Azubuike Precious Chidozie, Akinreni Temidayo, Adai Sefa George, Ogbonna Chimankpam Kingsley, Abba Matthew Ejeh, Udofia Mark Daniel, Odo Ogochukwu Jeremiah, Nwadiche Miracle, Imo Uchenna Frank
Department of Public Health, College of Medical Sciences, University of Calabar, Calabar, Nigeria.
Heidelberg Institute of Global Health, Ruprecht-Karls Universität Heidelberg, Heidelberg, Germany.
Commun Med (Lond). 2025 Aug 26;5(1):371. doi: 10.1038/s43856-025-01070-8.
This Perspective explores equity and social justice perspectives on disability inclusion in Nigerian health care services. We note the physical, economic, and cultural barriers that limit persons with disabilities (PWDs) access. While national laws such as the Discrimination Against Persons with Disabilities (Prohibition) Act (2018) and international guidelines such as the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD,2006) are available, access to health care among PWDs remains low in Nigeria. We contrast equity and equality in health care, advocating for policies favoring marginalized populations, and apply social justice theory to argue for equitable health care in Nigeria. We examine successful equity-based models of health care in other low- and middle-income countries and make recommendations, including stronger policy enforcement, disability-awareness training for health workers, and more community-based interventions. This Perspective stresses the need for more empirical research to guide policymaking and support disability-inclusive health care in Nigeria. Achieving a firmly inclusive healthcare system in Nigeria necessitates both structural change and interventions that promote social justice.
本观点探讨了尼日利亚医疗服务中残疾包容的公平性和社会正义视角。我们指出了限制残疾人获取医疗服务的身体、经济和文化障碍。虽然有《残疾人歧视（禁止）法》（2018年）等国内法律以及《联合国残疾人权利公约》（2006年）等国际准则，但在尼日利亚，残疾人获得医疗服务的比例仍然很低。我们对比了医疗保健中的公平与平等，倡导有利于边缘化人群的政策，并运用社会正义理论为尼日利亚的公平医疗保健进行论证。我们研究了其他低收入和中等收入国家成功的基于公平的医疗保健模式并提出建议，包括加强政策执行、对卫生工作者进行残疾意识培训以及更多基于社区的干预措施。本观点强调需要更多实证研究来指导政策制定并支持尼日利亚的残疾包容型医疗保健。在尼日利亚建立一个稳固的包容性医疗保健系统既需要结构变革，也需要促进社会正义的干预措施。
