Accessibility of medications by chronically ill older patients: a cross-sectional assessment of universal health coverage in Nigeria

Chizoba, A. F.; Okekeze, Chukwuemeka; Asiegbu, Chinedu J; Anyigor, Collins; Nshiowo, Kingsley; Izuaka, Ifeyinwa; Mbawike, Nkiru; Maya, Williams; Nkpozi, Emmanuel; Ezedinachi, Chidoeme; Ajah, C. I.; Chizoba, C. J.; Chizoba, Chioma E; Ajulufo-Udezue, Chinazom; Ukachukwu, Lucy; Adikibe-nana, George A; Ezeokafor, Nnenna; Nwadike, Chukwuka; Nwanna-Nzewunwa, Obieze

doi:10.1016/s2214-109x(18)30164-5

Cited by 2 publications

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“…For instance, a retired sixtyfive-year-old woman that has comorbidity and prescribed polypharmacy who does not have a health insurance coverage will need a support with accessing medication or stand the chance of missing lifesaving medicines. A study done in Nigeria by Chizoba AF et al [19] revealed that only 22% of 521 chronically ill older patients assessed could afford their medication, whereas 78% reported to have missed medications owing to unaffordability/cost. On the other hand, only 18% are enrolled into health insurance program to aid health and medication access.…”

Section: Concept Of Drug Bank or Drug Subsidy For Older Personsmentioning

confidence: 99%

Effect of Geriatric Community Program on Achieving Sustainable Development Goals and Universal Health Coverage Among Older Persons in Africa; A Nigeria Project Plan

2022

IJOAR

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Population of older person are growing globally, in Africa and Nigeria. The WHO stated that this demographic change has implications on health care systems and on achieving sustainable development goals (SDGs) and universal health coverage (UHC). However, programs to adjust to population aging is still lacking in countries like Nigeria. This project proposal aims to implement and evaluate, with goal of scaling up, community geriatric program on achieving SDGs and UHC among older persons in Nigeria. Intervention approach will include home based management of older persons through seven geriatric case management processes, service provisions by trained case managers across four intervention domains, instituting and supporting health geriatric clinics and drug banks, enrollment of beneficiaries into national health insurance program and supporting system strengthening (on geriatric care) for service providers and hospitals. Data collection and entry will be done using expert data capturing tools and geriatric data management information system (GDMIS), while data analysis will be done through comparison of pre and post intervention indices. Review of literatures and anecdotal data show paucity of geriatric projects for care of older persons whose population is exponentially increasing in Africa. This project proposal that aims to implement and evaluate effect of a novel and innovative community health programs on achieving SDGs and UHC goals among older persons in Nigeria will share its result, conclusion, and recommendations, which will be disseminated for adaption and adoption for geriatric programing in the African context.

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Section: Concept Of Drug Bank or Drug Subsidy For Older Personsmentioning

confidence: 99%

Effect of Geriatric Community Program on Achieving Sustainable Development Goals and Universal Health Coverage Among Older Persons in Africa; A Nigeria Project Plan

2022

IJOAR

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“…The study found that a major weakness was lack of capacity to quantify a PPS and get customers to pay for it (3.39). This is understandable given that health insurance penetration in Nigeria stands below 7% and majority of clients have to pay out of pocket for medicines and professional services (Aregbesola, 2016;Chizoba, Okekeze, Asiegbu & Nwanna-Nzewunwa, 2018) while the pricing of medicines remains unregulated (Onoka, Onwujekwe, Uzochukwu & Ezumah, 2013). Most community pharmacies in Nigeria are independent retailers with sizes of small and medium-scale enterprises (Fatai, 2011).…”

Section: Weakness Analysismentioning

confidence: 99%

Qualitative Analysis of Strengths, Weaknesses, Opportunities and Threats of Professional Services by Community Pharmacies in Nigeria

Ihekoronye¹,

Osemene²,

Erhun³

et al. 2020

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Accessibility of medications by chronically ill older patients: a cross-sectional assessment of universal health coverage in Nigeria

Cited by 2 publications

References 0 publications

Effect of Geriatric Community Program on Achieving Sustainable Development Goals and Universal Health Coverage Among Older Persons in Africa; A Nigeria Project Plan

Effect of Geriatric Community Program on Achieving Sustainable Development Goals and Universal Health Coverage Among Older Persons in Africa; A Nigeria Project Plan

Qualitative Analysis of Strengths, Weaknesses, Opportunities and Threats of Professional Services by Community Pharmacies in Nigeria

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