Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Prospects of using community directed intervention strategy in delivering health services among Fulani Nomads in Enugu State, Nigeria
International Journal for Equity in Health, Volume 12, No. 1, Article 24, Year 2013
Notification
URL copied to clipboard!
Description
Background: The Community Directed Interventions (CDI) strategy has proven effective in increasing access to health services in sedentary populations. It remains to be seen if CDI strategy is feasible among nomads given the dearth of demographic and medical data on the nomads. This study thus characterized the nomadic populations in Enugu State, Nigeria and outlined the potentials of implementing CDI among nomads. Study design and methods. This exploratory study adopted qualitative methods. Forty focus group discussions (FGD) were held with members of 10 nomadic camps in 2 LGAs in Enugu State, as well as their host communities. Thirty in-depth interviews (IDIs) were held with leaders of nomadic camps and sedentary populations. Ten IDIs with traditional healers in the nomadic camps and 14 key informant interviews with health workers and programme officers were also conducted. Documents and maps were reviewed to ascertain the grazing routes of the nomads as well as existing health interventions in the area. Results: Like sedentary populations, nomads have definable community structures with leaders and followers, which is amenable to implementation of CDI. Nomads move their cattle, in a definite pattern, in search of grass and water. In this movement, the old and vulnerable are left in the camps. The nomads suffer from immunization preventable health problems as their host communities. The priority health problems in relation to CDI include malaria, measles, anemia, and other vaccine preventable infections. However, unlike the sedentary populations, the nomads lack access to health interventions, due to the mutual avoidance between the nomads and the sedentary populations in terms of health services. The later consider the services as mainly theirs. The nomads, however, are desirous of the modern health services and often task themselves to access these modern health services in private for profit health facilities when the need arises. Conclusion: Given the definable organizational structure of the nomads in Enugu State and their desire for modern health intervention, it is feasible to test the CDI strategy for equitable healthcare delivery among nomads. They are willing and capable to participate actively in their own health programmes with minimal support from professional health workers. © 2013 Okeibunor et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Okeibunor, Joseph Chukwudi
Congo, Brazzaville
Who/afro
Onyeneho, Nkechi Genevieve
Nigeria, Naukka
University of Nigeria
Nwaorgu, Obioma Chebechi
Nigeria, Awka
Nnamdi Azikiwe University
I'Aronu, Ngozi J.
Nigeria, Naukka
University of Nigeria
Okoye, Ijeoma
Nigeria, Naukka
University of Nigeria
Iremeka, Felicia Ukamaka
Nigeria, Naukka
University of Nigeria
Sommerfeld, Johannes U.
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 25
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1186/1475-9276-12-24
e-ISSN:
14759276
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Exploratory Study
Study Approach
Qualitative
Study Locations
Nigeria