Health Disparities in Nigeria: Why They Matter?
Inequality in Nigeria has reached extreme levels. Nothing is permanent except suffering. No job security, no safety clothing nor gadgets. Accidents are common.
Every worker here would leave if they had a choice.
On April 15, 2021, according to Rodrigue Forku, the World Health Organization (WHO) in Nigeria is supporting the West African government to monitor health inequities and ensure Universal Health Coverage (UHC) is attained by 2030. The UHC means that all individuals and communities in Nigeria receive the healthcare services they need without suffering financial hardship.
No doubt, different groups and communities in Nigeria can have markedly different levels of health. Some populations can have higher rates of hypertension and diabetes for example, while others might be more likely to be obese or use tobacco. Have you noticed that there are less Hypertensive/Diabetes patient in the rural areas compare to that of the urban region in Nigeria? This differences in health or medical conditions are called health disparities, and they can have a profound impact on the public health of a community. Health Disparities – What are they….? Why they Matter?
According to the United State Government, health disparity as “a particular type of health difference that is closely linked with social or economic disadvantage.” These disparities negatively impact whole groups of people that already face significantly more obstacles to maintaining good health, often because of specific social or economic factors, such as:
- Race or ethnicite
- Sex or gender
- Geography, ex. rural vs. urban
- Sexual orientation
- Mental health status
- Socioeconomic status or income
Negative Repercussions of Health Disparities
The negative repercussions of health disparities go beyond just the individual, it also extend to their children, whole communities, and society at large. Health disparities are often self-perpetuating. When parents are too sick to work, can become low-income while an Unemployed – low-income individuals are less likely to have access to healthcare insurance. And if they are unable to afford health care services, they could get sicker are even less able to find a new job, and so on. The result – getting healthy and out of poverty becomes increasingly difficult.
This downward spiral can impact future generations, too. One area of health where this is clear is in pregnant women and new moms. How healthy a mom is before and during pregnancy can have a major impact on her babies. For example, a woman who experiences chronic stress while pregnant—such as stress about one’s financial situation—is more likely to have a preterm baby. Babies born too early are at a greater risk for serious health issues later in life. Many of those medical conditions can lead to pregnancy complications such as, again, preterm delivery and many others.
In Nigeria, health disparities, however, has cost more than lives and livelihoods. Persistent gaps in health-related outcomes can also have economic consequences. Reducing health disparities on a national scale could have saved the
Like many aspects of public health, the root causes of health disparities are complex. Our health is influenced by so many factors that it can be difficult to pinpoint just why a gap between two groups is so wide. Health inequities are often a result of disparities—that is, differences in how resources are distributed among different groups. These resources could be tangible, like in the case of physical parks where kids can exercise safely, or intangible opportunities, such as being able to see a doctor when ill. Disparities often have multiple root causes, but there are a few major inequities in Nigeria that are known to contribute to health gaps between groups.
A Systemic Discrimination
Social drivers—like racism, sexism, ableism, classism, or homophobia—can perpetuate inequities by prioritizing one group over another. These forces are so deeply ingrained in cultural practices and norms that many people might not realize they’re happening. Oftentimes, these forces are the result of past inequities that still affect communities today.
Imagine, for example, two flower boxes: One with new, nutrient-rich soil and another with poor, rocky soil. Seeds planted in the nutrient-rich soil will flourish, while seeds in the poorer soil will struggle. As the flowers go to seed, the next generation will drop into the same soil, experiencing similar struggles or success. As this happens year after year, one box of flowers will always be more vibrant than the other due to the original condition of the soil. When people are separated and given different resources to start with, that is going to have an impact for generations to come.
According to Oxfarm international, “Nigeria is not a poor country yet millions are living in hunger”.
The country has an expanding economy with abundant human capital and the economic potential to lift millions out of poverty.
So how can this happen? What makes Nigeria so unequal and how big is this inequality gap?
Let’s look at the numbers:
- The combined wealth of Nigeria’s five richest men – $29.9 billion – could end extreme poverty at a national level yet 5 million face hunger. More than 112 million people are living in poverty in Nigeria, yet the country’s richest man would have to spend $1 million a day for 42 years to exhaust his fortune.
- The amount of money that the richest Nigerian man can earn annually from his wealth is sufficient to lift 2 million people out of poverty for one year.
