Academic literature on the topic 'Health services accessibility – Nigeria'

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Journal articles on the topic "Health services accessibility – Nigeria"

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Ayandiji, A. "Accessibility of youths to health care in Nigeria." Journal of Agriculture, Forestry and the Social Sciences 11, no. 2 (February 17, 2015): 92–97. http://dx.doi.org/10.4314/joafss.v11i2.9.

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The youths of Nigeria cover up to 60% of the entire Nigeria population. Youths are a symbol of a town or village with potentials to perform strenuous work and constitute essential human resources for development. Youths are not excluded from health issues facing the generality of the human population. This study examines the accessibility of youths to the various health facilities available, the cost of services provided and also the relationship between the health facilities available and the cost of services provided. The National baseline survey report of 2012 was used. Three States were randomly selected from each of the six geopolitical zones of the country. Majority of the respondents patronized public hospitals than other health institutions. Most youths claimed that the cost of services provided were moderate. There is a significant relationship between health care alternatives available and cost of services. There should be more sensitization for the youth to take their health seriously and patronize health facilities where adequate examination can be carried out.Key words: Youth, Accessibility, Nigeria.
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Bell, Suzanne O., Mridula Shankar, Saifuddin Ahmed, Funmilola OlaOlorun, Elizabeth Omoluabi, Georges Guiella, and Caroline Moreau. "Postabortion care availability, facility readiness and accessibility in Nigeria and Côte d’Ivoire." Health Policy and Planning 36, no. 7 (May 29, 2021): 1077–89. http://dx.doi.org/10.1093/heapol/czab068.

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Abstract Postabortion care (PAC) is an essential component of emergency obstetric care (EmOC) and is necessary to prevent unsafe abortion-related maternal mortality, but we know little regarding the preparedness of facilities to provide PAC services, the distribution of these services and disparities in their accessibility in low-resource settings. To address this knowledge gap, this study aims to describe PAC service availability, evaluate PAC readiness and measure inequities in access to PAC services in seven states of Nigeria and nationally in Côte d’Ivoire. We used survey data from reproductive-age women and the health facilities that serve the areas where they live. We linked facility readiness information, including PAC-specific signal functions, to female data using geospatial information. Findings revealed less than half of facilities provide basic PAC services in Nigeria (48.4%) but greater PAC availability in Côte d’Ivoire (70.5%). Only 33.5% and 36.9% of facilities with the capacity to provide basic PAC and only 23.9% and 37.5% of facilities with the capacity to provide comprehensive PAC had all the corresponding signal functions in Nigeria and Côte d’Ivoire, respectively. With regard to access, while ∼8 out of 10 women of reproductive age in Nigeria (81.3%) and Côte d’Ivoire (79.9%) lived within 10 km of a facility providing any PAC services, significantly lower levels of the population lived <10 km from a facility with all basic or comprehensive PAC signal functions, and we observed significant inequities in access for poor, rural and less educated women. Addressing facilities’ service readiness will improve the quality of PAC provided and ensure postabortion complications can be treated in a timely and effective manner, while expanding the availability of services to additional primary-level facilities would increase access—both of which could help to reduce avoidable abortion-related maternal morbidity and mortality and associated inequities.
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Adetunji, Musilimu Adeyinka. "Accessibility of Elderly Citizens to Basic Facilities In Akure Metropolis in Nigeria." Journal of Architectural Design and Urbanism 2, no. 2 (May 4, 2020): 38–52. http://dx.doi.org/10.14710/jadu.v2i2.7641.

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This study examined the accessibility of elderly citizens to some basic services in Akure metropolis. This was carried out with a view to determine the patterns of distribution and accessibility of these services in the city. Primary and secondary data were employed for this study. Geographical Positioning System was used to capture the coordinates of important locations and of some basic facilities such as Public Tertiary Hospital, Primary Health care centre and banks in the city. Nearest Neighbour Analysis was used to calculate the mean distance travel to some basic services from 13 major localities in Akure metropolis. Descriptive and inferential statistics were employed to analyse the data. Finding reveals that some basic facilities are not evenly distributed across different localities in Akure. The mean distance travel to Public Tertiary Hospital is 3.36kms. The pattern of distribution of Public Tertiary Hospital is dispersed rather than random. More than 60% of the elderly rely on public transport services for their trip to access some basic facilities in the city. Traffic delay was ranked highest (66%) among the problems militating against the effective utilisation of urban facilities in Akure metropolis. The study recommends that more basic facilities should be provided in localities where such services are lacking. This would reduce long distance trip to these facilities in the city. The study concludes that better transport services should be made available at reasonable transport fares in order to promote accessibility of the elderly and other segments of the population to urban facilities in Akure and similar other cities in Nigeria.
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Airhihenbuwa, Collins O. "An Assessment of Health Needs in Selected Nigeria Villages." International Quarterly of Community Health Education 6, no. 2 (July 1985): 161–69. http://dx.doi.org/10.2190/lfuv-pvu7-hqmk-y1cx.

