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In Nigeria, for quite a long time, many medical scholars have advocated that attention should be given to traditional medicine as an alternative or complementary system of medicine for example, in the early 60ís, Prof. Adeoye Lambo, saw the need to integrate some aspects of traditional medicine into the country's health care system. Despite the growing interest in traditional medicine as an integral part of health care delivery, the bulk of it still remain unregulated. This observation may account for the contempt and distrust existing between the traditional healers and their orthodox counterparts, with each group claiming supremacy and relevance over the other. In Nigeria modern medicine continues to remain costly, heavily bureaucratised and elitist-oriented with large parts of the populace continuing to visit traditional clinics and healing homes in order to find succour and solace in the hands of the uncurbed and poorly regulated traditional healers. It is the view of the author of this book that some form of regulation between the two systems is necessary, to begin the debate the following questions are addressed here: What constitutes traditional or modern medicine? What are the criticisms against them and how are they refuted? How do you identify the beneficial, neutral, harmless and harmful aspects of the practice of indigenous medicine? What aspects of these, should or should not be integrated? What are the modifications the orthodox practitioner has to make? What are the problems and prospects of integration?
In Biomedical Hegemony and Democracy in South Africa Ngambouk Vitalis Pemunta and Tabi Chama-James Tabenyang unpack the contentious South African government’s post-apartheid policy framework of the ‘‘return to tradition policy’’. The conjuncture between deep sociopolitical crises, witchcraft, the ravaging HIV/AIDS pandemic and the government’s initial reluctance to adopt antiretroviral therapy turned away desperate HIV/AIDS patients to traditional healers. Drawing on historical sources, policy documents and ethnographic interviews, Pemunta and Tabenyang convincingly demonstrate that despite biomedical hegemony, patients and members of their therapy-seeking group often shuttle between modern and traditional medicine, thereby making both systems of healthcare complementary rather than alternatives. They draw the attention of policy-makers to the need to be aware of ‘‘subaltern health narratives’’ in designing health policy.
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.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Sakkiya is a Hausa word, which has its origin from the Hausa culture, and it means the act of using hot pointed metallic tip to puncture bodily swelling with the aim of achieving a curative effect. The Hausa culture is one of the three most popular cultures in Nigeria. The Hausas are predominantly located in the northwestern geopolitical zone of Nigeria, predominantly working as farmers. The majority of the Hausa people practice the Islamic religion. Encounters from the medical setting with cases of complications arising from failure of Sakkiya treatment, where some patients did not survive this treatment made investigation into this form of alternative medicine a paramount issue. In order to fill the void of information and literature on Sakkiya treatment, the authors embarked on a literature search and field studies resulting in this book. The authors found a lack of historical evidence concerning the old traditional Sakkiya practice, and therefore urge archaeologists, anthropologists, sociologists and historians to investigate into the historical evolution of Sakkiya practice in northern Nigeria.Kehinde Kanmodi, BDS, ACIPM, AISQEM is a dental surgeon, lecturer, multidisciplinary researcher, and manager affiliated with Cephas Health Research Initiative Inc, Ibadan (head office), Community Health Officers Training Programme, Usmanu Danfodiyo University Teaching Hospital, Sokoto, National Teachers Institute, Department of Political Science of the National Open University of Nigeria, Abuja, Nigerian Institute of Management, Abuja, Chartered Institute of Project Management, Lagos, and Dental Clinic, Kebbi Medical Centre, Kalgo, Nigeria.Joav Merrick, MD, MMedSci, DMSc, born and educated in Denmark is professor of pediatrics, child health and human development affiliated with the Division of Pediatrics, Hadassah Hebrew University Medical Center, Mt Scopus Campus, Jerusalem, Israel, Kentucky Childrens Hospital, University of Kentucky, Lexington, United States and professor of public health at the Center for Healthy Development, School of Public Health, Georgia State University, Atlanta, United States, the former medical director of the Division for Intellectual and Developmental Disabilities, Ministry of Social Affairs and Social Services, Jerusalem and the founder and director of the National Institute of Child Health and Human Development in Israel.
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.
Drawing on various disciplinary perspectives, this book re-focuses the debate on what makes a good health system, with a view to clarifying the uses of social science research in thinking about health care issues in Africa. The explosion of the HIV/AIDS pandemic, the persistence of malaria as a major killer, and the resurgence of diseases like tuberculosis which were previously under control, have brought about changes in the health system, with implications for its governance, especially in view of the diminished capacity of the public health facilities to cope with a complex range of expanded needs. Government responsibilities and objectives in the health sector have been redefined, with private sector entities (both for profit and not-for profit) playing an increasingly visible role in health care provisions. The reasons for collaborative patterns vary, but chronic under-funding of publicly financed health services is often an important factor. Processes of decentralisation and health sector reforms have had mixed effects on health care system performance; while private health insurance markets and private clinics are pointers to a growing stratification of the health market, in line with the intensified income and social differentiation that has occurred over the last two decades.These developments call for health sector reforms.
The inaccessibility of biomedicine to most of Africa's population because of escalating costs has necessitated a search for alternative ways of managing illnesses. Traditional medicine, which has always been practised in the indigenous cultures, is fast filling this therapeutic gap. This book is a collection of essays based on a multidisciplinary approach to traditional medicine in Africa. It has contributions from social scientists, natural resource experts, traditional medical practitioners, educationists, and medical scholars. It attempts to define the problems of traditional medicine in Africa, while also discussing the conceptual foundations of African ethnomedicine and medical pluralism.