Academic literature on the topic 'Medical policy – Nigeria – Oyo State'

Background and Aim: There is insufficient information about the successfully managed Lassa fever (LF) patients in Nigeria. This study aimed to utilize the One Health approach to identify the risk factors for LF infection among LF patients who were managed and on follow-up at the Federal Medical Center, Owo, Ondo State, Nigeria. Materials and Methods: A cross-sectional study was done on 101 LF survivors who were managed and on follow-up at the Federal Medical Center. The data were collected using a semi-structured interviewer-administered questionnaire. The respondents were assessed for symptoms and factors that might have predisposed them to LF, and the data were analyzed with SPSS version 23 (IBM Corp., NY, USA). Those who had more than 3 identifiable risks were categorized as high risk. Descriptive statistics were done, and the association between sociodemographic characteristics and high risk was explored using Chi-square test. Results: The median age of the respondents was 33 years (8-85 years); 62 (61.4%) were male, and 93 (92.1%) have heard of LF before diagnosis. The perceived cause of LF infection among the respondents included the consumption of food contaminated by rats' feces among 57 (56.4%) persons, while 16 (15.8) attributed their infection to contact with LF-infected persons. Among the respondents with primary education and below, 5 (29.4%) were at higher risk for LF infection compared to 7 (8.3%) with secondary education and above (p=0.014). Conclusion: The mass media and other sources of information should be well-harnessed in the communication of risks and preventive practices for LF. Public information campaigns should be organized to discourage bush burning in affected communities.

Increased rice productivity for years is not a solution if rice farming efficiency cannot be sustained for the next hundred years. The study analysed the efficiency of rice farmers in Oyo State. A multistage sampling procedure was employed to select 128 rice farmers for the study. Primary data were obtained with the aid of well-structured questionnaire and interview schedule. Descriptive statistics and stochastic frontier model were employed in the analysis of the data. Majority (78.1%) of the rice farmers had one form of education or the other while the age of rice farmers ranges from 25 to 78 years and mean age of 47 years. The stochastic frontier results (Maximum Likelihood Estimates) revealed that farm output increases with farm size, hired labour, and fertilizer but decreases with herbicides. Also, technical efficiency of the farmers increases with formal education, farming experience, household size, extension contact and distance of farm to market. The mean technical efficiency, allocative efficiency and economic efficiency of 88.5 percent, 66.9 percent and 58.3 percent respectively showed that there is room for improvement in technical efficiency by 11.5 percent, allocative efficiency by 33.1 percent and economic efficiency by 41.7 percent with the present technology. Policy option requires the rice farmers to reduce the use of agro chemical. Farmers should expand their farm land to ensure efficient utilization of resources. Above all, formal education and adult literacy education should be strengthened among the rice farmers.

Increased rice productivity for years is not a solution if rice farming efficiency cannot be sustained for the next hundred years. The study analysed the efficiency of rice farmers in Oyo State. A multistage sampling procedure was employed to select128 rice farmers for the study. Primary data were obtained with the aid of well-structured questionnaire and interview schedule. Descriptive statistics and stochastic frontier model were employed in the analysis of the data. Majority (78.1%) of the rice farmers had one form of education or the other while the age of rice farmers ranges from 25 to 78 years and mean age of 47 years. The stochastic frontier results (Maximum Likelihood Estimates) revealed that farm output increases with farm size, hired labour, and fertilizer but decreases with herbicides. Also, technical efficiency of the farmers increases with formal education, farming experience, household size, extension contact and distance of farm to market. The mean technical efficiency, allocative efficiency and economic efficiency of 88.5 percent, 66.9 percent and 58.3 percent respectively showed that there is room for improvement in technical efficiency by 11.5 percent, allocative efficiency by 33.1 percent and economic efficiency by 41.7 percent with the present technology. Policy option requires the rice farmers to reduce the use of agro chemical. Farmers should expand their farm land to ensure efficient utilization of resources. Above all, formal education and adult literacy education should be strengthened among the rice farmers.