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Two hundred and fifty five heads of households in Iyekuselu District, Bendel State Nigeria, were interviewed. Fifteen villages were randomly selected from the 107 villages that make up the district. There is high morbidity of infectious diseases identified in the study. Limited number of medical professionals and medical institutions present problems of availability of services. This is compounded by high cost of medical services and poor access to health care facilities. The self-perceived health care needs of the heads of households are disease prevention, availability of health services, improved accessibility to health care facilities and reduced cost of care. There is a strong need for health education programs in these villages. This should be attempted with the cooperation of community members, so as to attain the goal of promoting health and preventing diseases.
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Tey, Nai-Peng, and Siow-li Lai. "Correlates of and Barriers to the Utilization of Health Services for Delivery in South Asia and Sub-Saharan Africa." Scientific World Journal 2013 (2013): 1–11. http://dx.doi.org/10.1155/2013/423403.

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The high maternal and neonatal mortality rates in South Asia and Sub-Saharan Africa can be attributed to the lack of access and utilization of health services for delivery. Data from the Demographic and Health Surveys conducted in Bangladesh, India, Pakistan, Kenya, Nigeria, and Tanzania show that more than half of the births in these countries were delivered outside a health facility. Institutional delivery was closely associated with educational level, family wealth, place of residence, and women’s media exposure status, but it was not influenced by women’s work status and their roles in decision-making (with the exception of Nigeria). Controlling for other variables, higher parity and younger women were less likely to use a health facility for delivery. Within each country, the poorer, less educated and rural women had higher unmet need for maternal care services. Service related factors (accessibility in terms of cost and distance) and sociocultural factors (e.g., did not perceive the need for the services and objections from husband and family) also posed as barriers to institutional delivery. The paper concludes with some suggestions to increase institutional delivery.
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Envuladu, Esther Awazzi, Karlijn Massar, and John de Wit. "Adolescent Sexual and Reproductive Health Care Service Availability and Delivery in Public Health Facilities of Plateau State Nigeria." International Journal of Environmental Research and Public Health 18, no. 4 (February 3, 2021): 1369. http://dx.doi.org/10.3390/ijerph18041369.

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To assess the availability, accessibility, appropriateness and quality of adolescent sexual and reproductive health (ASRH) services in primary health care (PHC) facilities in Plateau State, Nigeria, a cross-sectional study was conducted in 230 PHC facilities across the three senatorial zones of Plateau state. Primary data were obtained through face-to-face interviews with heads of facilities from December 2018 to May 2019. An adapted questionnaire from the World Health Organization (WHO) was used, covering five domains, to ascertain the extent that ASRH services were available and provided. Very few PHC facilities in the state had space (1.3%) and equipment (12.2%) for ASRH services. The proportion of PHC facilities offering counselling on sexuality was 11.3%, counselling on safe sex was 17%, counselling on contraception was 11.3% and management of gender-based violence was 3%. Most facilities were not operating at convenient times for adolescents. Only 2.6% PHC facilities had posters targeted at ASRH and just 7% of the PHCs had staff trained on ASRH. These findings underscore that the majority of PHC facilities surveyed in Plateau State, Nigeria, lacked dedicated space, basic equipment, and essential sexual and reproductive health care services for ASRH, which in turn negatively affect general public health and specifically, maternal health indices in Nigeria. Structural changes, including implementation of policy and adequate additional training of healthcare workers, are necessary to effectively promote ASRH.
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Ichoku, H. E., and A. I. Ifelunini. "The Changing Political Undercurrents in Health Services Delivery in Sub-Saharan Africa." International Journal of Health Services 47, no. 3 (August 3, 2016): 489–503. http://dx.doi.org/10.1177/0020731416660964.

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This article reviews the changing political undercurrent in health service delivery in Sub-Saharan Africa, chronicling the ideological shift in orientation toward neoliberalism in the health sector, an ideology crafted and introduced into Sub-Saharan Africa by the International Monetary Fund and the World Bank. The article examines the implication of this neoliberal reform on the efficiency in health care provision and on the quality and accessibility of health services by the poor and vulnerable. Drawing inference from countries like Nigeria, the authors argue that the ascendency of neoliberalism in the health systems of Sub-Saharan Africa has engendered unethical practices and introduced elements of moral hazard in the health sector, reducing the incentive for governments to develop effective service delivery over the long term. The authors therefore advocate for a rejection of neoliberal ideology in favor of a universal coverage principle if an inclusive health system is to be developed.
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Okeke, Emeka Benjamin, Franz Hessel, Babalola Adeniyi Ibisola, and Modupe Odunola. "Accessibility and Acceptability of Digital Healthcare Services among People Living in Southwestern Nigeria." Annals of Public Health Issues 1, no. 1 (January 1, 2021): 12–24. http://dx.doi.org/10.2478/aphi-2021-0003.

