Examining the Impact of Socioeconomic Inequality and Targeted Interventions on Healthcare Disparities

Irreti Balougun; Ibrahim  Tunde; Omotola  Ronke

doi:10.71435/595679

Authors

Irreti Balougun Kogi State University, Nigeria
Ibrahim Tunde Kogi State University, Nigeria
Omotola Ronke Kogi State University, Nigeria

DOI:

https://doi.org/10.71435/595679

Keywords:

Healthcare Disparities, ,Socioeconomic Inequality , Healthcare Acces

Abstract

Healthcare disparities remain a critical challenge in Nigeria, where socioeconomic inequality, geographic barriers, and limited healthcare infrastructure contribute to unequal access to healthcare services and suboptimal health outcomes. This study employed a quantitative research approach to examine the impact of targeted interventions on healthcare disparities across urban and rural regions of Nigeria. Using a cross-sectional survey design, data were collected from 500 respondents, selected through stratified random sampling, to ensure representation across different socioeconomic groups and geographic locations. Descriptive analysis revealed that 44% of respondents reported fair or poor health, with the majority citing long distances to healthcare facilities and economic limitations as primary barriers to access. Inferential analysis using Pearson correlation showed a significant negative relationship between income level and healthcare access (r = -0.58, p < 0.05). Multiple regression analysis further demonstrated that targeted interventions, such as increased healthcare funding and community-based health programs, significantly predicted improvements in healthcare utilization and health outcomes (β = 0.67, p < 0.01). The study also highlighted disparities in maternal and child health indicators, emphasizing the need for tailored policies to address these issues. By integrating successful strategies from other countries, this research offers practical recommendations for policymakers to improve healthcare equity in Nigeria. The findings contribute to the existing literature by addressing gaps related to the effectiveness of targeted interventions in mitigating healthcare disparities in developing contexts.

References

Abubakar, I., Dalglish, S. L., Angell, B., Sanuade, O., Abimbola, S., Adamu, A. L., ... & Zanna, F. H. (2022). The Lancet Nigeria Commission: investing in health and the future of the nation. The Lancet, 399(10330), 1155-1200. https://doi.org/10.1016/S0140-6736(21)02488-0

Assefa, N., Sié, A., Wang, D., Korte, M. L., Hemler, E. C., Abdullahi, Y. Y., ... & Oduola, A. (2021). Reported barriers to healthcare access and service disruptions caused by COVID-19 in Burkina Faso, Ethiopia, and Nigeria: a telephone survey. The American journal of tropical medicine and hygiene, 105(2), 323. https://doi.org/10.4269/ajtmh.20-1619

Baumann, A. A., & Cabassa, L. J. (2020). Reframing implementation science to address inequities in healthcare delivery. BMC health services research, 20, 1-9.

Chong, A. Y. L., Blut, M., & Zheng, S. (2022). Factors influencing the acceptance of healthcare information technologies: A meta-analysis. Information & Management, 59(3), 103604. https://doi.org/10.1016/j.im.2022.103604

Ezeneme, E. V., Nwokike, C. E., Portion, U. C., & Nwanekezi, I. C. (2023). The influence of socioeconomic inequality on maternal and child health outcomes in Nigeria: A critical analysis. GSJ, 11(10).

Farrell, T. W., Francis, L., Brown, T., Ferrante, L. E., Widera, E., Rhodes, R., ... & Saliba, D. (2020). Rationing limited healthcare resources in the COVID‐19 era and beyond: ethical considerations regarding older adults. Journal of the American Geriatrics Society, 68(6), 1143-1149. https://doi.org/10.1111/jgs.16539

Hussain, S., Javadi, D., Andrey, J., Ghaffar, A., & Labonté, R. (2020). Health intersectoralism in the Sustainable Development Goal era: from theory to practice. Globalization and Health, 16, 1-5. https://doi.org/10.1186/s12992-020-0543-1

Kapologwe, N. A., Meara, J. G., Kengia, J. T., Sonda, Y., Gwajima, D., Alidina, S., & Kalolo, A. (2020). Development and upgrading of public primary healthcare facilities with essential surgical services infrastructure: a strategy towards achieving universal health coverage in Tanzania. BMC health services research, 20, 1-14. https://doi.org/10.1186/s12913-020-5057-2

Khanijahani, A., Iezadi, S., Gholipour, K., Azami-Aghdash, S., & Naghibi, D. (2021). A systematic review of racial/ethnic and socioeconomic disparities in COVID-19. International journal for equity in health, 20(1), 1-30. https://doi.org/10.1186/s12939-021-01582-4

Medema, G., Been, F., Heijnen, L., & Petterson, S. (2020). Implementation of environmental surveillance for SARS-CoV-2 virus to support public health decisions: opportunities and challenges. Current opinion in environmental science & health, 17, 49-71. https://doi.org/10.1016/j.coesh.2020.09.006

Narayanan, V., Wokutch, R. E., Ghobadian, A., & O'Regan, N. (2021). Toward a strategic approach to studying COVID-19 pandemic. Journal of Strategy and Management, 14(3), 285-299. https://doi.org/10.1108/JSMA-07-2021-0149

Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20, 1-8. https://doi.org/10.1177/1527154413481811

Obaremi, O. D., & Olatokun, W. M. (2022). A survey of health information source use in rural communities identifies complex health literacy barriers. Health Information & Libraries Journal, 39(1), 59-67. https://doi.org/10.1111/hir.12364

Qin, V. M., McPake, B., Raban, M. Z., Cowling, T. E., Alshamsan, R., Chia, K. S., ... & Lee, J. T. (2020). Rural and urban differences in health system performance among older Chinese adults: cross-sectional analysis of a national sample. BMC Health Services Research, 20, 1-14. https://doi.org/10.1186/s12913-020-05194-6

Razu, S. R., Yasmin, T., Arif, T. B., Islam, M. S., Islam, S. M. S., Gesesew, H. A., & Ward, P. (2021). Challenges faced by healthcare professionals during the COVID-19 pandemic: a qualitative inquiry from Bangladesh. Frontiers in public health, 9, 647315. https://doi.org/10.3389/fpubh.2021.647315

Skou, S. T., Mair, F. S., Fortin, M., Guthrie, B., Nunes, B. P., Miranda, J. J., ... & Smith, S. M. (2022). Multimorbidity. Nature Reviews Disease Primers, 8(1), 48.

Vikram, K., & Vanneman, R. (2020). Maternal education and the multidimensionality of child health outcomes in India. Journal of biosocial science, 52(1), 57-77. https://doi.org/10.1017/S0021932019000245

Wickert, C., Post, C., Doh, J. P., Prescott, J. E., & Prencipe, A. (2021). Management research that makes a difference: Broadening the meaning of impact. Journal of Management Studies, 58(2), 297-320. https://doi.org/10.1111/joms.12666

Zimmerman, M. S., & Shaw Jr, G. (2020). Health information seeking behaviour: a concept analysis. Health Information & Libraries Journal, 37(3), 173-191. https://doi.org/10.1111/hir.12287