| Autor: |
Joshua A. Ebigbola |
| Rok vydání: |
1984 |
| Předmět: |
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| Zdroj: |
Health Policy. 4:165-173 |
| ISSN: |
0168-8510 |
| DOI: |
10.1016/0168-8510(84)90008-3 |
| Popis: |
The adequacy of the Nigerian free health program declared in Oyo state on October 1 1979 is open to question because census data is unreliable. The only officially certified census figures used for planning are from the 1963 census. It yielded Oyo state a population of 5208884 but the National Population Bureau assumed a 12% overcount and Olusanya estimated a 16% overcount. Thus 3 sets of population estimates exist with projected growth rates of 2.7% for 1963-73 and 3.1% for 1973-83. Tables present measures of health status for the years 1979-82 for the 3 sets of estimates. The 4 indices of health status examined are: 1) doctor/population ratio: in 1979 1 to 58327 (high census estimate) 1:48995 (low estimate); in 1982 1:33770 (high) and 1:28367 (low); 2) nurse-midwife/population: for 1979 1:7575 (high) 1:6362 (low); in 1982 1:5336 (high) 1:4483 (low); 3) pharmacist/population: for 1979 1:166649 (high) 1:139986 (low); for 1982 1:175473 (high) 1:147396 (low); and 4) per capita health expenditure: for 1979 US $1.71 per person (high) US $2.03 (low); for 1982 US $3.25 (high) and US $3.86 (low). 1 conclusion is that efforts to improve health have had modest impact because of the probable underestimation of the population. The uncertainty of the number of people for whom plans or programs are intended has adversely affected the implementation of such programs as the UPE OFN and the Basic Health Service Program. Greater attention to human resources is needed since the use of an unreliable population data base can impose constraints on how development plans proceed even when adequate financial resources are available. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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