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Abstract Background: The advent of digital healthcare services has become paramount in the world we live in today. Digital healthcare involves the use of information and communication technologies in addressing the medical problems and health-related challenges faced by people seeking medical treatment. This study assesses the impact of digital healthcare among technologically literate people in Southwestern Nigeria (SWN) and seeks to understand its accessibility and acceptability among them. Methods: The study was a cross-sectional study. Our study data was obtained through an online questionnaire survey of 427 individuals (aged ≥15 years) living in SWN. The data were analyzed using the SPSS version 25 software. Results: The study found that roughly half of the respondents (52.0%) have heard about digital healthcare while only 44.0% have accessed it. Over seven-tenth (76.3%) of the respondents considered digital healthcare to be an acceptable form of receiving healthcare while 64.4% were willing to pay for it. Age (X2=7.702, p-value = 0.021), occupation (X2=20.685, p-value = 0.004) and awareness about digital healthcare (X2=55.507, p-value = 0.001) were significantly associated with accessibility of digital healthcare. Conclusion: The findings obtained from this study showed that awareness of digital healthcare was high among people in SWN; however, its accessibility was low. Also, digital healthcare was highly acceptable amongst them and they were willing to pay for such service.
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Muhibbu-Din, Mahmudat Olawunmi. "Human security in developing regions: Critical perspectives of health security in Nigeria." Journal of Human Sciences 17, no. 4 (November 5, 2020): 1054–68. http://dx.doi.org/10.14687/jhs.v17i4.5719.

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Rising epidemic of communicable and non-communicable diseases, exacerbate the Nigeria health indicators. Low budgetary allocation and lack of policy prioritisation further weakened the health sector adding to spate of preventable and avoidable morbidity and mortality rate in the country. This study explores health insecurity as vital core of human security in Nigeria; securitization of health for policy priority; and the range of health challenges that pose threats to human wellbeing. Explorative method and comparative analysis are adopted to investigate the ‘existential threat’ that health insecurity pose to human lives and livelihood. The paper suggests prioritizing health issues and improving access and quality of services; assuring its availability and accessibility to all Nigerians.
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Okosun, Oboh Satur. "HEALTH FACILITIES LOCATIONAL ANALYSIS IN MAKURDI LOCAL GOVERNMENT AREA OF BENUE STATE-NIGERIA USING GIS APPLICATION." Geosfera Indonesia 3, no. 3 (December 31, 2018): 26. http://dx.doi.org/10.19184/geosi.v3i3.8830.

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The most important indices of defining general welfare and quality of life of people in the world are the physical and mental health of individuals. This study attempts to examine GIS solution in the spatial analysis of health facilities in Makurdi local government area of Benue State, through mapping of the existing health facilities located in the study area, their spatial distribution pattern, identify areas with marginal services and propose a model for the future development as well examine the availability and accessibility of the existing health facilities, e.g (road network, travel time, distance covered and queuing time). The” Nearest neighbour analysis” Geospatial statistical method was employed to determine the spatial distribution pattern of the existing health facilities in other to determine the area of limited service and accessibility to healthcare facilities. The findings indicated that the healthcare facilities are randomly distributed; Fiidi ward was discovered to have limited service as regards the healthcare facilities in the study area. In line with the findings, recommendations were made on the use of GIS to build a concept that can be followed and replicated in divergent social-economic and political contexts. Conclusively, the study had shown that GIS is a vital tool in healthcare facility analysis and also in live application issues and thus should be encouraged in Nigeria for national economic transformation and sustainable development. keywords: Health, GIS, Mapping, Location
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Dissertations / Theses on the topic "Health services accessibility – Nigeria"

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Chimezie, Raymond Ogu. "A Case Study of Primary Healthcare Services in Isu, Nigeria." Thesis, Walden University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3558764.

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Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included that (a) healthcare is focused on children and pregnant women; (b) healthcare is largely ineffective because of insufficient funding, misguided leadership, poor system infrastructure, and facility neglect; (c) residents lack knowledge of and confidence in available primary healthcare services; (d) residents regularly use traditional healers even though these healers are not recognized by local government administrators; and (e) residents can be valuable participants in community-based research. The potential for positive social change includes improved communication between local government, residents, and traditional healers, and improved access to healthcare for residents.

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Bowerman, Robert Lorne. "Evaluating and improving the accessibility of primary health care services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq22192.pdf.

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Sansourekidou, Patricia. "Accessibility of Innovative Services in Radiation Oncology." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7738.

