
The Library
A contextual exploration of healthcare service use in urban slums in Nigeria
Tools
Improving Health in Slums Collaborative (Including: Dasvarma, Gouranga Lal, Fayehun, Olufunke, Ajisola, Motunrayo, Uthman, Olalekan, Oyebode, Oyinlola, Oladejo, Abiola, Owoaje, Eme, Taiwo, Olalekan, Odubanjo, Oladoyin, Harris, Bronwyn, Lilford , Richard and Omigbodun, Akinyinka). (2022) A contextual exploration of healthcare service use in urban slums in Nigeria. PLoS One, 17 (2). e0264725. doi:10.1371/journal.pone.0264725 ISSN 1932-6203.
|
PDF
WRAP-A-contextual-exploration-of-healthcare-service-use-in-urban-slums-in-Nigeria-Uthman-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (487Kb) | Preview |
Official URL: http://dx.doi.org/10.1371/journal.pone.0264725
Abstract
Introduction
Many urban residents in low- and middle-income countries live in unfavorable conditions with few healthcare facilities, calling to question the long-held view of urban advantage in health, healthcare access and utilization. We explore the patterns of healthcare utilization in these deprived neighborhoods by studying three such settlements in Nigeria.
Methods
The study was conducted in three slums in Southwestern Nigeria, categorized as migrant, indigenous or cosmopolitan, based on their characteristics. Using observational data of those who needed healthcare and used in-patient or out-patient services in the 12 months preceding the survey, frequencies, percentages and odds-ratios were used to show the study participants’ environmental and population characteristics, relative to their patterns of healthcare use.
Results
A total of 1,634 residents from the three slums participated, distributed as 763 (migrant), 459 (indigenous) and 412 (cosmopolitan). Residents from the migrant (OR = 0.70, 95%CI: 0.51 to 0.97) and indigenous (OR = 0.65, 95%CI: 0.45 to 0.93) slums were less likely to have used formal healthcare facilities than those from the cosmopolitan slum. Slum residents were more likely to use formal healthcare facilities for maternal and perinatal conditions, and generalized pains, than for communicable (OR = 0.50, 95%CI: 0.34 to 0.72) and non-communicable diseases (OR = 0.61, 95%CI: 0.41 to 0.91). The unemployed had higher odds (OR = 1.45, 95%CI: 1.08 to 1.93) of using formal healthcare facilities than those currently employed.
Conclusion
The cosmopolitan slum, situated in a major financial center and national economic hub, had a higher proportion of formal healthcare facility usage than the migrant and indigenous slums where about half of families were classified as poor. The urban advantage premise and Anderson behavioral model remain a practical explanatory framework, although they may not explain healthcare use in all possible slum types in Africa. A context-within-context approach is important for addressing healthcare utilization challenges in slums in sub-Saharan Africa.
Item Type: | Journal Article | ||||||||
---|---|---|---|---|---|---|---|---|---|
Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine |
||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
Library of Congress Subject Headings (LCSH): | Medical care -- Nigeria, Health services accessibility -- Nigeria, Urban poor -- Health and hygiene -- Nigeria | ||||||||
Journal or Publication Title: | PLoS One | ||||||||
Publisher: | Public Library of Science | ||||||||
ISSN: | 1932-6203 | ||||||||
Official Date: | 25 February 2022 | ||||||||
Dates: |
|
||||||||
Volume: | 17 | ||||||||
Number: | 2 | ||||||||
Number of Pages: | 14 | ||||||||
Article Number: | e0264725 | ||||||||
DOI: | 10.1371/journal.pone.0264725 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 28 March 2022 | ||||||||
Date of first compliant Open Access: | 29 March 2022 | ||||||||
RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
![]() |
View Item |
Downloads
Downloads per month over past year