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
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
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.
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
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.
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.
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.
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.