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The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion of innovation theory was used as the theoretical framework for the study. A quantitative cross-sectional analysis was performed to assess how innovation scores may vary depending on individual and organizational factors. ANOVA, Spearman correlation, and multiple linear regression were used to analyze the data. University affiliation, urbanicity, appreciation, and motivation were found to be statistically significant factors affecting accessibility to innovative services. Statistically significant barriers preventing innovation were lack of evidence, increased complexity, staffing constraints, lack of interest from others, lack of interoperability, and lack of reimbursement. Medical physicists are in a leadership position to influence the adoption of innovative services in RO. Encouraging the utilization of innovative and Food and Drug Administration-approved techniques may improve cancer outcomes and consequently have a positive social change effect on public health.
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Umar, Abubakar Sadiq. "Use of Maternal Health Services and Pregnancy Outcomes in Nigeria." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2079.

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Maternal health services (MHS) provide primary, secondary, and tertiary levels of prevention to achieve better pregnancy outcomes. However, use of prenatal and natal services among Nigerian women has been ranked among the lowest in the world and, consequently, the country is among the 10 countries with the highest maternal mortality ratio. Moreover, nationwide community-based studies on the use of maternal health services in Nigeria are limited. To address this gap, this quantitative, cross-sectional study analyzed the 2008 Nigerian Demographic and Health Survey (NDHS) data to identify whether Nigerian women's biological, cultural, and socioeconomic characteristics are associated with their use of MHS and pregnancy outcome as measured by number of antenatal visits, place of delivery, and fetal outcome. The Anderson's health behavior model was used as the theoretical framework for this study. Respondents were women aged 15 - 49 years (N= 31,985), who had given birth between January 2003 and December 2008. Bivariate and multiple logistic regressions were conducted. The results indicated that religion, education, income, and availability of skilled health workers showed consistent significant statistical association with both the number of ante natal care (ANC) visits and place of delivery even after controlling for covariates. Overall, these findings have potential for social change on the choice of public health interventions with collaboration with social services such as education, community, and labor sectors. Further, a systematic involvement of local communities is needed to drive specific culturally-sensitive interventions.
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Reynolds, Gillian. "Accessibility and consumer knowledge of services for deaf adolescents." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1977.

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The percentage of deaf and hard of hearing people who need mental health crisis services is similar to the percentage of the general population needing such services. Yet, coordinated mental services for deaf and hard of hearing individuals are virtually nonexistent. People who are deaf and hard of hearing, like everyone else, find themselves, from time to time, in need of mental health services.
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Scalli, Leanne Elizabeth. "Accessibility to Health Care Services for Children with Autism Spectrum Disorders." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5522.

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The study was an investigation into health care accessibility for children with autism spectrum disorder (ASD) following the transition to a private Medicaid system in the state of Florida. Pilot studies of managed Medicaid programs focused on costs and did not address how changes to the system impacted access to health care services. There were limited studies designed to understand how a change in the system, such as a privatization, would affect vulnerable populations such as young children with ASD. Additional concerns existed for children that were historically underserved by the health care system such as African American and Latino children because they typically had more difficulty accessing health care services in general. A modified version of the Consumer Assessment of Health Providers and System (CAHPS) Survey 4.0 was used in this study. The modifications to the survey included reducing the number of survey questions and adding open-ended questions. 86 participants were recruited from local organizations that supported children and families affected by ASD. Findings generated using nonparametric tests such as the Mann-Whitney U test and chi-square revealed delays in accessing therapeutic health care services that were pervasive in both private and public insurance groups. Furthermore, the qualitative analysis indicated that participants did not view their difficulties in accessing therapeutic health care services as related to race or ethnicity. Limitations of the study included the modifications made to the survey instrument. Implications for positive social change include a better understanding of the scope of the issue of therapeutic health care access for those advocating on behalf of children and families affected by autism.
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Oluyole, Alexander Bolarinwa. "Community involvement and needs assessment in primary health care in Nigeria." Thesis, Keele University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261479.

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Chimezie, Raymond Ogu. "A Case Study of Primary Healthcare Services in Isu, Nigeria." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1057.

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Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included that (a) healthcare is focused on children and pregnant women; (b) healthcare is largely ineffective because of insufficient funding, misguided leadership, poor system infrastructure, and facility neglect; (c) residents lack knowledge of and confidence in available primary healthcare services; (d) residents regularly use traditional healers even though these healers are not recognized by local government administrators; and (e) residents can be valuable participants in community-based research. The potential for positive social change includes improved communication between local government, residents, and traditional healers, and improved access to healthcare for residents.
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LaRoche, Kathryn J. "The Availability, Accessibility, and Provision of Post-Abortion Support Services in Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32786.

