Health care in Nigeria
Health careprovision in Nigeriais a concurrentresponsibility of the three tiersof governmentin the country. [Rais Akhtar; Health Care Patterns and Planning in Developing Countries, Greenwood Press, 1991. pp 264] However, because Nigeriaoperates a mixed economy, private providers of health care have a visible role to play in health care delivery. The federal government's role is mostly limited to coordinating the affairs of the university teaching hospitals, while the state government manages the various general hospitals and the local governmentfocus on dispensaries, (which are regulated by the federal government through NAFDAC). The total expenditure on health care as % of GDP is 4.6, while the percentage of federal government expenditure on health care is about 1.5%. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 18] A long runindicator of the ability of the country to provide foodsustenance and avoid malnutritionis the rate of growth of per capita food production; from 1970-1990, the rate for Nigeria was 0.25%. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 1-18] Though small, the positive rate of per capita may be due to Nigeria's importationof food products.
health insurancein Nigeria can be applied to a few instances: free health care provided and financed for all citizens, health careprovided by governmentthrough a special health insurance scheme for government employees and private firms entering contracts with private health care providers. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 101-102] However, there are few people who fall within the three instances.
In May 1999, the government created the
National Health InsuranceScheme, the scheme encompasses government employees, the organized private sectorand the informal sector. Legislativewise, the scheme also covers children under five, permanently disabled persons and prison inmates. In 2004, the administration of Obasanjo further gave more legislative powers to the scheme with positive amendments to the original 1999 legislative act. [Felicia Monye; 'An Appraisal of the National Health Insurance Scheme of Nigeria', Commonwealth Law Bulletin, 32:3 415-427]
The majority of
mental healthservices is provided by 8 regional psychiatriccenters and psychiatric departments and medical schoolsof 12 major universities. A few general hospitals also provide mental health services. The formal centres often face competition from native herbalistsand faith healingcentres.
The ratio of psychologists and social workers is 0.02 to 100,000. [Oyedeji Ayonrinde, Oye Gureje, Rahmaan Lawal; 'Psychiatric research in Nigeria: bridging tradition and modernisation', The
British Journal of Psychiatry(2004) 184: 536-538]
Drug policy in Nigeria
In terms of drug
regulation, Nigeria took an interesting step in 1989, when it passed a legislation to make effective a list of essential drugsin the country. The regulation was also meant to limit the manufactureand import of fakeor sub-standard drugsand to curtail false advertising. However, the section on essential drugs list was later amended. [ National Drug Policy in Nigeria, O. Ransome Kuti. Journal of Public Health Policy > Vol. 13, No. 3 (Autumn, 1992), pp. 367-373]
Drug quality is primary controlled by the agency for food and drug administration.
Health care in Nigeria is influenced by different local and regional factors that impacts the quality or quantity present in one location. Due to the aforementioned, the
health care systemin Nigeria has shown spatialvariation in terms of availability and quality of facilities in relation to need. However, this is largely as a result of the level of state and local governmentinvolvement and investment in health care programs and education. Also, the Nigerian ministry of health usually spend about 70% of its budget in urban areas where 30% of the population resides. It is assumed by some scholars that the health care service is inversely related to the need of patients. [Rais Akhtar; Health Care Patterns and Planning in Developing Countries. Greenwood Press, 1991. 265 pgs.]
Migration of health care
personnelto other countries is a taxing and relevant issue in the health care system of the country. From a supplypush factor, a resulting rise in exodus of health care nurses may be due to dramatic factors that make the work unbearable and knowing and presenting changes to arrest the factors may stem a tide. [Darlene A. Clark, Paul F. Clark, James B. Stewart; The Globalization of the Labour Market for Health-Care Professionals. International Labour Review, Vol. 145, 2006] However, because a large number of nursesand doctors migrating abroad benefited from government funds for education, it poses a challenge to the patriotic identity of citizens and also the rate of return of federal funding of health care education. The state of health care in Nigeria has been worsened by a shortage of doctors as a consequence of severe ' brain drain'. Many Nigerian doctors have emigrated to North America and Europe. In 2005, 2,392 Nigeria doctors were practising in the US alone, in UK number was 1529 . Retaining these expensively-trained professionals has been identified as an urgent goal.
World Health Organization's definition of healthis not merely the absence of disease but the attainment of a state of physical, mental, emotionaland social well being.
*In 1993, adulterated
paracetamolsyrup entered into the health care system in Oyo and Benue State, the end result of was the death of 100 children. A year after the disaster, batches of fake ethyleneglycol, the major cause of the death, could still be purchased.
*In 1996, about 11 children died of contamination from an experimental trial drug:
trovafloxacin. Nevertheless, the long delayed action of the government to prosecute the perpetrators is considered another tragedy.
life expectancyof the country is low and about 20% of children die before the age of 5.
*The 2000 WHO report on the performance of health care systems rank the country 187 out of 191.
Traffic congestionin Lagos, environmental pollutionand noise pollutionare major issues that the government is faced with.
*In 1985, an incidence of
yellow feverdevastated a town in Nigeria, leading to the death of 1000 people. In a span of 5 years, the epidemic grew, with a resulting rise in mortality. The vaccine for yellow fever has been in existence since the 1930's. [ [http://www.nnma.gov.ng/library/Whocares_Tomori.pdf Nigerian National Merit Award ] ]
Health care systems
HIV/AIDS in Nigeria
* " [http://seattlepi.nwsource.com/africa/nigeria22.shtml 'A breakdown of our primary health care system'] ," "
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