Understanding Health Inequalities in Federal Capital Territory (FCT) Nigeria
Abstract:
Health inequality is the difference in health status between different populations.
Where health inequality exists, the right to highest attainable standard of
health is not enjoyed equally across the given population. This study is aimed at
understanding health inequalities in Federal Capital
Territory (FCT) Nigeria. Method adopted for
primary data collection was structured closed and opened–ended questionnaire
from Health Equity Assessment Tool kit created with Epi-Info version7 and administered to 112 respondents. Results; male
(52.7%), female (47.3%); socio-economic-stratifiers; highest education
attained, 1.8% not educated 98.2% educated. Annual income below N220, 000 (44.3%);
N221.000–320,000 (27.4%); N321, 000–420,000(8.0%). aboveN421, 000(20.4%). house
rent (68.1%); healthcare (53.1%); education; (49.6%) unaffordable. Transportation
(50.5%) affordable. Health; no vaccination (22.1%);prenatal care by unqualified
health professionals(24.8%);household births by qualified health professional
(23.9%) and unable to afford three meals daily (21.1%).Available health
facility: no facility 4.5%, traditional 4.5%, primary 40.2%, secondary 41.1%,
tertiary 9.8%.hospital visits within 6months: never 31.8%, once 34.6%, twice
17.3%, thrice10.0% more than thrice 6.4%.Physical environment; no waste
containers (37.2%),irregular waste disposal(46.9%),absence of sanitation
(50.4%).Source of domestic water; bore hole (59.3%);protected spring (0.88%);
stream (25.7%); piped water (0.88%) well(13.3%).Linear regression: highest qualification
for activities prevention, geographic
location, socioeconomic stratifiers with predictor
variables indicated negative regression coefficient. The average income showed
positive regression coefficient, correlation coefficient’s=0.43,
r=0.07, p-values < F-tests respectively. Other
parameters showed positive regression coefficient correlation r=0.38. Conclusion: health inequalities exist in FCT, Nigeria
requiring wholistic intervention.
Keywords: Health Inequality, Determinants of Health,
FCT, Nigeria.
References:
[1]. Allanson, P. &
Petrie, D. (2013). Understanding the vertical equity judgements underpinning
health inequality measures. Health Economics. 2013: 10-16.
[2]. Braveman, P. &
Gottlieb, L. (2014). The social determinants of health: It's time to consider
the causes of the causes. Public
Health Reports: 129(Suppl 2):19–31.
[3]. Braveman, P., &
Gruskin, S. (2003). Defining equity in health. Journal of Epidemiology
Community Health.57: 254–8.
[4]. Braveman, P.
Krieger, N. & Lynch, J. (2000). Health inequalities and social inequalities
in health. Bulletin of. World Health Organization. 78(2):232-235.
[5]. Diez Roux, A.V.
& Mair, C. (2010). Neighborhoods and health. Annals of New York Academy of
Science.1186:125−45.
[6]. Jooma, R. (2014).
Political Determinants of Health: Lessons for Pakistan. Pakistan Journal of
Medical Sciences. 30(3):2-6.
[7]. LaVeist, T, A.;
Gaskin, D. and Richard, P (2011). “Estimating the Economic Burden of Racial
Health Inequalities in the United States,” International Journal of Health
Services. 41 (2): 231–238.
[8]. Marmot, M. &
Wilkinson, R (2003). Social determinants of health: The solid facts. 2nd ed.
Copenhagen: World Health Organization Regional Office for Europe.
[9]. Meier Jæger, M.,
Munk, M.D & Ploug, N (2003). Ulighed og livsløb. Analyser af betydningen af
social baggrund. Danish National Centre for Social Research.
[10]. Moreno-Betancur,
M., Latouche, A., Menvielle, G., Kunst, A.E. & Rey, G (2015). Relative
index of inequality and slope index of inequality: A structured regression
framework for estimation. Epidemiology. 26(4):518-527.
[11]. Murray, C. J. L.,
Gakidou, E.E & Frenk, J. (1999). Health inequalities and social group
differences: what should we measure? Bulletin of World Health
Organisation.77:537–544.
[12]. Murray, C.J.L. et
al (1999). Health inequality: a global perspective. In: Leon, D. & Walt,
G., eds. Poverty, inequality and health. London, Oxford University Press.
[13]. Naliaka, V. W.
& Namusonge, G. S. (2015). Role of Inventory Management on Competitive
Advantage among Manufacturing Firms in Kenya: A Case Study of Unga Group
Limited. International Journal of Academic Research in Business and Social
Sciences. 5(5): 96.
[14]. NPC, 2006: The
Nigerian Population Census Data, National Population Commission.
[15]. Prevention
Institute (2001). Fact sheet: Links
between violence and health equity.
Oakland, CA: Prevention Institute.
[16]. Sen, A. (1993).
Mortality as an indicator of economic success and failure. Economic
Journal.108:1–25.
[17]. Sigerist, H. E.
(1941). Medicine and human welfare. Yale University Press, New Haven: 100.
[18]. SJPH (2012) Health Inequality
- determinants and policies Scandinavian Journal of Public Health; 40(Suppl 8):
12–105.
[19]. Sweet, M. (2013).
Culture is an important determinant of health: Professor Ngiare Brown at NACCHO
Summit [Internet]. Crikey. 2013 [cited 8 May 2018]. Available from:
https://blogs.crikey.com.au/croakey/2013/08/20/culture-is-an-important-determinant-of-health-professor-ngiare-brown-at-naccho-summit/
[20]. The Health
Foundation (2018). Wh.at makes us healthy? An Introduction to the Social
Determinants of Health. London: The Institute for Research on Poverty (IRP)
(2016). “The Focus”. Regents of the University of Wisconsin. 33(1): 1-6.
[21]. Thornton, R.L.,
Glover, C.M., Cene, C.W., Glik, D.C., Henderson, J.A. & Williams, D.R.
(2016). Evaluating strategies for reducing health disparities by addressing the
social determinants of health. Health
Affairs. 35(8):1416–1423.
[22]. United Nations
Population Division (2010) State of World Population 2010: Unleashing the
Potential of Urban Growth. New York: UNPD.
[23]. Wagstaff, A., Paci,
P., van Doorslaer, E (1991). On the measurement of inequalities in health.
Social. Science. Medicine. 33(5):545-557.
[24]. Werner, E.E. and
Smith, R.S. (2001). Journeys from childhood to midlife: risk, resilience, and
recovery. Cornell University Press.
[25]. Whitehead, M.
(1991). The concepts and principles of equity and health. International Journal
Health Service. 22:429–45.
[26]. Wilkinson, R.G.
& Pickett, K. (2009). The spirit level: why more equal societies almost
always do better. London: Penguin.
[27]. Williams, D.R.
& Mohammed, S.A. (2013) Racism and health II: A needed research agenda for
effective interventions. American
Behavioral Scientist. 2013; 57(8).
[28]. Williams, D. R. and
Mohammed, S. A. (2009). “Discrimination and Racial Disparities in Health:
Evidence and Needed Research,” Journal of Behavioral Medicine. 32 (1): 20–47.