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In a study we conducted with Ontarian women about their abortion experiences (OAS), one third of participants expressed a desire for post-abortion support. Yet, there is some anecdotal evidence to suggest that organizations offering these services are using judgmental frameworks. In order to rigorously investigate this, we explored what post-abortion support services are offered across the province of Ontario. This multi-methods study included an analysis of OAS data, creating a directory of post-abortion support services in the province, conducting an analysis of how these services represent themselves online, and carrying out mystery client interactions. We found that the majority of organizations offering post-abortion support services in Ontario are crisis pregnancy centers. The services offered at these organizations are built upon frameworks that are both shaming and stigmatizing of abortion experiences. Efforts to increase the online visibility and overall accessibility of non-judgmental, medically accurate post-abortion support services in Ontario appear warranted.
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Rangel, Carlos Felix Garrocho. "The accessibility and utilization of public paediatric services in Toluca, Mexico." Thesis, University of Exeter, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304296.

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Books on the topic "Health services accessibility – Nigeria"

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Onokerhoraye, Andrew G. Health and family planning services in Nigeria: A spatial perspective. Benin City: University of Benin, 1997.

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Oshi, Daniel C. Rural women and the financing of health care in Nigeria: A thesis. Maastricht: Shaker Pub., 2009.

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Oshi, Daniel C. Rural women and the financing of health care in Nigeria: A thesis. Maastricht: Shaker Pub., 2009.

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(Denmark), Instituttet for fremtidsforskning. Sundhedsvæsenet i fremtiden. København: Ministeriet, 1999.

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Zugang zu Gesundheitsdienstleistungen: Barrieren und Anreize in Pune, Indien. Stuttgart: Franz Steiner Verlag, 2011.

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Adams, Mary L. Health care access in Wyoming: Results from the 2003 Wyoming Behavioral Risk Factor Surveillance System. Cheyenne, Wyo: Wyoming Dept. of Health, 2005.

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Acesso aos serviços de saúde em municípios da Baixada Santista. São Paulo, Brazil]: Instituto de Saúde, 2008.

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Canada, Canada Health. Moving forward in the health sector--: Consultative committees for English- and French-speaking minority communities : status report October 2005. [Ottawa]: Health Canada, 2005.

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Environment of health care services in Nigeria. Lagos: Harrington Pub., 2000.

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Mwanza, Patrick David. Lusaka Urban Health Project: A case study of neighbourhood health committees. [Lusaka: s.n., 1998.

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Book chapters on the topic "Health services accessibility – Nigeria"

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Wu, Juhua, Zhenyi Zhao, Shunjun Jiang, and Lei Tao. "The Research on Spatial Accessibility to Healthcare Services Resources in Tianhe, Guangzhou." In Smart Health, 96–105. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-34482-5_9.

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Acosta-Vargas, Patricia, Paula Hidalgo, Gloria Acosta-Vargas, Mario Gonzalez, Javier Guaña-Moya, and Belén Salvador-Acosta. "Challenges and Improvements in Website Accessibility for Health Services." In Advances in Intelligent Systems and Computing, 875–81. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39512-4_134.

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Lätzsch, Cornelius. "Dimensions of Health Care and Social Services Accessibility for Disabled Asylum Seekers in Germany." In Health in Diversity – Diversity in Health, 51–75. Wiesbaden: Springer Fachmedien Wiesbaden, 2020. http://dx.doi.org/10.1007/978-3-658-29177-8_4.

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Shrestha, Binjwala. "20. Mobility and accessibility to health services in rural Nepal." In Gender, Roads, and Mobility in Asia, 205–13. Rugby, Warwickshire, United Kingdom: Practical Action Publishing, 2012. http://dx.doi.org/10.3362/9781780440507.020.

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Ouma, Paul, Peter M. Macharia, Emelda Okiro, and Victor Alegana. "Methods of Measuring Spatial Accessibility to Health Care in Uganda." In Practicing Health Geography, 77–90. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63471-1_6.

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AbstractEnsuring everyone has access to health care regardless of demographic, geographic and social economic status is a key component of universal health coverage. In sub-Saharan Africa, where populations are often sparsely distributed and services scarcely available, reducing distances or travel time to facilities is key in ensuring access to health care. This chapter traces the key concepts in measuring spatial accessibility by reviewing six methods—Provider-to-population ratio, Euclidean distance, gravity models, kernel density, network analysis and cost distance analysis—that can be used to model spatial accessibility. The advantages and disadvantages of using each of these models are also laid out, with the aim of choosing a model that can be used to capture spatial access. Using an example from Uganda, a cost distance analysis is used to model travel time to the nearest primary health care facility. The model adjusts for differences in land use, weather patterns and elevation while also excluding barriers such as water bodies and protected areas in the analysis. Results show that the proportion of population within 1-h travel times for the 13 regions in the country varies from 64.6% to 96.7% in the dry period and from 61.1% to 96.3% in the wet period. The model proposed can thus be used to highlight disparities in spatial accessibility, but as we demonstrate, care needs to be taken in accurate assembly of data and interpreting results in the context of the limitations.
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Mangai, Mary, Michiel S. de Vries, and Johan A. M. de Kruijf. "Case Study—Co-Production of Secondary Health Services in Nigeria and Ghana." In Co-Production and Co-Creation, 164–66. New York, NY : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315204956-24.

