Department of Medical Rehabilitation (Physiotherapy), Faculty of Allied Health Sciences, College of Medical Sciences, University of Maiduguri, Maiduguri, Nigeria.
West Afr J Med. 2020 Nov;37(6):597-605.
It is a general belief that the healthcare delivery system (HCDS) in Nigeria is bedevilled by frequent workers industrial actions, inter-professional rivalry among healthcare workers and insurance scheme mismanagement and corruption.
This study was aimed at comparing the health care system in Nigeria (a lower middle-income country) and the United Kingdom (a high-income country).
Using keywords including 'primary health care', 'secondary health care', 'tertiary health care', 'health care delivery system', 'Nigeria' and ''United Kingdom, PubMed was searched for studies on health care in Nigeria and the United Kingdom. Databases of the World Bank, World Health Organization, Central Intelligence Agency World Factbook and Index Mundi were also searched for information on health indices and organisational characteristics for Nigeria and the United Kingdom. Retrieved articles and data obtained were analysed and a two-country comparison was performed on HCDS features and health indices.
The average Life Expectancy in Nigeria is less than two third of that of the UK (54.8 years vs. 81.2 years) and the probability of dying between 15 and 60 years per thousands of population is 127.8% higher among Nigerians than among UK citizens. The Infant mortality rate per 1,000 live births and the under-five children mortality rate is 16 and 23 times higher in Nigeria than in the UK. The probability of dying on or before the first year of life and before the age of five is 177% and 183% higher respectively, in Nigeria than in the UK. While the UK ranked within the top 2% -10% on health system rating features such as achievement of goals, health care services distribution and overall goal achievement on HCDS, Nigeria is ranked within the bottom 2%-5% in these measures.
Using the HCDS in the UK as a model, it can be argued that a multi-faceted approach that includes attitudinal and behavioural changes among the healthcare workers, proactive health and social policy implementation and monitoring, preventive and corrective anti-corruption measures, population control and increased healthcare spending may be needed to address challenges and improve Nigeria's healthcare rating and ranking among countries.
人们普遍认为，尼日利亚的医疗保健提供系统（HCDS）存在频繁的工人罢工、医护人员之间的职业竞争以及保险计划管理不善和腐败等问题。
本研究旨在比较尼日利亚（中低收入国家）和英国（高收入国家）的医疗保健系统。
使用包括“初级卫生保健”、“二级卫生保健”、“三级卫生保健”、“卫生保健提供系统”、“尼日利亚”和“英国”在内的关键词，在 PubMed 上搜索有关尼日利亚和英国医疗保健的研究。还在世界银行、世界卫生组织、中央情报局世界事实手册和环球透视数据库中搜索了有关尼日利亚和英国卫生指数和组织特征的信息。分析检索到的文章和获得的数据，并对两国的 HCDS 特征和卫生指数进行了比较。
尼日利亚的平均预期寿命不到英国的三分之二（54.8 岁对 81.2 岁），每千名人口中 15 至 60 岁之间的死亡概率比英国高 127.8%。尼日利亚的婴儿死亡率和五岁以下儿童死亡率分别是英国的 16 倍和 23 倍。尼日利亚的婴儿死亡率和五岁以下儿童死亡率分别是英国的 177%和 183%。在卫生系统评级特征方面，如目标实现、卫生保健服务分布和整体 HCDS 目标实现，英国在卫生系统评级中排名前 2%-10%，而尼日利亚在这些指标中排名后 2%-5%。
以英国的 HCDS 为模型，可以认为需要采取多方面的方法，包括改变医护人员的态度和行为、积极实施卫生和社会政策以及监测、预防和纠正腐败措施、控制人口和增加医疗保健支出，以解决挑战，提高尼日利亚在各国卫生保健评级和排名中的地位。
