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),...

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...

COVID-19 stretched health systems, exacerbated by concerns about those that are corrupt and lack equity. Twelve (12) workers 12 hospital social across Nigeria were purposively sampled virtually interviewed to explore unaccountability corruption effects on responses. Findings show negatively affected responses of frontline the pandemic. Lack care justice services for patients facilities in worsened negative effects. Effectively mainstreaming into Nigeria's healthcare led well-trained will...

Abstract Background Volunteer health workers play an important, but poorly understood role in the Nigerian system. We report a study of their lived experiences, enabling us to understand motivations, nature work, and relationships with formally employed Primary Healthcare Centres (PHCs) Nigeria, institutional incentives, implications for attaining health‐related sustainable development goals (SDGs) targets. Methods The used ethnographic observation PHCs Enugu State, supplemented in‐depth...

Abstract Background School and Community-embedded reproductive health interventions have been implemented in developing countries, with evidence that they led to improved sexual among adolescents. However, this type of intervention is rarely evaluated for its potential adoption use. This study the constraints enablers a school community-embedded used community engagement, capacity building, partnerships collaborations deliver services Methods The was between 2019 2021 six local government...

Introduction: adolescent undergraduate students engage in sexual acts that put them at risk of contracting Sexually Transmitted Infections (STIs) and unwanted pregnancies. Even though the social context early adolescence accounts for developmental changes later phase life, its impact on adolescents' risky behaviour has not been extensively explored. In this study, we examined how influenced adolescent's university.

Abstract Objectives Generating additional personal income is common with primary healthcare (PHC) workforce in Nigeria, which could be because of the inconsistencies marring their monthly salaries. Therefore, this study investigates drivers private economic activities PHC providers public sector, and links to absenteeism, as well inefficiency facilities Nigeria. Methods A qualitative design was used collect data from 30 key-informants using in-depth interviews. They were selected 5 across...

Background: Absenteeism is widespread in Nigerian health facilities and a major barrier to achievement of effective Universal Health Coverage. We have examined the role internal (by managerial staff within facilities) external managers at higher level) supervision arrangements on worker absenteeism. Specifically, we sought determine whether these forms any play reducing absenteeism Enugu State Nigeria. Methods: conducted interviews with 412 workers urban rural areas State, South-Eastern used...

Absenteeism among primary health-care (PHC) workers in Nigeria is widespread and a major obstacle to achieving Universal Health Coverage (UHC). There increasing research on the forms it takes what drives them, but limited evidence how address it. The dominant approach has involved government-led topdown solutions (vertical approach). However, these have rarely been successful countries such as Nigeria. This paper explores alternative approaches based grassroots (horizontal) approaches. Data...

The ability to deliver primary care in Nigeria is undermined by chronic absenteeism, but an understanding of its drivers needed if effective responses are be developed. While there a small growing body relevant research, the gendered dynamics absenteeism remains largely unexplored. We apply perspective and propose targeted strategies that appear likely reduce it. did so means qualitative study was part larger project examining corruption within health system six healthcare facilities across...

Background Primary health centres (PHCs) in Nigeria suffer critical shortages of workers, aggravated by chronic absenteeism that has been attributed to insufficient resources govern the system and adequately meet their welfare needs. However, political drivers this phenomenon are rarely considered. We have asked how power networks influence Nigerian sector, information can inform development holistic solutions. Methods Data were obtained from in-depth interviews with three administrators, 30...

Health worker absenteeism is a major form of corruption in the Nigerian health system, reducing impact healthcare investment and disproportionately affecting vulnerable communities. Top-down governance accountability measures to improve attendance have had limited effect, potentially because they not addressed underlying incentives driving behaviour. To inform feasible interventions reduce absenteeism, we sought investigate how potential targeting key drivers could influence behaviour...

Abstract Universal Health Coverage (UHC) can only be achieved if people receive good quality care from health workers, yet in Nigeria, as many other low‐ and middle‐income countries (LMICs), workers are absent work. Absenteeism is a well‐known phenomenon but often considered the self‐serving behaviour of individuals, independent characteristics systems structures processes broader contexts that enable it. We undertook qualitative inquiry among 40 key informants, comprising facility heads...

Despite the benefit of modern contraception, its use remains low in Nigeria. This study examined belief system as a barrier to contraceptives among Idoma Benue State, North Central Questionnaire ( n = 1107), in-depth interview 6) and focus group discussion 52) were used collect data from three local government areas (LGAs). The results showed high levels knowledge (88.0%), however, only 37.8% contraceptives. male condom had highest percentage (56.7%). Chi-square that LGA, education...

The objective of this study was to investigate and reveal the socio-demographic factors affecting civil registration in Nigeria. employed cross-sectional survey design. Instruments were administered 600 participants sampled through a systematic random technique. SPSS (version 22) used analyze data. Local importance attached different towards birth, death marriage respectively. multivariate Logistic Regression analyses showed that residential location (rural or urban), income education...

Urban policies on health and nutrition in Nigeria are much need. To underscore the reality of such need, we conducted a review selected urban strategies. We used an appropriate framework by Bandauko that outlines content good policy for high-level analysis reviewed Our discovered neglect Nigeria, evidence lack health-focused policies. On nutrition, strategies rather aimed at enhancing political-economy few, than improving nutritional levels people. Overall, were barely effective owing to how...

Abstract Primary healthcare facilities are the bedrock for achieving universal health coverage (UHC) because of their closeness to grassroots and provision at low cost. Unfortunately, in Nigeria, access quality services public primary centres (PHCs) suboptimal, linked with persistent occurrence absenteeism workers. We used a UHC framework developed by World Health Organization-African Region examine link between possible achievement Nigeria. undertook qualitative study elicit lived...