Spatial Inequalities in the Provision of Private Health Facilities in Oyo State

By Abiodun, Olaniyan Femi | The Indonesian Journal of Geography, June 2013 | Go to article overview

Spatial Inequalities in the Provision of Private Health Facilities in Oyo State


Abiodun, Olaniyan Femi, The Indonesian Journal of Geography


INTRODUCTION

Human has substantially modified the physical environment on which his/her existence is inextricably linked. Scientific research and knowledge on climate change have confirmed that there is some link between the current warming of the earth climate and human activities, such as burning of fossil fuel and deforestation, among others [GreenFacts, 2007]. Eleven of the last twelve years (1995 -2006) rank among the 12 warmest years over the last 100 years (1906 - 2005); global temperature has increased by 0.740C [GreenFacts, 2007]. This phenomenal increase in the global average temperature is aptly described as global warming. Global warming is already having measurable consequences and future impacts are expected to be wide ranging and costly [GreenFacts, 2007]. Global warming has adverse effects on the most fundamental determinants of health such as food, air, water and its health impact will be disproportionately greater in vulnerable population: the very young, elderly, the medically infirm and low income countries where under nutrition is wide spread [Adegboyega, 2008]. There are public health concerns that global warming will expand the areas in which tropical vector diseases can occur. Under warmer conditions, arthropods reproduce faster and hence take more frequent blood meals and thus could result into higher transmission to people [Melinda, et al, 2000]. Warming temperatures, alternating periods of drought and deluges, and ecosystem disruption have contributed to more widespread outbreaks of infections like malaria, dengue fever, tick-borne encephalitis, and diarrheal illnesses. Disease-carrying mosquitoes are spreading as the climate allows them to survive in formerly inhospitable areas. Mosquitoes that can carry dengue fever viruses were previously limited to elevations of 3,300 feet but recently appeared at 7,200 feet in the Andes Mountains of Colombia. These portend new risks to millions of impoverished people whose health is already challenged. Apparently, the need for health facilities and medical services will increase appreciably because of harsh climatic conditions occasioned by global warming.

In 1988, Nigeria government embraced a global policy measure which promotes the greater participation of the private sector in the provision of health facilities ostensibly to make them more accessible to the citizenry. Most states of the federation have witnessed expanded private sector participation in the provision of health facilities since the promulgation of the Privatization and Commercialization Degree 25 of 1988, which sets the legal framework for the implementation of the policy. Prior to 1988 the government was the major financial and provider of health facilities. In Oyo State, the government was responsible for the provision of over 74 percent of health facilities before an expanded private sector participation in the provision of health facilities. However, by 2007 the proportion of health facilities provided by the government had decreased from 74 percent to 46 percent while the proportion the private sector provided increased from 26 percent to 54 percent [Olaniyan, 2012]. There is bound to be differences in spatial configuration as far as the pattern of provision of private and public facilities is concerned. Provision by private sector is to a large extent a function of where profit can be maximized. The provision of health facilities by the government however, is expected to ensure reasonable accessibility and maximize social welfare. The goals for health systems, according to the World Health Organization are good health, responsiveness to the expectations of the population, and fair financial contribution. Progress towards them depends on how systems carry out four vital functions: provision of health care services, resource generation, financing and stewardship. Other dimensions for the evaluation of health care systems include quality, efficiency, acceptability and equity [Wikipedia, 2010]. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Spatial Inequalities in the Provision of Private Health Facilities in Oyo State
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.