- Women represent between 60 and 79 percent of Nigeria’s rural labor force but are five times less likely to own their own land than men. Women are also less likely to have had a decent education. Over three-quarters of the poorest women in Nigeria have never been to school and 94% of them are illiterate.
- Between 1960 and 2005, about $20 trillion was stolen from the treasury by public office holders. This amount is larger than the GDP of United States in 2012 (about $18 trillion).
- Poverty and inequality in Nigeria are not due to a lack of resources, but to the ill-use, misallocation and misappropriation of such resources. At the root is a culture of corruption combined with a political elite out of touch with the daily struggles of average Nigerians.
- In 2012, Nigeria spent just 6.5 percent of its national budget on education and just 3.5 percent on health (by comparison, Ghana spent 18.5 percent and 12.8 percent respectively in 2015). As a result, 57 million Nigerians lack safe water, over 130 million lack adequate sanitation and the country has more than 10 million children out of school.
- Another consequence of the mismanagement of the nation’s resources is the high rate of unemployment, especially among the young. In 2016, between 12.1% and 21.5% of Nigeria’s youth were without a job.
A growing income gap between the rich and the poor in Nigeria has made it harder for poor Nigerians to keep up. While top incomes skyrocketed, real wages for low-income individuals fell, making it increasingly difficult for poor people in Nigeria to afford basic medical care or engage in healthy behaviors. This, in turn, makes it harder to stay healthy or treat and manage health conditions.
Many health outcomes are the result of personal choices, like eating healthy foods or getting enough exercise. But many of those choices are shaped, influenced, or made for us by the environment we’re in. Environmental health is the physical, chemical, and biological forces that can impact our health, and they can be a driving force behind health disparities. It’s hard for people to eat healthy food, for example, when they don’t have access to it in their neighborhood.
Addressing Health Disparities
Filling the gap in health outcomes is no easy task because the factor behind it are often multi-layered. Solutions would need to address not only the root cause of a given disparity but also the context that made it possible in the first place.
For its part, The World Health Organization (WHO) in Nigeria is supporting the West African government to monitor health inequities, the aim is to attained Universal Health Coverage (UHC) by 2030 by addressing key factors known as social determinants of health.
Social determinants of health are the environmental conditions and circumstances that affect and shape how healthy we are. Many things in our social circles and environment can impact our behaviors and limit our ability to make healthy choices. These include things like cultural norms (ex. distrust of authority figures) or community design.
Address Issues Within a Social and Community Context
While not always apparent, social influences and dynamics can significantly impact the health of both individuals and the overall community. These include things like incarceration, discrimination, civic participation, and social cohesion. Because incarceration can disrupt families and impact access to things like education, employment, and housing, some researchers have called for policy changes that address sentencing laws that disproportionately impact certain communities as a means to reduce several disparities, including HIV.
Neighborhood and Built Environment
Just like someone’s social environment can impact their health and well-being, so can their physical surroundings. Improving access to healthy foods, improving the quality of housing, supporting healthy eating behaviors, reducing crime and violence, and protecting the environment are all things that can be done to improve the environmental health of a community and reduce health disparities as a result.
Improving Economic Stability
Economic stability refers to things like food security, income, housing stability, and employment opportunities, and research shows addressing some of these issues could help reduce disparities associated with a whole range of health issues. Ask yourself, how many Nigerian has received housing assistance from the government? There are lot of people out there without a comfortable place to rest there head after the day activities – this for example, has been shown to impact negatively both the psychological and physical health of individuals. Similarly, increasing economic opportunities for financially insecure women might help prevent the disproportionately high number of cases of HIV in the population.
Ensure Everyone Receives a Quality Education
Investing in things like language and literacy, early childhood education, high school graduation, and higher education could help close health gaps in a number of ways. Increased access to center-based early childhood education, for example, has been shown to decrease crime and teen births. High school completion programs also have strong returns on investment—often resulting in improved economic benefits that exceed any costs associated with the program—in part because of averted healthcare costs.
Expand Access to Health Care and Improve Health Literacy
Helping ensure people are able to see a medical professional when they’re sick is important for curbing health disparities. But perhaps equally important is their ability to see a doctor when they’re healthy. Many medical issues in Nigeria could be prevented with routine, preventive care like health screenings, vaccinations, and lifestyle changes.
