DOCSLIB.ORG

The Delivery of Essential Health Services in Africa Realities and People's Perceptions and Perspectives

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Delivery of Essential Health Services in Africa Realities and People's Perceptions and Perspectives The Delivery of Essential Health Services in Africa Realities and People's Perceptions and Perspectives REPORT SUBMITTED FOR THE NORTH WEST SITE IN NIGERIA Patients being attended to at the Health Facility in Gwagwada. Kaduna State Nigeria List of authors Dr Elizabeth O Elhassan - Sightsavers (Principal Investigator) Mr Oluwatosin Adekeye - Department of Psychiatry ABIJ Zaria (Co-investigator) Mr Sunday Isiyaku - Sightsavers Nigeria Dr Felicia NC Enwezor - Nigerian Institute for Trypanosomiasis and Onchocerciasis Research, Kaduna Dr Felicia Anumah - Department of Medicine, College of Health Sciences, University of Abuja Mrs Hafsat L Kontagora - Department of Social Development, Kaduna Polytechnic Ms Folake Ibrahim - Sightsavers Nigeria Mrs Tinuola A Olumeyan - Department of Cooperative Economics and Management Kaduna Polytechnic Mrs Eunice O Ohidah - Department of Education Technical, Kaduna Polytechnic f 2 Foreword It is hoped that the results of this study will strengthen the health system. Issues relating to the health system building blocks (leadership and governance, information, finance, technology, medicines and supplies, workforce and service delivery) highlighted by the study as well as the attributes (quality, access, coverage and safety) when addressed will lead to the desired outcomes of improved health, efficiency, responsiveness and social and financial risk protection of the population. Acknowledgements WHO/AFRO The Nigeria NorthWest team acknowledges the WHO/AFRO for technical and financial support for the study. Sightsavers, Nigerina Institute for Trypanosomiasis Research, Kaduna Ahmadu Bello University and Kaduna Polytechnic for releasing staff to participate APOC For coordinating and providing technical assistance for the study The Governments of Kaduna and Jigawa States For cooperation during the study at the states and local government levels Federal Ministry of Health For their cooperation and support at the national level Members of the study communities For their enthusiasm and active participation in the study Community members For their time and invaluable contributions to the discussions 4 Executive summarT There is an urgent need to efficiently improve the delivery of health services to communities who are the end users of health care. This has led to a global movement aimed at renewing primary health care, a call that has been echoed at international, regional and national conferences, including WHO regional committee meetings. However lack of resources and practical implementation strategies has created a need to accelerate progress in achieving universal health goals and the MDGs. Community involvement is currently considered key to the success of health care delivery especially given the successes recorded in previous control programmes such as eradication of the guinea wonn and control of river blindness. The community directed interventions for major health problems in Africa has been demonstrated to be an effective strategy for malaria TB, and child nutrition (vitamin A supplementation). This study therefore intends to bridge the gap between health service delivery and communities as a means to improving the delivery of PHC by documenting the perceptions of health and experiences within essential health care services. Process and methods The study was carried out in 24 communities in two states (Kaduna and Jigawa) in North West Nigeria. The communities were randomly selected from six districts covering urban, peri-urban and rural. The multi-disciplinary study combined three analytical designs originating from public health and social science research, i.e. cross-sectional surveys, qualitative inquiry and case study research. This allowed for a description and analysis of community perceptions, experiences and expectations of health and health care services within the context of district-based health systems in Nigeria. The cross sectional household survey was based on an interviewer administered instrument while the qualitative inquiry focussed in-depth interviews and focus group discussions. The case study design was based on document reviews and in-depth interviews with principal officers at the state and district levels (health, budget and planning). Results Health was perceived