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Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition

INTRODUCTION: Rapid urbanization increases competition for scarce urban resources and underlines the need for policies that promote equitable access to resources. This study examined equity and social inclusion of urban development policies in Nigeria through the lenses of access to health and food/...

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Autores principales: Onwujekwe, Obinna, Mbachu, Chinyere Ojiugo, Ajaero, Chukwuedozie, Uzochukwu, Benjamin, Agwu, Prince, Onuh, Juliana, Orjiakor, Charles Tochukwu, Odii, Aloysius, Mirzoev, Tolib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051828/
https://www.ncbi.nlm.nih.gov/pubmed/33863330
http://dx.doi.org/10.1186/s12939-021-01439-w
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author Onwujekwe, Obinna
Mbachu, Chinyere Ojiugo
Ajaero, Chukwuedozie
Uzochukwu, Benjamin
Agwu, Prince
Onuh, Juliana
Orjiakor, Charles Tochukwu
Odii, Aloysius
Mirzoev, Tolib
author_facet Onwujekwe, Obinna
Mbachu, Chinyere Ojiugo
Ajaero, Chukwuedozie
Uzochukwu, Benjamin
Agwu, Prince
Onuh, Juliana
Orjiakor, Charles Tochukwu
Odii, Aloysius
Mirzoev, Tolib
author_sort Onwujekwe, Obinna
collection PubMed
description INTRODUCTION: Rapid urbanization increases competition for scarce urban resources and underlines the need for policies that promote equitable access to resources. This study examined equity and social inclusion of urban development policies in Nigeria through the lenses of access to health and food/nutrition resources. METHOD: Desk review of 22 policy documents, strategies, and plans within the ambit of urban development was done. Documents were sourced from organizational websites and offices. Data were extracted by six independent reviewers using a uniform template designed to capture considerations of access to healthcare and food/nutrition resources within urban development policies/plans/strategies in Nigeria. Emerging themes on equity and social inclusion in access to health and food/nutirition resources were identified and analysed. RESULTS: Access to health and food/nutrition resources were explicit in eight (8) and twelve (12) policies/plans, respectively. Themes that reflect potential policy contributions to social inclusion and equitable access to health resources were: Provision of functional and improved health infrastructure; Primary Health Care strengthening for quality health service delivery; Provision of safety nets and social health insurance; Community participation and integration; and Public education and enlightenment. With respect to nutrition resources, emergent themes were: Provision of accessible and affordable land to farmers; Upscaling local food production, diversification and processing; Provision of safety nets; Private-sector participation; and Special considerations for vulnerable groups. CONCLUSION: There is sub-optimal consideration of access to health and nutrition resources in urban development policies in Nigeria. Equity and social inclusivity in access to health and nutrition resources should be underscored in future policies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-021-01439-w.
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spelling pubmed-80518282021-04-19 Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition Onwujekwe, Obinna Mbachu, Chinyere Ojiugo Ajaero, Chukwuedozie Uzochukwu, Benjamin Agwu, Prince Onuh, Juliana Orjiakor, Charles Tochukwu Odii, Aloysius Mirzoev, Tolib Int J Equity Health Review INTRODUCTION: Rapid urbanization increases competition for scarce urban resources and underlines the need for policies that promote equitable access to resources. This study examined equity and social inclusion of urban development policies in Nigeria through the lenses of access to health and food/nutrition resources. METHOD: Desk review of 22 policy documents, strategies, and plans within the ambit of urban development was done. Documents were sourced from organizational websites and offices. Data were extracted by six independent reviewers using a uniform template designed to capture considerations of access to healthcare and food/nutrition resources within urban development policies/plans/strategies in Nigeria. Emerging themes on equity and social inclusion in access to health and food/nutirition resources were identified and analysed. RESULTS: Access to health and food/nutrition resources were explicit in eight (8) and twelve (12) policies/plans, respectively. Themes that reflect potential policy contributions to social inclusion and equitable access to health resources were: Provision of functional and improved health infrastructure; Primary Health Care strengthening for quality health service delivery; Provision of safety nets and social health insurance; Community participation and integration; and Public education and enlightenment. With respect to nutrition resources, emergent themes were: Provision of accessible and affordable land to farmers; Upscaling local food production, diversification and processing; Provision of safety nets; Private-sector participation; and Special considerations for vulnerable groups. CONCLUSION: There is sub-optimal consideration of access to health and nutrition resources in urban development policies in Nigeria. Equity and social inclusivity in access to health and nutrition resources should be underscored in future policies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-021-01439-w. BioMed Central 2021-04-16 /pmc/articles/PMC8051828/ /pubmed/33863330 http://dx.doi.org/10.1186/s12939-021-01439-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Onwujekwe, Obinna
Mbachu, Chinyere Ojiugo
Ajaero, Chukwuedozie
Uzochukwu, Benjamin
Agwu, Prince
Onuh, Juliana
Orjiakor, Charles Tochukwu
Odii, Aloysius
Mirzoev, Tolib
Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title_full Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title_fullStr Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title_full_unstemmed Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title_short Analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
title_sort analysis of equity and social inclusiveness of national urban development policies and strategies through the lenses of health and nutrition
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051828/
https://www.ncbi.nlm.nih.gov/pubmed/33863330
http://dx.doi.org/10.1186/s12939-021-01439-w
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