Adewole David, Adedeji Bolaji, Bello Segun, Taiwo John
Department of Health Policy and Management, College of Medicine, University of Ibadan, Nigeria.
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria.
J Migr Health. 2023 Jan 30;7:100160. doi: 10.1016/j.jmh.2023.100160. eCollection 2023.
Migration is a social determinant of health, and a major underlying factor of inequity of access to health and disparities in health outcomes. Migrant beggars from Northern part of Nigeria are a common feature in Southern Nigeria. Not too much is known about the challenges associated with access to healthcare and social determinants of health among this group of people in Nigeria. This study aims to fill existing gaps and contribute to the efforts of stakeholders in ameliorating the perennial challenges faced by this group of people.
The study was a descriptive cross-sectional study carried out among female migrants in the city of Ibadan. Using Open Data Kit (ODK), a semi-structured interviewer-administered questionnaire was used to collect data from respondents relating to access to health and basic social amenities, and challenges associated with these and as well as coping strategies. Data analysis was done with STATA version 15. More than a third-fifth of the respondents gave birth to their babies at home, used open defecation 189(49.6%), well/borehole 204(53.6%) is the source of drinking water. Three hundred and fifty-six (90.8%) of the respondents sleep in open space. Respondents with secondary school level of education, had a 129% increased odds of using health facilities compared to those who did not have any formal education (OR=2.29, p=0.014, CI: 1.18-4.44). Access to healthcare services and social amenities among women beggars was poor. There is a need for stakeholders to address this.
移民是健康的社会决定因素，也是获得医疗服务不平等和健康结果存在差异的一个主要潜在因素。来自尼日利亚北部的流动乞丐在尼日利亚南部很常见。对于尼日利亚这一群体在获得医疗保健方面面临的挑战以及健康的社会决定因素，人们了解得并不多。本研究旨在填补现有空白，并为利益相关者改善这一群体长期面临的挑战的努力做出贡献。
本研究是一项在伊巴丹市的女性移民中开展的描述性横断面研究。使用开放数据工具包（ODK），通过半结构化的访谈式问卷从受访者那里收集有关获得医疗服务和基本社会便利设施的情况、与之相关的挑战以及应对策略的数据。使用STATA 15版本进行数据分析。超过五分之三的受访者在家中分娩，189人（49.6%）露天排便，204人（53.6%）将井水/钻孔水作为饮用水源。356人（90.8%）的受访者睡在露天空间。与未接受任何正规教育的受访者相比，接受过中学教育的受访者使用卫生设施的几率增加了129%（OR=2.29，p=0.014，CI：1.18-4.44）。女性乞丐获得医疗服务和社会便利设施的情况较差。利益相关者有必要解决这一问题。