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Gbadegesin, Dolapo Bilkis, and Olumide Longe. "The Adoption of Mobile Health (mHealth) Services by Internally Displaced Persons (IDPs) in Nigeria." In Information and Communication Technologies for Development, 81–92. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-65828-1_7.

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Lopes, D. F., J. L. Marques, and E. A. Castro. "A MCDA/GIS-Based Approach for Evaluating Accessibility to Health Facilities." In Computational Science and Its Applications – ICCSA 2021, 311–22. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-86973-1_22.

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AbstractAccess to health care services is a key concept in the formulation of health policies to improve the population’s health status and to mitigate inequities in health. Previous studies have significantly enhanced our understanding and knowledge of the role played by spatial distribution of health facilities in sustaining population health, with extensive research being devoted to the place-based accessibility theory, with special focus on the gravity-based methods. Although they represent a good starting point to analyse disparities across different regions, the results are not intelligible for policy-making purposes. Given the weaknesses of these methods and the multidimensional nature of the topic, this study intends to: (i) highlight the main measurements of access and their major challenges; and (ii) propose a framework based on multiple criteria decision analysis methods and GIS to appraise the population’s accessibility to health facilities. In particular, this framework is based on a new variant of the UTASTAR method, which requires decision makers and/or experts preference information, in the form of an ordinal ranking, similarly to the UTASTAR method, but to which cardinal information is also added. A numerical example is presented to illustrate the application of the proposed methodology.
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Amaghionyeodiwe, Lloyd Ahamefule. "Determinants of the Willingness to Pay for Public Sector Health Care Services: An Empirical Study of Rural and Urban Communities in Nigeria." In The Palgrave Handbook of Agricultural and Rural Development in Africa, 219–45. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41513-6_11.

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Carpentieri, Gerardo, and Carmen Guida. "Age Inequalities of Accessibility to Essential Urban Services. The Case Study of Primary Health Care in the City of Milan for Older People." In Lecture Notes in Civil Engineering, 605–13. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68824-0_64.

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Conference papers on the topic "Health services accessibility – Nigeria"

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Coker, Mosunmola, and Wahab Bolanle. "Nature connectedness and ecosystem services towards urban planning for residents' health in metropolitan Lagos, Nigeria." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/uqhk5098.

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In the urban context, nature is not entirely devoid of human influence or inaccessible to man, rather, nature exists in urban areas and does not only survive the influence of man but also depends on it. An individual’s subjective sense of their relationship with the places of nature within a city explains the concept of nature- connectedness. In the wake of rapid urbanization around the world, spaces of natural features in urban areas have been constantly overtaken by the developments and activities of man. There is a link between the number of ecosystem services provided by the mapped natural features and residents’ nature connectedness in the Lagos Metropolis. To understand this, spaces of natural features in the Lagos metropolis have to be examined with focus on how it is environmentally safe, how it improves human health and also the level of its accessibility to the residents. To improve health and well-being, there is need to strengthen the evidence of how nature affects health and promote preventative health contribution made by protected areas and elements of urban nature.
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Stanković, Ana, and Hrvoje Stančić. "Development of Health Care e-Services in the European Union." In INFuture2015: e-Institutions – Openness, Accessibility, and Preservation. Department of Information and Communication Sciences, Faculty of Humanities and Social Sciences, Zagreb, Croatia, 2015. http://dx.doi.org/10.17234/infuture.2015.33.

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Fan, Tao, Ying Sun, and Xuhe Xie. "Accessibility Analysis of Hospitals Medical Services in Urban Modernization." In ICMHI 2020: 2020 4th International Conference on Medical and Health Informatics. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3418094.3418101.

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Yahya, Adamu Tijjani. "Medical Social Welfare Services And Role Of Health Communication In Kano, Nigeria." In 7th International Conference on Communication and Media. European Publisher, 2021. http://dx.doi.org/10.15405/epsbs.2021.06.02.21.

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Okorocha, U., O. Chukueke, and U. Y. Muogbo. "How an Oilfield Services Company Managed the Ebola Outbreak in Nigeria." In SPE International Conference and Exhibition on Health, Safety, Security, Environment, and Social Responsibility. Society of Petroleum Engineers, 2016. http://dx.doi.org/10.2118/179203-ms.