The National Health Insurance Scheme Act attempted to expand access to primary care by making it easier to get health insurance and requiring insurance companies to cover the whole cost of preventive services, like blood pressure screenings and obesity counseling. The law also called on medical and public health professionals to address health literacy by ensuring everyone can obtain, understand, and communicate information essential to health decisions. More than 50% of the total population, however, still lack health insurance, and more can be done to ensure increased access to health care in Nigeria.
Nigeria can close the inequality gap
Nigeria is not a poor country yet millions are living in hunger. The government must work with the international community to get food and aid to hungry people now. But it can’t stop there. It must free millions of Nigerians from poverty by building a new political and economic system that works for everyone, not just a fortunate few.
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Whether you believe in God or not, read this message!!
Throughout history, we can see how we have been strategically conditioned coming to this point where we are on the verge of a cashless society. Did you know that the Bible foretold of this event almost 2,000 years ago?
In the book of Revelation 13:16-18, we read,
“He (the false prophet who deceives many by his miracles–Revelation 19:20) causes all, both small and great, rich and poor, free and slave, to receive a mark on their right hand or on their foreheads, and that no one may buy or sell except one who has the mark or the name of the beast, or the number of his name.
Here is wisdom. Let him who has understanding calculate the number of the beast, for it is the number of a man: His number is 666.”
Speaking to the last generation, this could only be speaking of a cashless society. Why? Revelation 13:17 tells us that we cannot buy or sell unless we receive the mark of the beast. If physical money was still in use, we could buy or sell with one another without receiving the mark. This would contradict scripture that states we need the mark to buy or sell!
These verses could not be referring to something purely spiritual as scripture references two physical locations (our right hand or forehead) stating the mark will be on one “OR” the other. If this mark was purely spiritual, it would indicate both places, or one–not one OR the other!
This is where it really starts to come together. It is amazing how accurate the Bible is concerning the implantable RFID microchip. This is information from a man named Carl Sanders who worked with a team of engineers to help develop this RFID chip:
“Carl Sanders sat in seventeen New World Order meetings with heads-of-state officials such as Henry Kissinger and Bob Gates of the C.I.A. to discuss plans on how to bring about this one-world system. The government commissioned Carl Sanders to design a microchip for identifying and controlling the peoples of the world—a microchip that could be inserted under the skin with a hypodermic needle (a quick, convenient method that would be gradually accepted by society).
Carl Sanders, with a team of engineers behind him, with U.S. grant monies supplied by tax dollars, took on this project and designed a microchip that is powered by a lithium battery, rechargeable through the temperature changes in our skin. Without the knowledge of the Bible (Brother Sanders was not a Christian at the time), these engineers spent one-and-a-half-million dollars doing research on the best and most convenient place to have the microchip inserted.
Guess what? These researchers found that the forehead and the back of the hand (the two places the Bible says the mark will go) are not just the most convenient places, but are also the only viable places for rapid, consistent temperature changes in the skin to recharge the lithium battery. The microchip is approximately seven millimeters in length, .75 millimeters in diameter, about the size of a grain of rice. It is capable of storing pages upon pages of information about you. All your general history, work history, criminal record, health history, and financial data can be stored on this chip.
Brother Sanders believes that this microchip, which he regretfully helped design, is the “mark” spoken about in Revelation 13:16–18. The original Greek word for “mark” is “charagma,” which means a “scratch or etching.” It is also interesting to note that the number 666 is actually a word in the original Greek. The word is “chi xi stigma,” with the last part, “stigma,” also meaning “to stick or prick.” Carl believes this is referring to a hypodermic needle when they poke into the skin to inject the microchip.”
Mr. Sanders asked a doctor what would happen if the lithium contained within the RFID microchip leaked into the body. The doctor replied by saying a terrible sore would appear in that location. This is what the book of Revelation says:
“And the first (angel) went, and poured out his vial on the earth; and there fell a noisome and grievous sore on the men which had the mark of the beast, and on them which worshipped his image” (Revelation 16:2).
