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This book provides a comprehensive and authoritative assessment of the training of health professionals in Nigeria, looking back to how health care education has evolved in the country over time, before investigating new and emerging trends. The book begins with a discussion of the fundamentals of health care education, the art of teaching health care students, and modeling professionalism in health care. The book highlights the work of pioneer Nigerian health care academics, and explores the administration of health care education at departmental level. Finally, it highlights the role of elite Nigerian health care academics in the diaspora, chronicles contemporary challenges in health care education, and makes recommendations for reform. This book will be of interest to students, scholars, and practitioners working on health care education in Africa.
This book is the first authoritative study of the research output and scientific impact of Nigerian health academics, including those in the diaspora. Around the world, policymakers and academics measure the scientific impact of research at national and international levels using bibliometric measures. Unfortunately, there is limited data on scientists' research productivity and impact in developing countries, particularly in Africa. Therefore, normative bibliometric information from different countries is needed to address the challenges faced by scientists in Africa. This book contributes to filling this research gap. Additionally, the author addresses the controversies surrounding the use of bibliometrics in judging research productivity and offers recommendations to improve research systems.
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
Collects together data compiled from 177 World Health Organization Member States/Countries on mental health care. Coverage includes policies, plans and laws for mental health, human and financial resources available, what types of facilities providing care, and mental health programmes for prevention and promotion.
Since the private health sector is an important, and often dominant, provider of health services in Sub-Saharan Africa, it is the job of governments as the stewards of the health system to engage with it. Increasing the contributions that the existing private health sector is making to public health is an important, but often neglected, element of meeting the daunting health-related challenges facing African nations. This Report presents newly collected data on how and how effectively each country in the Africa region is engaging the respective private health sectors; and how the engagement compares across the region. While the approach taken by governments varies greatly between countries, there is much room for improvement in the Africa region overall to engage more effectively and room for exchange of ideas and good practices on how to do so. Improved solutions on the policy/regulatory side should be supported by effective organization of the private sector itself and by adjustments in donor programs that take the dynamics of the private health sector better into account.
This volume is part of a series of publications which contain practical guidance to assist policy-makers and planners in member countries with policy development to address public mental health needs and service provision. This volume highlights the importance of advocacy in mental health policy and service development, a relatively new concept, aimed at reducing stigma and discrimination, and promoting the human rights of people with mental disorders. It considers the roles of various mental health groups in advocacy and sets out practical steps for implementation, indicating how governments can support advocacy services. The full package of eight volumes in the series is also available (ISBN 0119894173).
Provides a comprehensive overview of range of approaches and methods available for synthesising qualitative and quantitative evidence and an explanation of why this is important. This book looks at different types of review and examining place of synthesis in reviews for policy and management decision making.
The first principle of public health practice is defined as the identification of the root cause or causes of all health problems, from the diseased individual to the effects on that individual of family, social, community, national, global, environment and other factors. The second principle is defined as the utilisation of the resources of the community, the nation and the world to effect a lasting and, often, a cheaper solution to health problems. This comprehensively revised and updated edition of the first volume provides a ready source for principles and practice, and more practical advice than the first edition which did not fully cover all the aspects of a comprehensive public health practice. The contributors are all practitioners, and the emphasis throughout is to bring out the principles involved in identifying the root causes of all types of health problems, and discovering practical and innovatory solutions for them in ways best suited to African countries.
This paper, based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity, aims at understanding the performance of primary health care providers in four states in Nigeria. As possible ways to improve performance, the paper concludes that clearly defining lines of responsibility, implementing performance-based financing of local governments and providers, and collecting, analyzing, and sharing information are some options that can help realign incentives and improve accountability in the service delivery chain and service provision. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom, and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition, and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharma-ceuticals, Governance and Service Delivery, and Infrastructure and ICT.
Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the “trial communities” produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.