Distribution Of Resources In The Nigerian Health Care System

This publication, representing the doctoral dissertation of Rev. Fr. Anthony Okechukwu Nnadi examines the healthcare system in Nigeria in the light of the Catholic social teaching. He supports that the allocation of health care resources is not only a matter of organization, but is also an ethical problem. The debacles and failure of the Nigerian health system, result from many factors including lack of will to implement the right policies on the ground, corruption among the leaders, lack of justice, lack of respect for the dignity of each human person, mismanagement, and insufficient consideration and application of ethical principles in the administration of common good, especially in the distribution of health care and social resources. For the distribution of health care resources, this doctoral dissertation suggests that priority be given to the basic health care needs of Nigerian citizens especially those who have no means of satisfying these needs themselves.In this context, the research affirms that great attention needs to be paid to ensuring that the principle of human dignity is completely respected in each and every policy in this important area.This doctoral thesis is an ethical vision of social reality in Nigeria. It proposes the person-centred Catholic principles as a possible way forward in the distribution of health care resources in Nigeria. It does not imply substituting the economic, political and health care experts in offering technical solutions in their areas of competence. The author is convinced that healthcare allocation is also an ethical issue that needs to be governed by ethical principles.The key factors for choosing this theme are based on the author’s knowledge of the deplorable condition of the health care system in Nigeria and his desire to save human lives. Rev. Fr. Anthony Okechukwu Nnadi believes that we are all stewards of human life. This implies a moral obligation to protect the dignity of the human person, which is inseparable from protecting human life.

Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is a well-intended effort to explore the current health system in Nigeria in the context of the 21st Century. It provides a historical background to the Nigerian healthcare system, identifies the major challenges, and provides rich information on how to improve the health care system in Nigeria. It brings into focus Nigeria's struggle to improve primary healthcare delivery and how those efforts have not improved the peoples' health in Nigeria. It also explains how the lack of effective primary healthcare delivery system promotes medical tourism and causes loss of national revenue to foreign health care systems. This book clearly identifies basic challenges affecting healthcare delivery such as poor infrastructure, underfunding, lack of research and community involvement, inadequate labor force management and development, lack of true leadership and accountability in public office, poor health promotion and education strategies, and a fragile public-private sector partnership in healthcare delivery. Primary Healthcare in Nigeria draws examples from other countries which have improved their health systems to show that the solutions to Nigeria's healthcare problems rest in the hands of leadership committed to the nation's good and wellness. Primary Healthcare in Nigeria: Overview, Challenges, and Prospects is intended to give public health students a clearer perspective about Nigeria's health system and how it impacts peoples' lifespan, wellness, and national development. It is also a good resource for public health professionals to understand and embrace the global view of public health, and then challenges them to work toward a better healthcare delivery system. This book is organized in chapters and focuses essentially on: The historical origin of Nigeria's healthcare system Meaning of a healthcare system The Concept of Access to Health care Challenges and prospects of the primary he

The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.

The modern-day practice of health care was imported into Nigeria over 500 years ago. In 1947, the first national health plan was developed in Nigeria with the primary goal of providing universal health care (UHC), but this goal remains elusive to date. This comprehensive book presents the roadmap needed to attain UHC in Nigeria and offers a blueprint for achieving high-quality health care in the nation. Starting with a brief overview of the Nigerian state, the fundamentals of health care, including the challenges to affordable quality healthcare delivery, the author critically examines the healthcare system in Nigeria and offers specific recommendations to invigorate the system and improve interprofessional collaborations. Each chapter includes case studies to allow readers to contextualize the information presented and behavioral learning objectives to test readers' knowledge. Among the topics covered: The Organizational Structure and Leadership of the Nigerian Healthcare System The Vulnerabilities of the Nigerian Healthcare System The Spectrum of Complementary and Alternative Medicine Emerging Developments in Traditional Medicine Practice in Nigeria The Plight of Persons Living with Disabilities: The Visible Invisibles in Nigeria A Comparative Analysis of the Health System of Nigeria and Six Selected Nations Around the World A Qualitative Investigation of the Barriers to the Delivery of High-Quality Healthcare Services in Nigeria The Political and Economic Reforms Needed to Achieve Universal and High-Quality Health Care in Nigeria Reimagining the Nigerian Healthcare System to Achieve Universal and High-Quality Health Care by 2030 The Nigerian Healthcare System: Pathway to Universal and High-Quality Health Care is ideal for adoption as a textbook in health services administration, health policy and management, health informatics, healthcare delivery systems, and primary health care courses offered at universities in Nigeria. It also would appeal to students and faculty in African diaspora programs internationally. The book is also essential for policymakers, health systems technocrats, researchers, and professionals in various health disciplines, including medicine, nursing, and allied health.

This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.

The modern-day practice of health care was imported into Nigeria over 500 years ago. In 1947, the first national health plan was developed in Nigeria with the primary goal of providing universal health care (UHC), but this goal remains elusive to date. This comprehensive book presents the roadmap needed to attain UHC in Nigeria and offers a blueprint for achieving high-quality health care in the nation. Starting with a brief overview of the Nigerian state, the fundamentals of health care, including the challenges to affordable quality healthcare delivery, the author critically examines the healthcare system in Nigeria and offers specific recommendations to invigorate the system and improve interprofessional collaborations. Each chapter includes case studies to allow readers to contextualize the information presented and behavioral learning objectives to test readers' knowledge. Among the topics covered: The Organizational Structure and Leadership of the Nigerian Healthcare System The Vulnerabilities of the Nigerian Healthcare System The Spectrum of Complementary and Alternative Medicine Emerging Developments in Traditional Medicine Practice in Nigeria The Plight of Persons Living with Disabilities: The Visible Invisibles in Nigeria A Comparative Analysis of the Health System of Nigeria and Six Selected Nations Around the World A Qualitative Investigation of the Barriers to the Delivery of High-Quality Healthcare Services in Nigeria The Political and Economic Reforms Needed to Achieve Universal and High-Quality Health Care in Nigeria Reimagining the Nigerian Healthcare System to Achieve Universal and High-Quality Health Care by 2030 The Nigerian Healthcare System: Pathway to Universal and High-Quality Health Care is ideal for adoption as a textbook in health services administration, health policy and management, health informatics, healthcare delivery systems, and primary health care courses offered at universities in Nigeria. It also would appeal to students and faculty in African diaspora programs internationally. The book is also essential for policymakers, health systems technocrats, researchers, and professionals in various health disciplines, including medicine, nursing, and allied health.

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

To what extent can we have truly universal, comprehensive and timely health services, equally available to all? Access to Health Care considers the meaning of 'access' in health care and examines the theoretical issues that underpin these questions. Contributors draw on a range of disciplinary perspectives to investigate key aspects of access, including: · geographical accessibility of services · socio-economic equity of access · patients' help-seeking behaviour · organisational problems and access · methods for evaluating access. Access is considered in both a UK and international context. The book includes chapters on contrasting health policies in the United States and European Union. Access to Health Care provides both health care researchers as well as health professionals, managers and policy analysts, with a clear and wide-ranging overview of topical and controversial questions in health policy and health services organization and delivery.