mainly as a state of physical well being as indicated by the ability to move around (92.9% urban, 85% peri-urban & 89.3% rural) and work (96J% urban, 87.9% peri-urban & 94.6% rural). Feeding, hygiene and sanitation were considered important in staying healthy across the districts. Essential health care services provided at the districts were the treatment of ailments, prescription and dispensing of drugs, antenatal care, immunisation services, childbirth, counselling of patients and malaria treatment and prevention. There was a general dissatisfaction(64.6%o urban & 66.1% rural) with the provision of health care based on the perceived high cost of services, unavailability of drugs, unavailability of health personnel or a health facility and distance to the facility. There was a moderate satisfaction (58.2%) in the peri-urban area because of special district health initiatives especially in Jigawa state. While there was a general dissatisfaction with service delivery the respondents perceived the facility (44.6% urban, 59.3% peri-urban & 52.5% rural) as good. Community members to some extent were involved in health service delivery such as planning, collection of drugs, mobilisation of the community for certain health activities and awareness creation. This had been facilitated by previous experience with other health activities leading to a willingness to continue to participate in health activities. Participation in health care had been in the area of assisting in caring for patients (20.4% peri-urban), sanitation (1 1.S% urban),Umanagement of the facility (14.3% peri-urban) and in some cases the selection of community volunteerc (3.2%o). Conclusions The general perception of health care delivery in the study area was poor based on the experiences and involvement with the health service. This was despite the fact that there were some health initiatives going on within some of the districts. The community members' expectations of the health service delivery system were not adequately met. There was however an overwhelming willingness and readiness to engage with the health service based on previous experiences with other health programmes and the availability of social capital within the community. There are no structured systems of reimbursements for procured drugs except in a few instances where this is done by community associations. Govemment was the major financier of health in the study site; alternative mechanisms such as social health insurance were non existent and thus there was no social and financial risk protection. Based on the outcome of the study, there is a need for improvement of health service delivery in the areas of coverage, service delivery, policy and leadership inline with the PHC reforms. Also the performance of the health systems should be assessed using the WHO health system framework with due attention paid to planning and M&E. This would change the perception and perspectives of community members and also strengthen community engagement. 6 List of acronyms Acronym Description AIDS Acquired Immune Deficiency Syndrome ANC Antenatal Care APOC African Programme for Onchocerciasis Control CBO Community Based Organisation CHEWs Community Health Extension Workers CHOs Community Health Officers DFID Department for International Development EHA Environmental Health Attendants EHO Environmental Health Officer EPI Expanded Programme on Immuni zation EU European Union FCT Federal Capital Territory FGDs Focus Group Discussion FLHFs Frontline Health Facilities IEC Information, Education and Communication IDIs In-depth Interviews ITNs Insecticide Treated Nets JCHEWS Junior Community Health Workers KII Key Informant Interview LGAs Local Government Areas (LGAs) M&E Monitoring and Evaluation MCH Maternal and Child Health NGOs Non-Governmental Organization NHMIS National Health Management Information System NPHCDA National Primary Health Care Development Agency NPI National Programme for Immuni zation SCHEW Senior Community Health Workers TB Tuberculosis (TB) UN United Nations LINDP United Nation Development Programme LINICEF United Nations children Emergency Fund USAID United State Agency for International Development wHo World Health Organization 7 List of authors.... ..... ... ...1 Foreword. ............2 Acknowledgement. ..........4 Executive summary. ........5 List of Acronyms. ...........7 6. Table of contents ..........8 7. Introduction.. ............9 7.l.Literubtre review. ......10 7.2. Rationale.... ..... ......1 1 7.3. Background........ .......................9 8. Purpose and Objectives........... .........._........144 4.1. Overall research questions ..................I44 4.2. Overall research objective... ..................14 4.2.1. Specific research objectives .........14q 4.3. Conceptual framework......... ...................155 9. Methodology.......... ....................16 9. 1 . Study design ....... ................. 1 6 9.2. Study sites and study population........ .....................16 9.3. Samp1ing............ .................18 9.3.1. Selection of health regions and districts................ .............19 9.3.2. Selection of communities within districts ......200 9.3.2.1Actual Sampling inNorthwest Site........ ........21 9.3.3. Household sample for survey research at
Load more

Recommended publications
  • Outcome Analysis Results Nigeria 2013
    Outcome Analysis Results Nigeria 2013 Funded by: FEBRUARY 2013 ECHO Jennifer Bush, FEG Consultant The Outcome Analysis Team Participants Position Taiye Barbarinsa Field Manager, Gusau, SCI Zamfara Isa Ibrahim Field Supervisor, Maru, SCI Zamfara Shehu A Abubaican ADP Zamfara Babatunde Lawani M&E Advisor, Gusau, SCI Zamfara Nelson Barde Food & Livelihoods Security (FLS) Programme, Daura, SCI Katsina Ismail Muhammad M&E FSL Programme, Daura, SCI Katsina Mustapha Shehu M&E Advisor, ACF International, Jigawa State Auwalu M. Bello Budget & Economic Planning Directorate Dutse, Jigawa State Facilitator Jennifer Bush FEG (Food Economy Group) Consultant Advisor Amadou Diop SCI Regional Office, Dakar ______________________________________________________________________________ The Currency Rate: At the time of the outcome analysis, value of the Nigerian Naira was NGN 150 = USD $1. Photo Credits: The photograph on the cover page was taken in Jigawa State @ by Auwalu Bello, December 2012. Data Credits: All the food, income and expenditure data graphed in the report is from primary field work carried out in November-December 2012. Production and price data used in the outcome analysis is from the Zamfara State ADP, Katsina State ADP and Jigawa State ADP (JARDA). Some price data was collected by the analysis team from Gusau (Zamfara), Daura (Katsina) and Hadejia (Jigawa) markets. ______________________________________________________________________________ 2 | P a g e Livelihood Zone Map of Northern Nigeria (Source: FEWS NET) Hadejia Valley Mixed Economy Zone Millet and Sesame Zone Cotton, Groundnut and Mixed Cereals Zone Zone 3 | P a g e 2013 Outcome Analysis Results, 3 Livelihood Zones, Nigeria Summary of the Findings In Katsina, the staple is millet. In Jigawa, the staple is maize.
    [Show full text]
  • Measurement of Scale Efficiency in Ginger Farms in Kachia Local Government Area of Kaduna State, Nigeria: Non-Parametric Model Approach
    MEASUREMENT OF SCALE EFFICIENCY IN GINGER FARMS IN KACHIA LOCAL GOVERNMENT AREA OF KADUNA STATE, NIGERIA: NON-PARAMETRIC MODEL APPROACH Umar1, H.S., Yahaya2, K. and Kachiro1, S. L 1Department of Agricultural Economics and Extension, Faculty of Agriculture, Nasarawa State University Keffi, PMB 135, Shabu-Lafia Campus, Nigeria 2Department of agricultural Economics and Extension, Faculty of Agriculture, Kebbi State University of Science and Technology Aliero, PMB 1144, Nigeria Abstract The study was carried out to measure scale efficiency among ginger farmers in Kachia Local Government Area of Kaduna State. A two stage sampling techniques was used to select 99 ginger farmers from whom the data for the study were collected. Data were analyzed using Data Envelopment Analysis (DEA) and descriptive statistics. Results show that the mean values of overall TE, Pure TE and scale efficiency were 0.718, 0.804 and 0.898 respectively. Only 14 % the farms were operating on the optimal scale. While about 86% of the farms were experiencing scale inefficiency (sub-optimal scale), consisting of 47% of the farms revealing increasing return to scale and 38% exhibiting decreasing returns to scale. Therefore, it is recommended that for realization of optimal production scale in the study area, farmers operating at inefficient production scale should be encouraged to either increase farm size to address scale inefficiency from IRS, or decrease farm size to remedy scale inefficiency due to DRS. Keywords: Ginger farms, scale efficiency and DEA Introduction Ginger (Zingiber officinale) is herbaceous perennial crop grown vegetative for its spicy underground rhizomes across many climates in the world. It requires a good soil tilled for production of well-shaped rhizomes (NAERLS, 2004).