Introduction: Vaccine-preventable diseases are endemic in Nigeria, and contribute greatly to childhood morbidities and mortalities. Good family structure has been reported to improve children's wellbeing, health and eating habit, but the contribution of family structure together with family functionality on immunization status has not been documented. Overall, the goal of the research was to determine the level of immunization status in the study population, assess their knowledge of immunization and determine what influence family structure and functionality have on children's immunization status.Methods: A cross-sectional descriptive study was conducted in 2016 in the General outpatient clinic (GOPC) of Baptist Medical Centre (BMC), Saki, Oyo State. Family APGAR Scale and self-design questionnaire were used to collect data from 299 respondents using systematic sampling technique. A SPSS (version 21) was used for the analysis.Results: Our results showed that 82.9% of the respondents were fully immunized and 98% had knowledge about Immunization. Majority of the respondents came from functional families, accounting for 85.6% of cases. The following factors were found to be statistically significantly associated with immunization status: family functionality (X2 = 101.694, P = 0.000), family type (p value =0.000), family size (p value = 0.000), ethnic group (p value = 0.000) and number of children (P value = 0.000)Conclusion: Our findings showed that there is an adequate knowledge of immunization in the study population, and that a child's immunization status is significantly influenced by the family structure and functionality. However, given the fact that this is a single, hospital-based study, several multi-center studies would have to be employed not just to validate this conclusion but also to inform policy making. Keywords: Immunization status, family structure, family functionality, vaccine, health facility, Nigeria French Title: Influence de la structure familiale et de la fonctionnalité sur le statut de vaccination des nourrissons assistant au GOPC de BMC, Saki Les morts évitables par la vaccination restent endémiques et contribuent de manière significative à la morbidité infantile au Nigéria et il a été reconnu qu'une bonne structure familiale améliore le bien-être, la santé et les habitudes alimentaires des enfants, mais la contribution de la structure et de la fonctionnalité de la famille au statut vaccinal n'est pas encore établie. Le but de cette étude est de déterminer le niveau d'immunisation des répondants, d'évaluer leurs connaissances en matière d'immunisation et de déterminer l'influence de la structure et de la fonctionnalité de la famille sur l'état de vaccination. Méthode de l'étude: Une étude descriptive transversale a été menée en 2016 dans la clinique externe générale (GOPC) du Baptist Medical Center (BMC), Saki, dans l'état d'Oyo. L'échelle familiale APGAR et le questionnaire d'auto-conception ont été employés pour recueillir des données auprès de 299 répondants à l'aide d'une technique d'échantillonnage systématique. Un SPSS (version 21) a été utilisé pour l'analyse. Résultats de l'étude: Les résultats ont révélé que la majorité (82,9%) des répondants était entièrement immunisée et que 98% avaient des connaissances sur la vaccination. La majorité des répondants (85,6%) étaient issus de familles fonctionnelles. La fonctionnalité de la famille était statistiquement significative sur le statut vaccinal (X2 = 101,694, P = 0,000) ainsi que sur certaines composantes de la structure familiale: type de famille (P = 0,000), taille de la famille (P = 0,000), groupe ethnique (P = 0,000), et nombre d'enfants (P = 0,000)Conclusion: Les répondants avaient une connaissance adéquate de la vaccination. De plus, la fonctionnalité familiale et la structure familiale influencent le statut vaccinal des nourrissons. Par conséquent, d'autres études devraient être menées sur l'influence de la fonctionnalité et de la structure de la famille sur le statut vaccinal en utilisant une approche multicentrique. Mots-clés: Immunisation, fonctionnalité familiale, structure familiale, vaccine

Purpose The purpose of this paper is to examine the impact of e-wallet on farmer’s welfare in Nigeria. Design/methodology/approach Primary data were used to collect information on 81 users and 123 non-users of e-wallet system. Foster, Greer and Thorbecke (FGT) analysis was used to profile farmer’s poverty status, while propensity score matching (PSM) was used to assess the impact of e-wallet on welfare using per capita expenditure as its proxy. Findings The FGT analysis shows that poverty incidence, depth, and severity were found to be higher among non-users of e-wallet than its users. The PSM analysis showed that e-wallet had a positive impact on welfare; Rosenbaum sensitivity analysis revealed that the findings are sensitive to hidden bias due to unobserved characteristics. Research limitations/implications The relevance of matching method depends on data availability for the specific policy problem. Hence, the study is limited to the use of the PSM because of the limitation of household data availability to only a sample of farmers in Oyo State. Originality/value This paper examines the impact of the new system of input distribution (e-wallet) on farmer’s welfare.

