An audit of healthcare provision in internally displaced population camps in Nigeria

Background: Armed conflict in Nigeria resulted in more than 2 million internally displaced persons (IDPs). IDPs live in poor conditions lacking basic resources with variable provision across different locations. This audit aimed to determine the health-related resources available to IDPs in camp-lik...

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Main Authors: Ekezie, Winifred, Timmons, Stephen, Myles, Puja, Siebert, Penelope, Bains, Manpreet, Pritchard, Catherine
Format: Article
Published: Oxford University Press 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/53101/
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author Ekezie, Winifred
Timmons, Stephen
Myles, Puja
Siebert, Penelope
Bains, Manpreet
Pritchard, Catherine
author_facet Ekezie, Winifred
Timmons, Stephen
Myles, Puja
Siebert, Penelope
Bains, Manpreet
Pritchard, Catherine
author_sort Ekezie, Winifred
building Nottingham Research Data Repository
collection Online Access
description Background: Armed conflict in Nigeria resulted in more than 2 million internally displaced persons (IDPs). IDPs live in poor conditions lacking basic resources with variable provision across different locations. This audit aimed to determine the health-related resources available to IDPs in camp-like settings in Nigeria and whether these met international standards. Methods: Using a cross-sectional study approach, information was collected in 9 camps across 7 states from camp managers, and direct observation in September-October 2016. The Sphere minimum standards in humanitarian crises were used as the audit standards. Findings: Five of 15 assessed standards were met to some extent, including the availability of water and shelter. Sanitation and vaccination were unmet in 5 camps, with severe overcrowding in 5 camps, and inadequate waste disposal in all camps. Health programme implementation was uneven, and especially poor in self-settled and dispersed settlements. Conclusion: Inequality in distribution of humanitarian support was observed across different settings, which could lead to a higher likelihood of water, food and air related diseases and thereby, a poorer quality of life for IDPs. Ensuring standardised health assessments could promote a more even distribution of resources across IDP locations.
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spelling nottingham-531012020-05-04T19:46:57Z https://eprints.nottingham.ac.uk/53101/ An audit of healthcare provision in internally displaced population camps in Nigeria Ekezie, Winifred Timmons, Stephen Myles, Puja Siebert, Penelope Bains, Manpreet Pritchard, Catherine Background: Armed conflict in Nigeria resulted in more than 2 million internally displaced persons (IDPs). IDPs live in poor conditions lacking basic resources with variable provision across different locations. This audit aimed to determine the health-related resources available to IDPs in camp-like settings in Nigeria and whether these met international standards. Methods: Using a cross-sectional study approach, information was collected in 9 camps across 7 states from camp managers, and direct observation in September-October 2016. The Sphere minimum standards in humanitarian crises were used as the audit standards. Findings: Five of 15 assessed standards were met to some extent, including the availability of water and shelter. Sanitation and vaccination were unmet in 5 camps, with severe overcrowding in 5 camps, and inadequate waste disposal in all camps. Health programme implementation was uneven, and especially poor in self-settled and dispersed settlements. Conclusion: Inequality in distribution of humanitarian support was observed across different settings, which could lead to a higher likelihood of water, food and air related diseases and thereby, a poorer quality of life for IDPs. Ensuring standardised health assessments could promote a more even distribution of resources across IDP locations. Oxford University Press 2018-08-22 Article PeerReviewed Ekezie, Winifred, Timmons, Stephen, Myles, Puja, Siebert, Penelope, Bains, Manpreet and Pritchard, Catherine (2018) An audit of healthcare provision in internally displaced population camps in Nigeria. Journal of Public Health . ISSN 1741-3850 Internally displaced persons Nigeria healthcare displacement camps public health https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdy141/5077786 doi:10.1093/pubmed/fdy141 doi:10.1093/pubmed/fdy141
spellingShingle Internally displaced persons
Nigeria
healthcare
displacement camps
public health
Ekezie, Winifred
Timmons, Stephen
Myles, Puja
Siebert, Penelope
Bains, Manpreet
Pritchard, Catherine
An audit of healthcare provision in internally displaced population camps in Nigeria
title An audit of healthcare provision in internally displaced population camps in Nigeria
title_full An audit of healthcare provision in internally displaced population camps in Nigeria
title_fullStr An audit of healthcare provision in internally displaced population camps in Nigeria
title_full_unstemmed An audit of healthcare provision in internally displaced population camps in Nigeria
title_short An audit of healthcare provision in internally displaced population camps in Nigeria
title_sort audit of healthcare provision in internally displaced population camps in nigeria
topic Internally displaced persons
Nigeria
healthcare
displacement camps
public health
url https://eprints.nottingham.ac.uk/53101/
https://eprints.nottingham.ac.uk/53101/
https://eprints.nottingham.ac.uk/53101/