    [Show full text]
  • Kaduna State in the North-West Zone, Nigeria Issue: Armed Attacks by Suspected Criminal Gangs Date: March, 2019
    NEWS SITUATION TRACKING - NIGERIA ARMED ATTACKS IN NORTH-WEST ZONE Vol. 4 Location: Kaduna State in the North-West Zone, Nigeria Issue: Armed Attacks by Suspected Criminal Gangs Date: March, 2019 COMMUNITY PROFILING CRITICAL STAKEHOLDERS INCIDENT PROFILING Population: Kaduna State has a population Direct Actors: For decades, Kaduna State has been embroiled in violent communal strife that of 6,113,503 people (2006 population census). Suspected militia gang and Fulani herders. has polarized the people alonG ethnic and reliGious lines. The frequency of violence within the State has resulted in humanitarian crisis and weakened Recent 2016 estimate projects a total socio-economic activities. Additionally, recurrent violence in the State population of 12,000,000. Affected Persons: Basic Demography and Geography continues to undermine democratic governance and its dividends. As Residents of RuGa BahaGo, RuGa Daku, hiGhliGhted in WANEP Quick NEWS Update on the violence in Kaduna State of Hotspots: RuGa Ori, RuGa Haruna, RuGa Yukka (October 2018), the prevailing insecurity in the State is an indicative of an The State shares borders with Zamfara, Abubakar, RuGa Duni Kadiri, RuGa existinG suspicion between ethnic and reliGious Groups that has overtime Katsina, Kano, Bauchi, Plateau, NiGer, Shewuka, RuGa Shuaibu Yau, UnGwar strained inter-group relations and deGenerated into violence2. Nassarawa and Abuja Fct. There are 23 Local Barde, Karamai, Sikiya, Gidan Gajere, Government Areas (LGAs) in Kaduna State. Gidan Auta, Chibiya communities in Data Generated by the Kaduna State Peace Commission 3 , which has the Ethnicity: Ethnic Groups in the State include; Kajuru and neiGhbouring areas of Kachia responsibility of promotinG peaceful co-existence within the State has revealed Hausa, Fulani, Bajju, Atyap, Jaba, Adara, LGAs a total of 35 crisis between 1980 and 20174.
    [Show full text]
  • Violence in Nigeria's North West
    Violence in Nigeria’s North West: Rolling Back the Mayhem Africa Report N°288 | 18 May 2020 Headquarters International Crisis Group Avenue Louise 235 • 1050 Brussels, Belgium Tel: +32 2 502 90 38 • Fax: +32 2 502 50 38 [email protected] Preventing War. Shaping Peace. Table of Contents Executive Summary ................................................................................................................... i I. Introduction ..................................................................................................................... 1 II. Community Conflicts, Criminal Gangs and Jihadists ...................................................... 5 A. Farmers and Vigilantes versus Herders and Bandits ................................................ 6 B. Criminal Violence ...................................................................................................... 9 C. Jihadist Violence ........................................................................................................ 11 III. Effects of Violence ............................................................................................................ 15 A. Humanitarian and Social Impact .............................................................................. 15 B. Economic Impact ....................................................................................................... 16 C. Impact on Overall National Security ......................................................................... 17 IV. ISWAP, the North West and
    [Show full text]
  • Rural Non-Farm Income and Inequality in Nigeria
    2. BACKGROUND INFORMATION, DATA AND SURVEY AREA The utilized data were collected from five different villages surveyed in rural Northern Nigeria between 2004 and 2005. These villages are situated within the Hadejia-Nguru floodplain wetlands of Jigawa state in Northern Nigeria. Data were collected from 200 households selected using a multi-stage stratified random sampling approach. The first sampling stratum was selection of the dry savanna region of northern Nigeria, which comprises six states: Sokoto, Kebbi, Zamfara, Kano, Kaduna and Jigawa. The second stratum was the selection of Jigawa state. Two important elements informed this choice. First, Jigawa state, which was carved out of Kano state in August 1991, has the highest rural population in Nigeria; about 93 percent of the state’s population dwells in rural areas3. Second, agriculture is the dominant sector of the state’s economy, providing employment for over 90 percent of the active labor force. For effective grassroots coverage of the various agricultural activities in Jigawa state, the Jigawa Agricultural and Rural Development (JARDA) is divided into four operational zones that are headquartered in the cities of Birni Kudu, Gumel, Hadejia and Kazaure. Hadejia was selected for this study, forming the third stratum of sampling. Within the Hadejia emirate, there are eight Local Government Areas (LGAs): Auyo, Birniwa, Hadejia, Kaffin-Hausa, Mallam Madori, Kaugama, Kirikasamma and Guri. Kirikasamma LGA was selected for this study, representing the fourth sampling stratum. Kirikassama LGA was specifically chosen because of the area’s intensive economic development and correspondingly higher human population compared to many other parts of Nigeria. In the fifth stratum of sampling, five villages were selected from Kirikassama LGA: Jiyan, Likori, Matarar Galadima, Turabu and Madachi.
