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The Non-state Provision of Health Care and State Capacity in Nigeria
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作者 Joyce A. M. Ejukonemu 《International Relations and Diplomacy》 2014年第12期814-828,共15页
This paper examines the performance of non-state actors (NSA) in the provision of health services in the Federal Capital Territory (FCT) Abuja and the consequences for state capacity in Nigeria. The rapid expansio... This paper examines the performance of non-state actors (NSA) in the provision of health services in the Federal Capital Territory (FCT) Abuja and the consequences for state capacity in Nigeria. The rapid expansion of non-state providers in health care delivery in Nigeria came up as a result of the neoliberal globalization. The initiation of structural adjustment program (SAP) program in Nigeria reduced state performance in social services provision in all sectors including Health care. The study revealed that state-owned health care centers, although cheaper, are not able to meet the expectations of most Nigerian citizens while the private health care providers on the other hand are expensive and beyond the reach of the average person. The paper concludes that NSA substitute state capacity. Against this background, the paper recommends that the federal government should put structures and policies in place to facilitate and enhance the equitable delivery of healthcare services in Nigeria to improve development outcomes for all Nigerian citizens. 展开更多
关键词 neoliberal globalization non state actors essential services federal government
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