scholarly journals Social Exclusion and Survival Strategies among Slum Dwellers in Ibadan, Nigeria

Author(s):  
Leke I. Shittu ◽  
Chinwe M. Onuegbu ◽  
Aboluwaji D. Ayinmoro ◽  
Olufunke A. Fayehun

Social exclusion remains the most visible expressions of slum settlements. This study investigates the expression of social exclusion and survival strategies among slum dwellers in Ibadan, Nigeria. A merger of Burgess’ concentric zone model and conflict theory formed the theoretical orientation for this study. Data were gathered through triangulation of quantitative and qualitative methods. In all, semi-structured questionnaire was administered to 400 respondents and 10 in-depth interviews were conducted among residents in Bere slum. Among others, lack of access to formal employment (98.0%), modern health care facilities (91.0%), consultation of government officials to know needs (92.2%), adequate shelter (100%), were the most mentioned challenges. Major survival strategies adopted were hawking, child labour, prostitution, stealing and gambling. Also, due to a lack of modern health care services in the area, self-medication (61.0%), traditional method of treatment (27.5%), and faith healing (11.5%) were most mentioned strategies adopted to cope with health challenges in the area. This paper therefore concludes that social inclusion of slum inhabitants in all government welfare services and decision making process should be advocated, as a means of reducing the rates of poverty and crime in Ibadan.

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.


2012 ◽  
Vol 18 (2) ◽  
pp. 105 ◽  
Author(s):  
Dusanee Suwankhong ◽  
Pranee Liamputtong ◽  
Bruce Rumbold

Although modern health care facilities exist in rural areas, Thai people continue to seek help from traditional healers. This paper explores the perceptions and experiences of patients of traditional healers in southern Thailand. An ethnographic method was used comprising participant observation and in-depth interviews with 23 patients of traditional healers. Fieldwork data showed that patients sought help from traditional healers for both common and emergency illnesses, and for treatment of localised symptoms as well as chronic health conditions. The participants believed that there was no single healing system that could promote total well-being: they looked for the one that could best help them to return to normal health. Individuals expected that any healing form would be complementary or an alternative to another. The findings of this study have implications for the provision of health care to local people. They add weight to arguments that health policymakers could increase choice within the Thai health care system by formally incorporating and promoting the role of traditional healers, recognising them as an important resource in primary health care.


2020 ◽  
Vol 163 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Richard A. Goldman ◽  
Brian Swendseid ◽  
Jason Y. K. Chan ◽  
Michelle Lewandowski ◽  
Jacqueline Adams ◽  
...  

The ongoing coronavirus disease 2019 pandemic has led to unprecedented demands on the modern health care system, and the highly contagious nature of the virus has led to particular concerns of infection among health care workers and transmission within health care facilities. While strong data regarding the transmissibility of the infection are not yet widely available, preliminary information suggests risk of transmission among asymptomatic individuals, including those within health care facilities. We believe that the presence of a tracheostomy or laryngectomy stoma poses a unique risk of droplet and aerosol spread particularly among patients with unsuspected infection. At our institution, guidelines for the care of open airways were developed by a multidisciplinary open airway working group, and here we review those recommendations to provide practical guidance to other institutions.


1982 ◽  
Vol 2 (4) ◽  
pp. 281-287
Author(s):  
Prince Ade Olowo Demehin

This paper investigates the attitudes of Nigerian health consumers towards modern health care facilities. It examines both the traditional beliefs and customs which stand in the way of accepting modern health care, and the modern health care facilities themselves which discourage patients through their red tape, lack of interpersonal communication and mass production atmosphere. The paper attempts to explain the communication gap between patients and modern medical practitioners in Nigeria by examining the historical development of medical science in the country. It concludes that there is no continuity between the traditional and modern practitioners and that modern health care is totally derived from the Western world without consideration for the social and cultural background of the population. Special training in interpersonal relationship of all medical and paramedical personnel including the observation of psychological methods used by the traditional healers, as well as “a patient's bill of right” aimed at promoting health consumer awareness of the part he has to play in the proper delivery of health care are proposed.


Author(s):  
Nilofur Banu ◽  
Kalaivani Annadurai ◽  
Karnaboopathy Ranganathan

Background: Health seeking behavior is an important decision in health care management and it becomes more relevant among underprivileged populations like urban slums. The objectives of the study was to find out the morbidity pattern, health care seeking behaviours , the morbidity pattern its determinants among urban slum dwellers in Chennai.Methods: This descriptive cross sectional study was conducted among 400 respondents of Nallakuppam slum in Chennai by systematic random sampling method from October 2017 to October 2019. A semi structured schedule was used to collect information among them after their valid informed consent. Descriptive statistics such as frequency and percentage were used.  Chi square test was used to assess the association between factors.Results: Almost half of the study participants (53.50%) were female and 30.50% have completed high school education. Hindu was the major religion practiced and most of them belonged to lower middle socio economic class. Though majority of the study population suffered from communicable diseases like ARI and fever which might be due to overcrowding in that area, treatment seeking behavior was found to be good among the study participant suffering from non-communicable disease like DM, HTN and CHD, which showed that the type of disease played an vital role in seeking treatment among the study participants.Conclusions: Though the study participants had different choice in health care such as government, private or some time both facilities for treating their illness, trust on the health care provider played an important role in availing services from particular health care facilities.


2020 ◽  
Vol 11 (30) ◽  
pp. 60-66
Author(s):  
Nikola Brandová ◽  
Alena Kajanová

The article is based on a qualitative study using narrative interviews with 13 South Bohemian Pervitin users who visit the drug advisory centre. The goal of the article is to describe how social exclusion is subjectively experienced by Pervitin users. The data were processed with the help of grounded theory. The respondents feel to be excluded in a number of normal life areas: they are rejected by their family, friends, and also by public institutions - particularly by the police and by health care facilities. Social exclusion is accompanied by feelings of guilt and remorse for the users. They are also ashamed of their situation, feeling sorrow and disappointed themselves. In some cases, the users are angry with themselves, in other cases with their surroundings for rejecting them. In both variants, exclusion may constitute an important factor in reducing the users' chances of abstinence.


Author(s):  
Sridevi N. H. ◽  
Praveen Kumar N. ◽  
Swathi H. N.

Background: As per the WHO estimates, Slums are home to an estimated 8280 lakh people, representing around one third of the world’s urban population. Health is a major economic issue for slum residents. Objective of the study was to assess utilization of health care facilities by slum dwellers with special reference to maternal and child health.Methods: A list of all slums and the number of households therein was collected from city municipal corporation Shivamogga of which 10 slums were selected by simple random sampling all the households in the selected slums were included in the study. Quantitative data were collected from the households of selected slums after taking informed consent using a pretested semi-structured questionnaire. Information about health care seeking with reference to maternal and child health was obtained by checking the available medical records and as self-reported by the respondents. Data were analyzed by using SPSS software.Results: In this study, among the 339 households studied 93.5% of the women had more than 4 antenatal visits and 99.1% of the deliveries were institutional, the most frequently contacted healthcare facility was government medical college.  Conclusions: The availability of better healthcare facilities like government medical college in the proximity of these slums has led to good health seeking behaviour among them.


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