    [Show full text]
  • Nigeria's Constitution of 1999
    PDF generated: 26 Aug 2021, 16:42 constituteproject.org Nigeria's Constitution of 1999 This complete constitution has been generated from excerpts of texts from the repository of the Comparative Constitutions Project, and distributed on constituteproject.org. constituteproject.org PDF generated: 26 Aug 2021, 16:42 Table of contents Preamble . 5 Chapter I: General Provisions . 5 Part I: Federal Republic of Nigeria . 5 Part II: Powers of the Federal Republic of Nigeria . 6 Chapter II: Fundamental Objectives and Directive Principles of State Policy . 13 Chapter III: Citizenship . 17 Chapter IV: Fundamental Rights . 20 Chapter V: The Legislature . 28 Part I: National Assembly . 28 A. Composition and Staff of National Assembly . 28 B. Procedure for Summoning and Dissolution of National Assembly . 29 C. Qualifications for Membership of National Assembly and Right of Attendance . 32 D. Elections to National Assembly . 35 E. Powers and Control over Public Funds . 36 Part II: House of Assembly of a State . 40 A. Composition and Staff of House of Assembly . 40 B. Procedure for Summoning and Dissolution of House of Assembly . 41 C. Qualification for Membership of House of Assembly and Right of Attendance . 43 D. Elections to a House of Assembly . 45 E. Powers and Control over Public Funds . 47 Chapter VI: The Executive . 50 Part I: Federal Executive . 50 A. The President of the Federation . 50 B. Establishment of Certain Federal Executive Bodies . 58 C. Public Revenue . 61 D. The Public Service of the Federation . 63 Part II: State Executive . 65 A. Governor of a State . 65 B. Establishment of Certain State Executive Bodies .
    [Show full text]
  • Sjarm-196.Pdf
    Science Journal of Agricultural Research & Management Published By ISSN:2276-8572 Science Journal Publication http://www.sjpub.org/sjarm.html International Open Access Publisher © Author(s) 2012. CC Attribution 3.0 License. Research Article Volume 2012, Article ID sjarm-196, 6 Pages, 2012. doi: 10.7237/sjarm/196 Market Analysis of Cattle in Southern Kaduna, Kaduna State, Nigeria. Mukasa. C¹* , Ojo. A.O¹ , Adepoju S.O², Dabo. A³ Federal College of Forestry, Jos- Plateau State - Nigeria Accepted 1st April, 2012 pastoral production system. This study examines the Abstract existing market channels for cattle, quantifies market costs and margins, and assesses opportunities for cattle keepers The study on the market analysis of cattle in Southern Kaduna, to access markets, with a view to contributing to market Kaduna State was carried out in particular to examine the existing information in Southern Kaduna, Kaduna State of Nigeria. market channels, quantifies market costs and margins, and assesses opportunities for producers to access markets. A cross sectional survey of 79 traders (35 producers, 19 primary traders, 2.0 Materials and Methods 24 secondary traders) involved in the selling and/or buying of cattle was conducted in Kachia, Jaba and Kagarko Local 2.1 Study area governments' cattle markets. A simple random selection was done Kaduna is one of the old State in Nigeria is located in in the markets to select traders. The structure, conduct and Northern parts of Nigeria, dominated with both Christians performance approach was used to analyze the various market and Moslem , It Compresses of Southern and Northern part channels. The determination of prices by traders was assessed , Kaduna has 23 local government areas.
