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

Ekezie, Winifred; Timmons, Stephen; Myles, Puja; Siebert, Penelope; Bains, Manpreet; Pritchard, Catherine

Authors

Winifred Ekezie winifred.ekezie@nottingham.ac.uk

STEPHEN TIMMONS stephen.timmons@nottingham.ac.uk
Professor of Health Services Management

Puja Myles msapm30@exmail.nottingham.ac.uk

Penelope Siebert penelope.siebert@ntu.ac.uk

Catherine Pritchard cath.pritchard@outlook.com



Abstract

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.

Journal Article Type Article
Publication Date Aug 22, 2018
Journal Journal of Public Health
Print ISSN 1741-3842
Electronic ISSN 1741-3850
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
APA6 Citation Ekezie, W., Timmons, S., Myles, P., Siebert, P., Bains, M., & Pritchard, C. (2018). An audit of healthcare provision in internally displaced population camps in Nigeria. Journal of Public Health, doi:10.1093/pubmed/fdy141
DOI https://doi.org/10.1093/pubmed/fdy141
Keywords Internally displaced persons, Nigeria, healthcare, displacement camps, public health
Publisher URL https://academic.oup.com/jpubhealth/advance-article/doi/10.1093/pubmed/fdy141/5077786
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record Winifred Ekezie, Stephen Timmons, Puja Myles, Penelope Siebert, Manpreet Bains, Catherine Pritchard; An audit of healthcare provision in internally displaced population camps in Nigeria, Journal of Public Health, is available online at: https://academic.oup.co...3/pubmed/fdy141/5077786

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An audit of healthcare provision in internally displaced population camps in Nigeria (ACCEPTED MANUSCRIPT) 21.07.2018 (003).pdf (214 Kb)
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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf


i. IDP Audit Paper - Figure 1.pdf (65 Kb)
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ii. IDP Audit Paper - Table 1.pdf (160 Kb)
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iii. IDP Audit Paper - Table 2.pdf (98 Kb)
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v. IDP Audit Paper - Table 4.pdf (97 Kb)
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JPH-18-0155 - Title Page.pdf (212 Kb)
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