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Godwin, Okpokpo Ukaiji, and Fashoto Stephen Gbenga. "Optimizing Health Care Delivery Services in Nigeria: Using the Analytic Network Process (ANP)." In International Symposium on the Analytic Hierarchy Process. Creative Decisions Foundation, 2014. http://dx.doi.org/10.13033/isahp.y2014.131.

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Fagade, Olubukunola Adebola, Peter Ajiboye Ajayi, Tunde Fadeyi, and Sunday Okegbemiro. "Shifting focus in workplace health care services delivery strategy: The experience of Chevron Nigeria." In SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production. Society of Petroleum Engineers, 2008. http://dx.doi.org/10.2118/111763-ms.

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Ladapo, Taiwo, Sanjay Wazir Pandita, and Abiodun Adu. "219 Accessibility of child health care services during a national lock-down: a parental survey." In RCPCH Conference Singapore. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/bmjpo-2021-rcpch.118.

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Ursache (m. Dumitriu), Simona-Andreea, Ionel Muntele, Marinela Istrate, and Mihaela Orlanda Antonovici (Munteanu). "PERMANENT MEDICAL CENTERS – PREMISES FOR INCREASING ACCESSIBILITY TO HEALTH SERVICES IN RURAL COMMUNITIES (IASI COUNTY)." In 7th International Scientific Conference GEOBALCANICA 2021. Geobalcanica Society, 2021. http://dx.doi.org/10.18509/gbp210173u.

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Soontorn, Thassanee, Praditporn Pongtraing, and Orapan Thosigha. "PW 1235 The accessibility of public health services in elderly with functional dependence during emergency illness." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.686.

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Reports on the topic "Health services accessibility – Nigeria"

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Mason, Dyana, and Miranda Menard. The Impact of Ride Hail Services on the Accessibility of Nonprofit Services. Transportation Research and Education Center (TREC), 2021. http://dx.doi.org/10.15760/trec.260.

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Nonprofit organizations are responsible for providing a significant level of human services across the United States, often in collaboration with government agencies. In this work, they address some of the most pressing social issues in society – including homelessness, poverty, health care and education. While many of these organizations consider location and accessibility crucial to supporting their clients – often locating services near bus or train stops, for example – little is known about the impact of new technologies, including ride hail services like Lyft and Uber, on nonprofit accessibility. These technologies, which are re-shaping transportation in both urban and suburban communities, are expected to dramatically shift how people move around and the accessibility of services they seek. This exploratory qualitative study, making use of interviews with nonprofit executives and nonprofit clients, is among the first of its kind to measure the impact of ride hail services and other emerging technologies on community mobility and accessibility.
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Heyns,, Christof, Rachel Jewkes,, Sandra Liebenberg,, and Christopher Mbazira,. The Hidden Crisis: Mental Health on Times of Covid-19. Academy of Science of South Africa (ASSAf), 2021. http://dx.doi.org/10.17159/assaf.2019/0066.

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[This Report links with the video "The policy & practice of drug, alcohol & tobacco use during Covid-19" http://hdl.handle.net/20.500.11911/171 ]. The COVID-19 pandemic is most notably a physical health crisis, but it strongly affects mental health as well. Social isolation, job and financial losses, uncertainty about the real impact of the crisis, and fear for physical well-being affect the mental health of many people worldwide. These stressors can increase emotional distress and lead to depression and anxiety disorders. At the same time, there are enormous challenges on the health care side. People in need of mental health support have been increasingly confronted with limitations and interruptions of mental health services in many countries. In May 2020, the United Nations already warned that the COVID-19 pandemic has the seeds of a major mental health crisis if action is not taken. The panel discussed and analysed mental health in times of the COVID-19 pandemic with reference to South Africa, Nigeria, Germany and Spain.
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Idris, Iffat. Increasing Birth Registration for Children of Marginalised Groups in Pakistan. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/k4d.2021.102.

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This review looks at approaches to promote birth registration among marginalised groups, in order to inform programming in Pakistan. It draws on a mixture of academic and grey literature, in particular reports by international development organizations. While there is extensive literature on rates of birth registration and the barriers to this, and consensus on approaches to promote registration, the review found less evidence of measures specifically aimed at marginalised groups. Gender issues are addressed to some extent, particularly in understanding barriers to registration, but the literature was largely disability-blind. The literature notes that birth registration is considered as a fundamental human right, allowing access to services such as healthcare and education; it is the basis for obtaining other identity documents, e.g. driving licenses and passports; it protects children, e.g. from child marriage; and it enables production of vital statistics to support government planning and resource allocation. Registration rates are generally lower than average for vulnerable children, e.g. from minority groups, migrants, refugees, children with disabilities. Discriminatory policies against minorities, restrictions on movement, lack of resources, and lack of trust in government are among the ‘additional’ barriers affecting the most marginalised. Women, especially unmarried women, also face greater challenges in getting births registered. General approaches to promoting birth registration include legal and policy reform, awareness-raising activities, capacity building of registration offices, integration of birth registration with health services/education/social safety nets, and the use of digital technology to increase efficiency and accessibility.
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Evaluating the impact of integrated microfinance and reproductive (MF/RH) services on household wellbeing and reproductive health behaviors of women in Nigeria. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1069.

