拉各斯州保健计划中的立法监督和结构性暴力:对阿利莫绍地方政府区的研究

Moyosoluwa Dele-Dada, Daniel Gberevbie, Fadeke Owolabi
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引用次数: 0

摘要

结构性暴力对实现包括医疗保健在内的公平、可负担、可获得和高质量的公共服务造成了限制。尽管制定了旨在提供不分经济地位的医疗保健服务的地方保健制度,但居民仍在遭受剥夺、限制获得和低于标准的医疗保健服务。人们对立法监督在缓解结构性暴力方面的效力产生了怀疑。本研究通过文献综述、问卷调查和访谈等综合方法收集第一手和第二手数据,对这一问题进行了探讨。分析表明,结构性暴力在拉各斯州社会服务体系中的普遍存在不能完全归咎于拉各斯州议会监督职责的缺陷。持续存在的差距、有限的可及性、负担不起以及医疗质量不高等问题依然存在。造成这些问题的因素包括供资机制不足、沟通不畅等。行政干预、腐败和缺乏强有力的立法框架等挑战阻碍了监督的有效性。
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Legislative oversight and structural violence in the Lagos State Health Scheme: A study of Alimosho Local Government Area
Structural violence imposes constraints on achieving equitable, affordable, accessible, and high-quality public services, encompassing healthcare. Despite establishing the LSHS, aimed at providing healthcare irrespective of economic status, residents continue to experience deprivation, restricted access, and substandard healthcare services. Doubts arise regarding the efficacy of legislative oversight in mitigating structural violence. This study explores this issue by employing a comprehensive methodology involving primary and secondary data collection through literature reviews, questionnaires, and interviews. The analysis reveals that the prevalence of structural violence within the LSHS cannot be exclusively attributed to deficiencies in the oversight responsibilities of the Lagos State House of Assembly. Lingering disparities, limited accessibility, unaffordability, and inadequate healthcare quality persist. Contributing factors encompass inadequate funding mechanisms, and deficiencies in communication, among others. Challenges such as executive interference, corruption, and the absence of a robust legislative framework impede the effectiveness of oversight.
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