Political and economic changes in Nigeria and the organisation of medical care
Identifieur interne : 001B27 ( Main/Exploration ); précédent : 001B26; suivant : 001B28Political and economic changes in Nigeria and the organisation of medical care
Auteurs : Tola Olu Pearce [Nigeria]Source :
- Social Science and Medicine. Part B Medical Anthropology [ 0160-7987 ] ; 1980.
Abstract
This paper seeks to go beyond the “cultural-complex” framework of structural functionalism in analyzing factors which influence the organization of medical care and its effectiveness. It therefore examines the effects of political and economic changes on the development of medical care systems. This is done by taking Nigeria as a case study and analyzing the organization of medical care within the context of three periods: the precolonial. the colonial and the postcolonial. During the first period, a stable agricultural base and economic surplus gave rise to independent health practitioners and a decentralized medical system. Colonial domination brought health within the government's domain. A foreign, centralized, urban and hospital-based system began to compete with the indigenous system. Its inability to reach most people did not change during the postcolonial period. In addition, economic policies affecting rural/urban migration trends have greatly inhibited the copying capability of medical services in Nigeria.
Url:
DOI: 10.1016/0160-7987(80)90057-5
Affiliations:
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