Population health outcomes in Nigeria compared with other west African countries, 1998–2019: a systematic analysis for the Global Burden of Disease Study
“…A comprehensive analysis of the burden of disease in Nigeria compared with other west African countries is presented in full elsewhere, with key results referenced here. 81 Figure 5 Deaths and disability-adjusted life-years for key conditions in Nigeria, 1998–2019 Data are from the Institute for Health Metrics and Evaluation . (A) Age-standardised mortality.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…12 per 1000 livebirths have been set for 2030 under the SDGs in spite of some reductions in neonatal mortality rate. 81 , 89 Levels of stillbirth and under-5 mortality per 1000 livebirths are equally high based on UN and WHO estimates of 117 in 201 9 89 for under-5 mortality and 43 in 201 5 90 for still births, far above SDG targets. Estimates for maternal mortality range from 91 7 per 1000 livebirths 91 from the UN and WHO in 2017 to 528 (351–815) from the GBD study in 2019 compared with the SDG target of 140.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…In the older age groups, metabolic risks are more prevalent. 81 Action to address the key risk factors for both child health and for the broader population, as well as other social determinants of health (eg, access to education, overcoming gender inequality, and environmental sustainability) will be important to improving the health of Nigerians.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…By addressing maternal and child malnutrition, and ensuring access to clean water, facilities for handwashing, and sanitation for all Nigerians, the country could substantially decrease preventable neonatal and child deaths. 81 Poor access to WASH predispose Nigerians, and in particular vulnerable children, to enteric infections, among the most common causes of under-five mortality. 81 Both trachoma and schistosomiasis, which can be controlled by improving WASH, are endemic in the poorest communities of Nigeria; cholera outbreaks in some parts of the country are also attributable to poor access to WASH. 101 , 102 Insufficient or non-existent water supply in health facilities is also a major barrier to infection prevention and control, which predisposes for hospital-acquired infections, and are an important risk factor for maternal and neonatal mortality.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“… 81 Poor access to WASH predispose Nigerians, and in particular vulnerable children, to enteric infections, among the most common causes of under-five mortality. 81 Both trachoma and schistosomiasis, which can be controlled by improving WASH, are endemic in the poorest communities of Nigeria; cholera outbreaks in some parts of the country are also attributable to poor access to WASH. 101 , 102 Insufficient or non-existent water supply in health facilities is also a major barrier to infection prevention and control, which predisposes for hospital-acquired infections, and are an important risk factor for maternal and neonatal mortality. Infection Prevention and Control gaps are exacerbated by Nigeria's long-standing infrastructural deficits such as poor access to running water, even for health facilities, and chronic, seemingly intractable, electric power shortages.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
“…A comprehensive analysis of the burden of disease in Nigeria compared with other west African countries is presented in full elsewhere, with key results referenced here. 81 Figure 5 Deaths and disability-adjusted life-years for key conditions in Nigeria, 1998–2019 Data are from the Institute for Health Metrics and Evaluation . (A) Age-standardised mortality.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…12 per 1000 livebirths have been set for 2030 under the SDGs in spite of some reductions in neonatal mortality rate. 81 , 89 Levels of stillbirth and under-5 mortality per 1000 livebirths are equally high based on UN and WHO estimates of 117 in 201 9 89 for under-5 mortality and 43 in 201 5 90 for still births, far above SDG targets. Estimates for maternal mortality range from 91 7 per 1000 livebirths 91 from the UN and WHO in 2017 to 528 (351–815) from the GBD study in 2019 compared with the SDG target of 140.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…In the older age groups, metabolic risks are more prevalent. 81 Action to address the key risk factors for both child health and for the broader population, as well as other social determinants of health (eg, access to education, overcoming gender inequality, and environmental sustainability) will be important to improving the health of Nigerians.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“…By addressing maternal and child malnutrition, and ensuring access to clean water, facilities for handwashing, and sanitation for all Nigerians, the country could substantially decrease preventable neonatal and child deaths. 81 Poor access to WASH predispose Nigerians, and in particular vulnerable children, to enteric infections, among the most common causes of under-five mortality. 81 Both trachoma and schistosomiasis, which can be controlled by improving WASH, are endemic in the poorest communities of Nigeria; cholera outbreaks in some parts of the country are also attributable to poor access to WASH. 101 , 102 Insufficient or non-existent water supply in health facilities is also a major barrier to infection prevention and control, which predisposes for hospital-acquired infections, and are an important risk factor for maternal and neonatal mortality.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
confidence: 99%
“… 81 Poor access to WASH predispose Nigerians, and in particular vulnerable children, to enteric infections, among the most common causes of under-five mortality. 81 Both trachoma and schistosomiasis, which can be controlled by improving WASH, are endemic in the poorest communities of Nigeria; cholera outbreaks in some parts of the country are also attributable to poor access to WASH. 101 , 102 Insufficient or non-existent water supply in health facilities is also a major barrier to infection prevention and control, which predisposes for hospital-acquired infections, and are an important risk factor for maternal and neonatal mortality. Infection Prevention and Control gaps are exacerbated by Nigeria's long-standing infrastructural deficits such as poor access to running water, even for health facilities, and chronic, seemingly intractable, electric power shortages.…”
Section: Section 3: An Evolving Burden Of Disease Challenges a System...mentioning
Background: A number of low-and middle-income countries have implemented National Health Insurance Schemes (NHIS) as part of efforts to increase access to quality healthcare and financial protection from regressive out-of-pocket payments. This study explored physicians' experiences under the Nigerian (NHIS) to identify factors that may influence efficient health care delivery.
Methods: A convenient sample of 85 physicians residing inSouth-East Nigeria who had active contracts with the NHIS were surveyed via self-administered questionnaire for this study. Descriptive statistics were used to summarize the data while Kruskal-Wallis tests were used to determine if there were statistically significant associations between physician professional characteristics and their responses to key statements that assessed their experiences and behavior. Also, thematic analysis was used to assess additional qualitative data provided by study participants.Results: Provider experiences were affected by the perceived inadequacy of reimbursement rates, delays in payment and services not covered by the NHIS. Participants' responses to statements on inadequacy of reimbursement was significantly associated with location using Kruskal-Wallis test (χ 2(1) = 7.24, p = 0.027) while billing patients for services not covered under the NHIS was significantly associated with
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