Uncovering the determinants of health in deprived urban neighborhoods in Accra, Ghana: a qualitative and participatory reconnaissance study DOI Creative Commons

Nina Amedzro,

Dominic Anaseba,

Akosua Gyasi Darkwa

и другие.

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Окт. 10, 2024

Delivering primary care services within the context of rapid urbanization and a changing disease burden is major challenge in sub-Saharan Africa. Rural models care, including "Community-based Health Planning Services" (CHPS) programme Ghana, have shown improved health outcomes. However, adapting these to urban has proved problematic. Differences determinants found settings may help explain challenges delivering CHPS poor neighborhoods Accra. To inform redesign for context, we aimed understand driving engagement with three informal settlements

Язык: Английский

Capacity building in Nigeria's healthcare sector: A review of skill development and mentorship initiatives DOI Creative Commons

Beatrice Adedayo Okunade,

Foluke Eyitayo Adediran,

Obe Destiny Balogun

и другие.

World Journal of Advanced Research and Reviews, Год журнала: 2023, Номер 20(3), С. 906 - 923

Опубликована: Дек. 22, 2023

This paper delves into the critical realm of skill development and mentorship within Nigeria's healthcare sector, aiming to dissect evaluate current state capacity building. Set against backdrop complex landscape, study navigates through intricacies training, practices, challenges inherent in system. The primary aim is scrutinize effectiveness existing initiatives models, how they align with needs Nigeria. Employing a comprehensive literature review as its methodological backbone, systematically examines various government NGO-led programs, integration mentorship. approach enables thorough analysis historical evolution, challenges, gaps building findings reveal sector that, despite facing infrastructural educational witnessing progressive strides highlights transformative impact these on delivery, emphasizing synergy between enhancement elevating standards. It also identifies role fostering professional growth leadership among practitioners. Conclusively, underscores need for multi-faceted collaborative enhancing capacity. recommends robust innovative strategic policy interventions aimed at creating sustainable, resilient, efficient advocates united effort from bodies, institutions, organizations, international partners achieve goals. clarion call renewed focus highlighting path towards more competent responsive

Язык: Английский

Процитировано

19

To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review DOI Creative Commons
Aloysius Odii, Ifeyinwa Arize, Prince Agwu

и другие.

Journal of Urban Health, Год журнала: 2024, Номер unknown

Опубликована: Июнь 14, 2024

Abstract The contributions of informal providers to the urban health system and their linkage formal require more evidence. This paper highlights collaborations that exist between examines how these have contributed strengthening systems in sub-Sahara Africa. study is based on a scoping review literature was published from 2011 2023 with focus slums Electronic search for articles performed Google, Google Scholar, PubMed, African Journal Online (AJOL), Directory Open Access Journals (DOAJ), ScienceDirect, Web Science, Hinari, ResearchGate, yippy.com. Data extraction done using WHO building blocks. identified 26 publications referred healthcare delivery. collaboration manifested through registering standardizing practice providers. They also participate training providing free medical commodities them. Additionally, there were numerous instances client referrals, either or However, indicates are unformalized, unsystematic, largely undocumented. undermines potential system.

Язык: Английский

Процитировано

5

Beyond Borders: Exploring the Lived Experiences of International Migrant Women in Nigeria, A Deep Dive into Healthcare Realities and Utilization DOI
Juliet Amarachukwu Nwafor, Rowland Edet, Ezebunwa E. Nwokocha

и другие.

Gender Issues, Год журнала: 2025, Номер 42(2)

Опубликована: Фев. 27, 2025

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

Solving delayed referrals of childbirth cases from unskilled to skilled birth attendants in Nigerian urban communities: a case study exploration of new frontiers DOI Creative Commons
Prince Agwu,

Francis Poitier,

Chinyere Mbachu

и другие.

Midwifery, Год журнала: 2025, Номер unknown, С. 104397 - 104397

Опубликована: Март 1, 2025

Язык: Английский

Процитировано

0

Inequities in Household Out-Of-Pocket Spending Among Urban Slum Dwellers in Southeast Nigeria DOI Creative Commons

Okechukwu Ozor,

Chukwudi Nwokolo, Noemia Teixeira de Siqueira-Filha

и другие.

International Journal of Public Health, Год журнала: 2025, Номер 70

Опубликована: Март 27, 2025

Objectives This study examines the economic burden and inequities in out-of-pocket expenditures (OOPEs) to access healthcare urban slums Nigeria. Methods The cross-sectional was undertaken eight Enugu Anambra, Participants (n = 1,025) responded questions on health healthcare. Gamma regression used estimate mean differences OOPE. Financing incidence analysis Results residents individuals with formal occupations incurred lower costs than Anambra those employed informal occupations. Households middle wealth quintile higher poorest quintile. Gini, concentration, Kakwani indices indicated a progressive financing system, richest contributing proportionately more their share of ability pay (ATP). Poorest households more. Conclusion Although payment for is progressive, may be at risk poor outcomes due reliance providers. Our findings highlight role ATP play denial among poor.

Язык: Английский

Процитировано

0

Integrated Public-Private Partnerships to Combat Tuberculosis for Improving Economic Development DOI

S. Srinivasan,

R. Vallipriya,

Ajay Kumar Singh

и другие.

IGI Global eBooks, Год журнала: 2025, Номер unknown, С. 323 - 356

Опубликована: Апрель 2, 2025

The public-private mix (PPM) involves healthcare providers and communities, addressing TB care through formal informal approaches in public private sectors. WHO emphasizes the need for PPM, particularly non-NTP sectors, to improve quality. Key issues identified include low case detection, poor treatment outcomes, delays, high patient costs. study highlights importance of notifications clinics, hospitals, pharmacies, laboratories, focusing on India. It analyzes trends enhance economic development, health align with SDG goals.

Язык: Английский

Процитировано

0

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

The Economic Burden of Healthcare Utilization: Findings from a Health and Well-Being Survey in Informal Settlements of Freetown, Sierra Leone DOI

Sullaiman Fullah,

Dora Vangahun,

Ibrahim Gandi

и другие.

Journal of Urban Health, Год журнала: 2025, Номер unknown

Опубликована: Март 10, 2025

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