Assessment of Healthcare System Resilience and Barriers to Sexual and Reproductive Health Service Delivery to Internally Displaced Women in North Central, Nigeria.
Keywords:
Healthcare System, Resilience, Sexual and Reproductive Health, Internally Displaced WomenAbstract
The resilience of healthcare systems is pivotal in determining the effectiveness of sexual and reproductive health (SRH) service delivery, especially for internally displaced women in North Central Nigeria. This study aimed to assess the resilience level of the healthcare system and identify key barriers to SRH service provision in health facilities frequented by internally displaced women. A cross-sectional research design was adopted, using quantitative and qualitative data from 14 healthcare providers in the health facilities from the IDP camps in Abuja and Benue. Data analysis was conducted using STATA version 15 and NVIVO version 11 for quantitative and thematic content analysis. Results revealed that the health system exhibited an average resilience level of 50% low and high, respectively. Specifically, the study showed the health system's resilience level in different aspects – governance (64.3%), resources (57.1%), service delivery (64.3%), and finance (42.9%) and identified significant barriers which include limited funding, lack of access to preferred family planning methods, and spousal disapproval impeding service uptake. The study advocates for policy interventions to enhance healthcare system resilience in IDP camps, addressing SRH needs and improving access to specialized healthcare providers, including surgeons, doctors, and nurses. Policymakers must prioritize these reforms to safeguard the SRH rights of displaced women, ensuring equitable and accessible care.
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