Ikoh M U, Udo A U, Charles A O, Charles J O
University of Calabar, Cross River State, Nigeria.
Int Q Community Health Educ. 2008;29(3):257-73. doi: 10.2190/IQ.29.3.e.
The "Health for All Project" (HFAP) policy in Nigeria was complemented by the National Drug Policy to ensure constant availability of high quality drugs and medical consumables at affordable prices to citizens in public hospitals. Apart from strengthening the utilization of health services, the project also sought to improve health care delivery for the poor who could not afford the high cost of drugs in private clinics and pharmaceutical stores. Employing a survey method with stratified and systematic random techniques, the study found failed expectations in the promises of HFAP policy among the 1250 low-income women in Uyo urban. In the face of "stock out" where most drugs, pharmaceuticals, and medical supplies are consistently not available for dispensing in public hospitals and health centers poor urban women resorted to alternative health care in prayer houses, herbal homes, patent medicine vendors, health workers homes, and traditional birth attendants. The study reported that stock out in government health facilities resulted in health hazards and the relapse of illnesses as a result of nonadherence to treatment regime and exposure to fake, expired, and adulterated drugs. A renewed commitment in health care delivery in Nigeria is called for if poor women are to be really empowered.
尼日利亚的“全民健康计划”（HFAP）政策得到了国家药物政策的补充，以确保公立医院的公民能够以可承受的价格持续获得高质量的药品和医疗耗材。除了加强卫生服务的利用外，该项目还旨在改善为那些无力承担私立诊所和药店高昂药费的贫困人口提供的医疗服务。该研究采用分层和系统随机技术的调查方法，发现阿尤城市的1250名低收入女性对HFAP政策的承诺期望落空。面对“药品短缺”的情况，大多数药品、药剂和医疗用品在公立医院和卫生中心始终无法配给，城市贫困妇女只好求助于祈祷场所、草药馆、成药小贩、医护人员家中以及传统助产士提供的替代医疗服务。该研究报告称，政府卫生设施的药品短缺导致了健康危害，以及由于不遵守治疗方案和接触假冒、过期及掺假药品而导致的疾病复发。如果要真正赋予贫困妇女权力，就需要在尼日利亚的医疗服务提供方面做出新的承诺。