The study was conducted to assess hunting activities in Ido Local Government Area, Oyo State, Nigeria. A well-structured questionnaire was administered to obtain information from fifty hunters using a simple random sampling technique. Data were analyzed using descriptive statistics. The result showed that 96% of hunters in the study area were men. Most of the respondents were married (84%) and within the age bracket of 31 and 50 years (48%). About 34% and 40% of respondents had primary and secondary education respectively while 13% had no formal education. They had between 20 and 29 years’ experience in wild animal hunting. Sixty-eight percent of the hunters in the study area engaged in part-time hunting while 32% were full-time hunters. The study further revealed that the hunters engaged in hunting for financial gain (64%), leisure (34%) and family tradition (38%). About ten types of species of wildlife animals were commonly killed by the hunters, and the animals were sold within the community market (42%), outside the community market (32%) and to visiting bushmeat marketers (26%). The study therefore recommends a policy that will control hunting activitiesin the study area, knowing that animal hunting serves as another source of livelihood to the hunters. Keywords: Hunters, wildlife, bushmeat, community market, occupation

Given the general poor state of health care and the devastating effect of user fee, the National Health Insurance Scheme (NHIS) was instituted as a health financing policy with the main purpose to ensure universal access for all Nigerians. However, since NHIS became operational in 2005, only members of scheme are able to access health care both in the public and in private sectors, representing about 3% of Nigerian population. The thesis therefore examines the design and implementation policy of NHIS in Oyo state, Nigeria. Key design issues conceptual framework guides the analysis of data. The framework identifies three health interrelated financing functions namely revenue collection, risk pooling and purchasing. Data was collected from the NHIS officials, employees of the Health Maintenance Organisations (HMOs) and the Health Care Providers (HCPs) using key informant interview. In addition, in-depth interview and semi structure questionnaire were used to gather data from the enrolees and the nonenrolees. Empirical findings show that NHIS is fragmented given the existence of several programmes. In addition, there is no risk pooling neither redistribution of funds in the scheme. Revenue generated through contributions from the enrolees was not sufficient to fund health care services received by the beneficiaries because of the small percentage of the Nigerian population that the scheme covers. Further findings indicate that enrolled federal civil servants have not commenced monthly contribution to the NHIS. They pay 10% as co-pay in every consultation while federal government as an employer subsidised by 90%. Majority (76.8%) of the respondents agreed that they were financially protected from catastrophic spending. However, the overall benefit package was rated moderate because of exclusion of some priority and essential health care needs. Although above half (57%) of the respondents concurred that HMOs are accessible, in the overall, (47.6%) of the respondents were not satisfied with their services. In the case of the HCPs, majority (61.9%) of the respondents claimed that there is no excessive waiting time for consultation. Furthermore, (64.3%) rated their interpersonal relationship with the HCPs to be good. However, more than half of the respondents (54%) disagreed on availability of prescribed drugs in NHIS accredited health facilities. For the nonenrolees, findings show that most of the respondents (72.9%) were willing to enrol, but significant proportion (47.5%) indicated financial constraint as impediment to enrolment.
Sociology
D. Phil. (Sociology)

