Browsing by Author "Kolo, V. R."

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Reviving healthcare delivery: context-based issues for revamping primary healthcare in Nigeria
(2019) Owumi, B. E.; Taiwo, P. A.; Kolo, V. R.
The relationship between health and sustainable development have long been established. Hence the need to rigorously pursue strategies to improve the health status of a nation’s citizenry through functionally effective and efficient delivery systems. However, health and healthcare delivery is a major problem confronting developing nations like Nigeria. In August 1987, Primary healthcare (PHC) was adopted as the cornerstone of health care and health policy in Nigeria. About three decades after, studies have shown that health and healthcare in Nigeria have not significantly improved; and the delivery of health services have become a perennial problem, defying the various solutions that had been advanced to solving it over time. In the face of dwindling economic reality in Nigeria, reviving primary healthcare becomes a viable alternative that will not only produce healthy and productive citizens, thereby generating national wealth; but will also reduce the cost of health care delivery to the average Nigerian. This paper presents a theoretical diagnosis of the state of affairs of healthcare delivery in Nigeria focusing on PHC as the hub of health policy. It examines the problems of PHC, identifying gaps within it that militates against successful implementation and outcomes. The paper concluded that certain deficits in the scope and policy process of PHC in Nigeria accounted for the programme’s incapacitation. It however recommended a thorough situation analysis as a prelude to a bottom-up policy approach, inclusion of the informal health sub-sector especially the traditional health care practitioners as a viable as well as cost effective strategy for the revamping of primary health care in Nigeria.
The role of significant others in the utilization of traditional orthopaedic services in Kwara state, Nigeria
(2016) Owumi, B. E.; Kolo, V. R.; Taiwo, P. A.
Orthopaedic injuries contribute to most musculo-skeletal health challenges in developing societies partly due to increasing rate of technological advancement and its associated consequences. Despite the little recognition experienced, traditional orthopaedic service due to the 'severity of most orthopaedic injuries which sometimes 'left patients incapacitated, decision making regarding treatment is sometimes determined by significant others and has implication for patients well being. This forms the focuss of this paper which is hinged on the health belief model as framework for explanation. Both qualitative and quantitative methods were used to elicit data. Questionnaire was administered to 357 randomly selected orthopaedic patients, while In-depth Interview (IDI) was conducted with 7patients and 14 practitioners. Findings revealed that majority of the patients (73.1%) belonged to the active age group (21-60 years); were males (74.5%) who engaged in occupations that predisposed them to orthopaedic injuries. Referral was mainly effected by family members (43:2%), former TOSP's patients (35.4%), friends (13.0%), and members of practitioners’ ethnic groups (8.0%) who made these decisions because they were privy to effective treatment offered by the TOSPs. Intensive capacity building and collaboration with western practitioners was recommended for improved delivery of orthopaedic care.