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Reducing provider-held stigma and improving young client satisfaction in strengthening integrated delivery of and access to comprehensive HIV and sexual/reproductive health and support services for MSM in Lagos, Nigeria. Population Council, 2018. http://dx.doi.org/10.31899/hiv5.1020.

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Perceptions of community pharmacists, patent and proprietary medicine vendors, and their clients regarding quality of family planning services: The IntegratE Project. Population Council, 2021. http://dx.doi.org/10.31899/rh17.1016.

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The IntegratE Project is a four-year initiative (2017–21) implemented by the Population Council and partners that seeks to increase access to contraceptive methods by involving the private sector (community pharmacists [CPs] and patent and proprietary medicine vendors [PPMVs]) in family planning (FP) service delivery in Lagos and Kaduna States, Nigeria. The project aims to establish a regulatory system with the Pharmacists Council of Nigeria to ensure that CPs and PPMVs provide quality FP services, comply with FP regulations, and report service statistics to the Health Information Management System (HMIS). To achieve this, the project is implementing: a pilot three-tiered accreditation system for PPMVs; a supervisory model to ensure standard drug-stocking practices; building the capacity of CPs and PPMVs to provide a wider range of FP services and data report to the HMIS. This brief focuses on quality of care received by women voluntarily seeking FP services from CPs and PPMVs. CPs and PPMVs and their clients appear to be satisfied with the FP services offered by CPs and PPMVs; on-going learning opportunities, and a supportive supervision system that is properly coordinated should be sufficient to maintain the quality of services offered by CPs and PPMVs.
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Testing a community-based distribution approach to reproductive health service delivery in Senegal (a study of community agents in Kébémer). Population Council, 2004. http://dx.doi.org/10.31899/rh17.1010.

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The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.
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Prevalence of sexually transmitted infections among men who have sex with men and injecting drug users and validation of audio computer-assisted self interview (ACASI) technique in Abuja, Lagos, and Ibadan, Nigeria: Technical report. Population Council, 2011. http://dx.doi.org/10.31899/hiv14.1004.

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Most-at-risk populations (MARPS), including men who have sex with men (MSM) and injecting drug users (IDUs), represent 1 percent of Nigeria’s population yet account for 38 percent of new HIV infections. Despite their elevated risk, MSM and IDUs are less likely than the general population to access HIV prevention and sexual health services because of stigmatization. There is a dearth of data on prevalence of HIV and sexually transmitted infections (STIs) among MSM and IDUs because their behaviors make them difficult to be reached programmatically and engaged in research. While the need for HIV and STI prevalence data is clear, there is also a need to improve the quality and reliability of behavioral data collected for national surveillance, where these stigmatized subpopulations may underreport sensitive behaviors that put them most at risk. This technical report provides details of a study that sought to determine the prevalence of HIV and STIs and sexual and injecting risk behaviors in MSM and male IDUs, and determine if Audio Computer-Assisted Self Interviews provide more accurate reporting of risk behaviors than face-to-face interviewing.
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Prevalence of sexually transmitted infections among men who have sex with men and injecting drug users and validation of audio computer-assisted self interview (ACASI) technique in Abuja, Lagos, and Ibadan, Nigeria: Report Fact Sheet. Population Council, 2011. http://dx.doi.org/10.31899/hiv14.1005.

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Most-at-risk populations (MARPS), including men who have sex with men (MSM) and injecting drug users (IDUs), represent only 1 percent of Nigeria’s population yet account for 38 percent of new HIV infections. Despite their elevated risk, MSM and IDUs are less likely than the general population to access HIV prevention and sexual health services because of stigmatization. There is a dearth of data on prevalence of HIV and sexually transmitted infections (STIs) among MSM and IDUs because their behaviors make them difficult to be reached programmatically and engaged in research. While the need for HIV and STI prevalence data is clear, there is also a need to improve the quality and reliability of behavioral data collected for national surveillance, where these stigmatized subpopulations may underreport sensitive behaviors that put them most at risk. As noted in this fact sheet, computer-based interviewing systems are becoming an accepted alternative to face-to-face interviews, providing an efficient and replicable research tool for collecting sensitive behavioral data.
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