Health Shocks and Coping Mechanisms in North Central Nigeria: The Gender Perspective

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Health Shocks and Coping Mechanisms in North Central Nigeria: The Gender Perspective


JournalOSF Preprints
Article typePre-print – Clinical research
Publication date – Jul – 2022
Authors – Oluwayemisi D. Adegboye, Mojirola M. Fasiku, Demilade O. Ibirongbe, Tanimola M. Akande
KeywordsCoping Mechanism, Female, Health Shocks, healthcare, Out-of-pocket payments
Open access – Yes
SpecialityHealth policy
World region Western Africa
Country: Nigeria
Language – English
Submitted to the One Surgery Index on August 4, 2022 at 12:50 am
Abstract:

Introduction: Reliance on out-of-pockets (OOP) payments for health services has continued to hamper access to quality healthcare across Nigeria. Socio-demographic and socio-economic characteristics of the gender of the household head as it influences andimpacts health shocks and OOP payments havereceived very little attention globally. This studyinvestigatedthe gender perspective onhealth shocks, health expenditures and coping mechanisms in North Central, Nigeria. Methods: This is a cross-sectional analytical study involving both quantitative and qualitative data collection methods. A total of 1,192 households were studied using multi-stage sampling technique in both rural and urban communities in North Central, Nigeria. Data was analysed with SPSS version 20, and qualitative analysis was done by thematic analysis. Results: The finding showed that 458 (38.4%) of the respondents were female-headed households (FHHs). Female-headed households were less educated, earned lower income, resided more in rural communities and were less insured than male-headed households (MHHs). Health shocks were higher among the FHHs and they also pay higherpercentage of their household expenditure for healthcare through higher OOP payments. Also, more FHHs experienced Catastrophic Health Expenditure (CHE) and reported effects of health shocks on reduction in food consumption and loss of income than MHHs. Age, income, occupation and household size are all factors that influenced health shocks in this study. Conclusions: Innovative ways to financially protect women must be employed, to close up the equity gap and bring Nigeria closer to achieving UHC.

OSI Number – 21706

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