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" Universal Healthcare and Access to the Lower-Income Population: An Exploration of Capitation in Lagos, Nigeria "
Ezuma-Ngwu, Ezuma C.
Kimmel, Sharon
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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1052945
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| Doc. No
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TL52062
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| Main Entry
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Ezuma-Ngwu, Ezuma C.
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| Title & Author
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Universal Healthcare and Access to the Lower-Income Population: An Exploration of Capitation in Lagos, Nigeria\ Ezuma-Ngwu, Ezuma C.Kimmel, Sharon
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| College
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Northcentral University
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| Date
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2019
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| Degree
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D.B.A.
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| student score
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2019
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| Note
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170 p.
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| Abstract
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In the 2019 Nigerian healthcare landscape, there remains a continuing gap between the Nigerian government’s efforts to provide affordable healthcare access to all its citizens and the inability of the National Health Insurance Scheme to reach the lower-income population. The purpose of this qualitative case study was to explore how a location-based healthcare PBCP system may provide affordable healthcare access for the disease prevention needs of low-income population clusters in Lagos, Nigeria, with a focus on disease prevention. The principal-agent theory was selected to frame this study and explore projections for implementation of the PBCP model. The ArcGIS software application, datasets for Lagos, income data from the Lagos State Ministry of Economic Planning and Budget (2017), and an existing USAID sponsored census study were used to produce a picture of POMCs locations within the higher- and lower-income communities of Lagos. Geospatial maps were developed using the Clemmer model. Results presented in this study provide a geospatial view of provider-based clinic locations in Lagos, Nigeria. The triangulation of data obtained from a 2015 USAID sponsored census study, Lagos Bureau of Statistics, and Lagos Health Management Agency produced themes from several maps that showed healthcare provider based clinics with one to five doctors layered with population demographics, income demographics, reported diseases distribution, proportional size information, and distance radius information on clinics. The study shows from a geospatial level, a general clustering of clinics in metropolitan areas of, disease reporting paucity, and scarcity of both clinics and HMOs in the outskirts of the urban areas and other lower-income locations. The practical application of GIS mapping of health outcomes should be incorporated into more qualitative. Further research also needs to be conducted to explore the most efficient capitation system that will ensure quality care for lower-income citizens of Nigeria.
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| Descriptor
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African studies
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Business administration
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College administration
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Health care management
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| Added Entry
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Kimmel, Sharon
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| Added Entry
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Northcentral University
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