Bibliography: leaves 268-317
The challenge of accessing affordable healthcare services in the developing countries prompted the promotion of community-based health insurance (CBHI) as an effective alternative. CBHI has been implemented in many countries of the South over the last three decades for the purpose of improving access and attaining universal health coverage. However, the sudden stoppage of a CBHI programme in rural Nigeria raised a lot of concerns about the suitability of the health financing scheme. Thus, this thesis examines the stoppage of the CBHI programme in rural Kwara, Nigeria. Premised on the health policy triangle as a conceptual framework, mixed methods approach was adopted for data collection. This involved 12 focus group discussions, 22 in-depth interviews, 32 key informant interviews and 1,583 questionaires. The study participants were community members, community leaders, healthcare providers, policymakers, international partner, health maintenance organisation officials and a researcher. Findings revealed that transnational actors relied on various resources (e.g. fund and ‘expertise’) and formed alliances with local actors to drive the introduction of the programme. As such, the design and implementation of the policy were dominated by international actors. Despite the sustainability challenges faced by the programme, the study found that it benefitted some of the enrolled community members. Though, even at the subsidised amount, enrolment premium was still a challenge for many. The main reasons for the stoppage of the programme are a paucity of fund and poor management. The stoppage of the programme, however, signified a point of reversal in the relative achievements recorded by the CBHI scheme because community members have deserted the healthcare facilities due to high costs of care. In view of these, the thesis notes that short-term policies often lead to temporary outcomes and suggests the need to repurpose the role of the state by introducing a long-term comprehensive healthcare policy – based on the reality of the nation – to provide equitable healthcare services for the citizenry irrespective of their capacity to pay.
Sociology
D. Phil. (Sociology)

AbstractAdequate and proper adaptation strategies to climate change depend largely on activities in the rural sector, which drives national economy through exploitation of natural resources. Consequently, actions in rural areas are essential to successful climate change adaptation. Rural communities are highly dependent upon natural resources that are affected by climate change, thus affecting their food security, livelihoods, health, and physical infrastructure. Women and their livelihood practices are thereby affected negatively, leading to increased poverty level and low income, because they find it difficult to respond adequately to climate change effects. This study examines the past and existing interventions on climate change adaptation strategies in two rural communities in Oyo State, introduces climatepreneurship strategy, and assesses its effectiveness. This is an explorative study, employing qualitative approach to gather information through in-depth interview (IDIs) from 50 farmers, before and after the interventions. Data collected were analyzed using Atlas ti. This is a powerful workbench for qualitative data analysis using coding and annotating activities to generate different thematic issues for discussions and interpretations with networks. Study revealed that communities had previously experienced some interventions. Such had no impact on livelihood practices because steps to successful intervention were not followed. Socio-cultural practices hinder women development. The newly introduced climatepreneurship strategy improved livelihood practices. Study outcomes will expectedly be integrated into policy framework for sustainable rural women entrepreneurship development and also replicated in other rural areas in Nigeria.

Chapter three captures the beginning of Boko Haram’s jihad and the initial stages of the post-2009 violence: 2009-2012, following the brutal and extrajudicial killing of Muhammad Yusuf by the Nigerian police. It catalogues the matrix of events including warfare strategy that depict Boko Haram’s clash with the Nigerian state and perceived enemies including Christians and the media. The chapter also shows a significant interaction between Boko Haram and other transnational terrorist organisations such as al-Qaeda in the Islamic Maghreb (AQIM) and al-Qaeda central. The earliest internal schism and fractionalisation of Boko Haram that led to several splinter groups such as Ansaru-2012 are discussed in this chapter.

The establishment that 70% of the world's poor residing in rural areas depends directly on biodiversity for their well-being has ignited the call for sustainable usage of biological resources. Biodiversity conservation has thus become a novel project with noble intention of providing a habitat and protection from hunting for threatened and endangered species and ecological processes that cannot survive in most intensely managed landscapes. Nigeria has created protected areas under the coordination of National Park Services in line with this. As a result, residents of communities surrounding the protected areas could not meet their basic needs like employment, water provision, educational facilities, medical services, energy supply, livestock grazing, and motorable roads. They have subsequently deviated from the extant rules that guide their conducts and by ensuing difficulties see biodiversity conservation as an elitist policy despite their understanding of the idea behind it.