    [Show full text]
  • NIGERIA | Gunmen Attack School, Abduct Students
    8.26.2020 NIGERIA | Gunmen Attack School, Abduct Students One person was killed and others were abducted following an attack on the Damba- Kasaya Community in Chikun Local Government Area, Kaduna State, on Aug. 24. One person was killed and others, including several secondary school students, were abducted following an attack on the Damba-Kasaya Community in Chikun Local Government Area (LGA), Kaduna State, on Aug. 24. According to local reports, suspected Fulani militia arrived at the community in large numbers on motorcycles at around 7:45 a.m. They invaded the Prince Academy secondary school, where they abducted a teacher identified by Nigerian media as Christiana Madugu and at least four final year students who were preparing for their Junior Secondary School examination. Schools in Kaduna state recently reopened to enable secondary school children to sit their final examinations. The kidnapped children have been named as Happy Odoji, 14, Miracle Danjuma, 13, her sister Favour Danjuma, 9, who was abducted from her home, and Ezra Bako, 15. The abductors later contacted the family of the Danjuma sisters using the teacher’s telephone to confirm they had their children, but made no further demands. The gunmen also broke into the Aminchi Baptist Church, which they set ablaze after destroying musical instruments and the public address system, before abducting other villagers. Witnesses informed local media that the military briefly engaged the assailants and then withdrew for reasons that remain unclear. Unaware of this, villagers continued to pursue the attackers, who opened fire on them, killing a man later identified as Benjamin Auta.
    [Show full text]
  • Cooperative Agreement AID-620-A-00002
    Cooperative Agreement AID-620-A-00002 Activity Summary Implementing Partner: Family Health International (FHI 360) Activity Name: Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Activity Objective: To sustain cross sectional integration of HIV/AIDS and TB services by building Nigerian capacity to deliver sustainable high quality, comprehensive, prevention, treatment, care and related services. This will be achieved through three key result areas: 1) Increased access to high-quality comprehensive HIV/AIDS and TB prevention, treatment, care and related services through improved efficiencies in service delivery. 2) Improved cross sectional integration of high quality HIV/AIDS and TB services 3) Improved stewardship by Nigerian institutions for the provision of high-quality comprehensive HIV/AIDS and TB services. USAID’s Assistance Objective 3 (AO 3): A sustained, effective Nigerian-led HIV/AIDS and TB response Life of Activity (start and end dates): Sept 12, 2011 – Sept 11, 2016 Report Submitted by: Phyllis Jones-Changa Submission Date: July 30, 2014 2 Table of contents Activity Summary................................................................................................................................... 2 Table of contents................................................................................................................................. 3 Acronyms and abbreviations............................................................................................................. 4 Executive Summary...........................................................................................................................
    [Show full text]
  • 408. Population Dynamics in Nigeria.Docx
    Invited paper presented at the 6th African Conference of Agricultural Economists, September 23-26, 2019, Abuja, Nigeria Copyright 2019 by [authors]. All rights reserved. Readers may make verbatim copies of this document for non-commercial purposes by any means, provided that this copyright notice appears on all such copies. Effect of population dynamics on household sustainable food security among the rural households of Jigawa state, Northwestern Nigeria *Ahungwa1, G. T., 2Sani, R.M., 1Gama, E. N & 1Adeleke, E.A. 1Department of Agricultural Economics and Extension, Federal University Dutse, PMB 7156, Dutse, Jigawa State, Nigeria. www.fud.edu.ng 2Department of Agricultural Economics and Extension, Abubakar Tafawa Balewa University, PMB 0248, Buachi, Nigeria. www.atbu.edu.ng *Corresponding Author Email: [email protected], Phone No: +234 (0) 703 6819 123 Abstract The study examines the effect of population dynamics on sustainable household food security among rural households in Jigawa State, Nigeria. Data collection were based on direct household survey of dietary intake from 266 households using structured questionnaire and supplementary secondary data on aggregate food production and population dynamic parameters were collected from 2001 to 2017 and analysed using food security index and double logarithmic regression model. Empirical results show the dominance of male headed households (93%) with average age of 45 years and household size of 12 members. Result of the construct of household food security index shows that 58% of the households were food insecure; subsisting on 1,667kcal/day/person as against the food security threshold of 2,730. The estimates from regression analysis show that population growth and birthrates increase significantly and consistently the likelihood of food insecurity while death rate and life expectancy exert positive and significant influence on food security.
