from community members and providers DOI Creative Commons
Eniola Bamgboye,

Akintayo O. Ogunwale,

Adamu Al-Mukhtar

и другие.

Malaria Journal, Год журнала: 2025, Номер 24(1)

Опубликована: Янв. 23, 2025

Abstract Background Informal Healthcare Providers (IHCPs), including Proprietary Patent Medicine Vendors (PPMVs), drug peddlers, traditional healers, and herbal sellers are often the first choice for malaria treatment, especially in urban slums. Unplanned urbanization significantly impacts transmission by creating cities with inadequate safety nets healthcare access, increasing reliance on IHCPs. While World Health Organization recognizes IHCP’s crucial role emphasizes integrating them into formal improved care, they lack requisite training management operate outside official regulations, raising concerns about quality of care provide. Understanding IHCPs' perceptions practices is essential their proper integration. This study explored perceived burden, IHCPs’ competence reasons visiting IHCPs various settlements from both community member provider perspectives. Methods qualitative cross-sectional was carried out Ibadan Kano metropolises. Eighteen Focus Group Discussions among 157 adult members twelve Key-Informant Interviews PPMVs, healers were conducted these cities. Participants drawn purposively settlements—designated as formal, informal, slum based local definitions—in selected wards within Data collected using pre-tested guides analysed thematically. Results reveals that remains a significant health problem Nigerian Patronage generally driven affordable mildness illness, access to credit facilities. However, cultural belief key patronage sellers, largely informal residents. Furthermore, while had strong managing cases, diagnosis treatment standard practices. Conclusions remain consistently patronized across settlements. continuously all settlement. Educating equipping diagnostic tools, enhancing healthcare, public awareness promoting collaborations providers.

Язык: Английский

Процитировано

0
Health seeking by people living with non-communicable diseases in a pluralistic health system: the role of informal healthcare providers DOI Creative Commons
Abu Conteh, Laura Dean, Annie Wilkinson

и другие.

International Journal for Equity in Health, Год журнала: 2025, Номер 24(1)

Опубликована: Март 11, 2025

There is a growing global burden of non-communicable diseases (NCDs), including diabetes, hypertension and cardiovascular diseases. NCDs constitute public health concern in the Low Middle Income Countries (LMICs), amplified by rapid urbanisation urban inequality. Urbanisation associated inequalities, have profound impacts on healthcare provision seeking decision making marginalised populations living informal settlements. The thriving nature informality, shown through spread urbanisation, pluralism seen as mechanism for coping with inequalities. Limited understanding drivers both within policy practice remain huge gap designing people centred delivery that meets needs affected NCD problems settings. We employed qualitative methods 18 key informant interviews (KIIs), 3 focus group discussions (FGDs) 15 narrative interviews, purposively sampled NCDs, well formal providers, community chiefs. analysed our data using framework approach, applying adapted belief model to understand how decisions are made impacted lived experiences Syncretic beliefs were evident among settlements, showing interact diverse providers at different times, based type severity ill health. Health was also influenced access barriers, participants' biomedical, cultural religious about disease causation. Despite ongoing medical syncretic systems, Sierra Leonean system yet adapt these contextual factors its response epidemic. Moreover, rigid operational boundaries between service continue impact unmet conditions settlements Freetown, Leone. Informal play critical role services low resource settings, building trusted relationship can help optimise

Язык: Английский

Процитировано

0
Assessing informal healthcare providers' knowledge of diagnosis and treatment of malaria and diarrhea: evidence from urban informal settlements in Southeast Nigeria DOI Creative Commons
Ifeyinwa Arize,

Joy Ozughalu,

Bernard Okechi

и другие.

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Март 12, 2025

Background Despite the availability of effective interventions, malaria and diarrhea continue to be leading causes disease burden in Nigeria. Informal healthcare providers (IHPs) account for a significant proportion health service urban slums may pose challenge quality if they are untrained unregulated. This study assessed IHPs' knowledge diagnosis treatment diarrhea. Methodology A cross-sectional quantitative was conducted eight informal settlements (slums) southeast Data were collected from 235 using an interviewer-administered questionnaire. Results The mean overall scores 5.2 (95% CI: 4.3–6.1) 5.4 4.1–6.7), respectively, among different IHPs. However, private medicine vendors (PMVs) traditional birth attendants (TBAs) showed higher treating Having more than 8 years formal education receiving on-the-job training had statistically effect on adequate treatment. Conclusion Institutionalizing strengthening delivery through appropriate support IHPs can improve slums.

Язык: Английский

Процитировано

0
Understanding Malaria Treatment Patronage from Informal Healthcare Providers in Nigerian Urban Settlements: Insights from community members and providers DOI Creative Commons
Eniola Bamgboye,

Akintayo O. Ogunwale,

Auwal Adamu

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Окт. 24, 2024

Abstract Informal Healthcare Providers (IHCPs), including Proprietary Patent Medicine Vendors (PPMVs), Drug Peddlers (DPs), Traditional Healers (THs), and Herbal Sellers (HDSs) are often the first choice for malaria treatment, especially in urban slums. Unplanned urbanization significantly impacts transmission by creating cities with inadequate safety nets healthcare access, increasing reliance on IHCPs. While WHO recognizes IHCP’s crucial role emphasizes integrating them into formal improved care, they lack requisite training management operate outside official regulations, raising concerns about quality of care. Understanding IHCPs' perceptions practices is essential their proper integration. This study explored perceived burden, competence reasons visiting IHCPs various settlements from both community member provider perspectives. was a qualitative cross-sectional Ibadan Kano metropolis. Eighteen (18) Focus Group Discussions (FGD) among 157 adult members, twelve (12) Key-Informant Interviews (KIIs) PPMVs, DPs, THs, HDSs were conducted these cities. Participants drawn purposively - designated as formal, informal slum based local definitions selected wards within Data collected using pre-tested guides analyzed thematically. Our reveals that remains significant health problem Nigerian Patronage driven affordable mildness illness access to credit facilities while cultural belief key patronage largely residents. Furthermore, had strong managing cases, diagnosis treatment common practices. Educating equipping diagnostic tools, enhancing healthcare, public awareness promoting collaborations care providers.

Язык: Английский

Процитировано

0