Health Care Patterns and Planning in Developing Countries

By Rais Akhtar | Go to book overview

14
Spatial Aspects of Health Care Provision in Nigeria

S. I. OKAFOR

This chapter examines the existing levels and patterns of health care provision in Nigeria and then discusses the strategy which the government has adopted in order to minimise spatial imbalances in the country's health care delivery system. Many factors influence health care delivery systems and resultant spatial patterns in nation-states. They include the degree of centralised control of provision and the policies on health care provision. 1 The first factor affects the responsiveness of health care delivery systems to local needs. It is held that local control ensures that health care provision meets local needs. At the same time it could cause disparities in the quantity and quality of provision between different areas. This is largely because different areas have different tax bases, 2 and therefore variations in the internal revenues of different areas are often reflected in variations in the quantity and quality of health care services. Centralised control, on the other hand, can enhance equality of opportunity because funds and other resources are centrally disbursed and are not necessarily tied to local tax bases, but to level of need. However, where resources are insensitively allocated, centralised control results in a health care delivery system that is not very sensitive to local needs.

The second factor, policies on health care provision, often reflects a nation's economic and political ideology. In some capitalist countries such as the United States, state participation in health care provision is minimal. In such settings, the operation of the private market becomes the primary determinant of the patterns of provision. In the United States, for instance, affluent areas and neighbourhoods are very well served, whereas areas and neighbourhoods inhabited by racial minorities and the poor are often underprovided and deprived. In

-263-

Notes for this page

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 page

Cited page

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 page

Bookmark this page
Health Care Patterns and Planning in Developing Countries
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

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 book
  • Bookmarks
  • Highlights & Notes
  • Citations
/ 336

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.