    [Show full text]
  • River River Lai Dinya River River Rubu Gurara River Tappa River
    L a 10° 00' Gidan Makama i Zomo Gamuchua U. Sani FADAN CHAWAI G. Alkali Z A N G O N K A T A F Bato FADAN IKULU R DAMAKASUWA Adagi iv Doka River KU. Pa’a e G. Dauda UNG. BORORO r Badurum G. Bahago r Aninkwam K. Mazuga a Stn. ive Gatachewa c Kamuru R h E i B. Kogi G. Kaura a GORA GAN K. Dundun KACHIA Gamilo Ung. Rihogo T G. Magaji Ikulu Ankuwa Kamuru Chi Mai Ido U. Pah Gumel R. Baba Anza ZANGO KATAF Kizaci A Kurmin Bada K. Risga G T U. Rumada u . Bafai Maikarfi FADAN Zagom Runji y fi Chugutu wa Ra S a Wa KAMANTAN ZONZON Kifin Kamaru RURAL ACCESS MOBILITY PROJECT: Dinya Ankuma h r Kagal Stn. ZONKWA Pori Gidan Busa S e Z. Daji Chaka Awon iv Juju Magamiya Ikulu U Gida n Ma iw ayo R Maduchi Dagwarga Maiyanga A Fadia F. Kaje SAMARU PROPOSED ROAD NETWORK FOR OPRC IN iver Yangal Wadon Mabushi I K R Ariko Kamel Z. Gida E Bishi R. Dinya Kangun T. Zango a U. Kaya Awon G. Tama TSORIYANG Jankasa d T Dan Bako Wipi u Anturu K. Sara n G. Garuba Mabushi II a A KADUNA STATE Ayagan g Gwato G. TAGWAI Kabam R Katari Aduwan n L i Gidan Dogo Katari Kada’a Walijo a MALAGUM I ve r Duhuan Rebok Biniki P r Makeriu ve Sakwak w MANCHOCK ub Kaja i MADAKIYA h Tum KAURA R Katembi R J. Kogo Dudu Kad a Abet O Stn. Maimadau K.
    [Show full text]
  • IOM Nigeria DTM Flash Report NCNW 07 February 2021
    FLASH REPORT #38: POPULATION DISPLACEMENT DTM North West/North Central Nigeria Nigeria 01 - 07 FEBRUARY 2021 Damaged Shelters: Casualties: Movement Trigger: 1,701 Individuals 95 Block Shelters 53 Individuals Armed attacks OVERVIEW The crisis in Nigeria’s North Central and North West zones, which involves long-standing tensions between ethnic and religious groups; attacks by criminal NIGER REPUBLIC groups; and banditry/hirabah (such as kidnapping and grand larceny along major highways) led to a fresh wave of population displacement. Sokoto Following these events, a rapid assessment was conducted by DTM (Displacement Shinkafi Tracking Matrix) field staff between 01 and 07 February 2021, with the purpose of 224 Zurmi informing the humanitarian community and government partners, and enable Maradun targeted response. Flash reports utilise direct observation and a broad network of Bakura 131 Kaura Namoda key informants to gather representative data and collect information on the Birnin Magaji number, profile and immediate needs of affected populations. Talata Mafara Katsina Bungudu Jigawa Gusau Zamfara Latest attacks affected 1,701 individuals, including 30 injuries and 53 fatalities, in Gummi Birnin Gwari, Chikun, Kajuru LGAs of Kaduna State, Guma LGA of Benue State and Bukkuyum Anka Tsafe Shinkafi, Maradun LGAs of Zamfara State. The attacks caused people to flee to Kano neighbouring localities. Gusau NIGERIA Maru (FIG. 1) Markafi SEX Kudan Ikara Sabon-Gari Giwa Zaria Soba 35% Birnin-Gwari Kubau Igabi Kaduna 780 Kaduna North 65% Male Kaduna South Lere Chikun Kajuru Female Kauru 30 372 Kachia Zango-Kataf Kaura Kagarko Jaba Jema'a Plateau MOST NEEDED ASSISTANCE (FIG. 2) Sanga 70% Federal Capital Territory X Affected Population Nasarawa International border State Guma Agatu LGA Makurdi 164 Apa Logo Ukum 20% Gwer West 10% Tarka Benue Affected LGAs Oturkpo Gwer East Buruku Gboko Katsina-Ala Ohimini Konshisha Ushongo Security NFI Food The map is for illustration purposes only.
    [Show full text]