You can read more about it here–and to also understand the mystery behind the number 666: 2RUTH.ORG
The third angel’s warning in Revelation 14:9-11 states,
“Then a third angel followed them, saying with a loud voice, ‘If anyone worships the beast and his image, and receives his mark on his forehead or on his hand, he himself shall also drink of the wine of the wrath of God, which is poured out full strength into the cup of His indignation. He shall be tormented with fire and brimstone in the presence of the holy angels and in the presence of the Lamb. And the smoke of their torment ascends forever and ever; and they have no rest day or night, who worship the beast and his image, and whoever receives the mark of his name.'”
Great hope is in our midst, and is coming in a mighty way–the greatest revival for Jesus in the history of the world where we will see the most souls come to Him of all tribes, tongues, nations, and peoples (Rev. 7:9-10); for we have this promise in God’s Word in the midst of these dark times:
“Then I saw an angel coming down from heaven, having the key to the bottomless pit and a great chain in his hand. He laid hold of the dragon, that serpent of old, who is the Devil and Satan, and bound him for a thousand years (not literal–rather a spiritual label for time spent in eternity); and he cast him into the bottomless pit, and shut him up, and set a seal on him, so that he should deceive the nations no more till the thousand years were finished. But after these things he must be released for a little while (when the Antichrist and false prophet will rise up and God will test the world).” (Revelation 20:1-3)
“The coming of the lawless one (the Antichrist) is according to the working of Satan, with all power, signs, and lying wonders, and with all unrighteous deception among those who perish, because they did not receive the love of the truth, that they might be saved. And for this reason God will send them strong delusion, that they should believe the lie, that they all may be condemned who did not believe the truth but had pleasure in unrighteousness.” (2 Thessalonians 2:9-12)”
Who is Barack Obama, and why is he still in the public scene?
So what about his name? The meaning of someone’s name can say a lot about a person. God throughout history has given names to people that have a specific meaning tied to their lives. How about the name Barack Obama? Let us take a look at what may be hiding beneath the surface.
Jesus states in Luke 10:18, “…I saw Satan fall like lightning from heaven.”
The Hebrew Strongs word (H1299) for “lightning”: “bârâq” (baw-rawk)
In Isaiah chapter 14, verse 14, we read about Lucifer (Satan) saying in his heart:
“I will ascend above the heights of the clouds, I will be like the Most High.”
In the verses in Isaiah that refer directly to Lucifer, several times it mentions him falling from the heights or the heavens. The Hebrew word for the heights or heavens used here is Hebrew Strongs 1116: “bamah”–Pronounced (bam-maw’)
In Hebrew, the letter “Waw” or “Vav” is often transliterated as a “U” or “O,” and it is primarily used as a conjunction to join concepts together. So to join in Hebrew poetry the concept of lightning (Baraq) and a high place like heaven or the heights of heaven (Bam-Maw), the letter “U” or “O” would be used. So, Baraq “O” Bam-Maw or Baraq “U” Bam-Maw in Hebrew poetry similar to the style written in Isaiah, would translate literally to “Lightning from the heights.” The word “Satan” in Hebrew is a direct translation, therefore “Satan.”
When Jesus told His disciples in Luke 10:18 that He beheld Satan fall as lightning from heaven, if this were to be spoken by a Jewish Rabbi today influenced by the poetry in the book of Isaiah, he would say these words in Hebrew–the words of Jesus in Luke 10:18 as, and I saw Satan as Baraq O Bam-Maw.
Malie and Natasha are the names of Obama’s daughters. If we write those names backward (the devil does things backwards) it would be “ailam ahsatan”. If we remove the letters that spell “Alah” (Allah being the false god of Islam), we would get “I am Satan”. Coincidence? I don’t think so!
Obama’s campaign logo when he ran as President of the US in the year 2008 was a sun over the horizon in the west, with the landscape as the flag of the United States. In the Isalmic religion, they have their own messiah that they are awaiting called the 12th Imam, or the Mahdi (the Antichrist of the Bible), and one prophecy concerning this man’s appearance is the sun rising in the west.
“Then I saw another angel flying in the midst of heaven, having the everlasting gospel to preach to those who dwell on the earth—to every nation, tribe, tongue, and people— saying with a loud voice, ‘Fear God and give glory to Him, for the hour of His judgment has come; and worship Him who made heaven and earth, the sea and springs of water.'” (Revelation 14:6-7)
Why have the words of Jesus in His Gospel accounts regarding His death, burial, and resurrection, been translated into over 3,000 languages, and nothing comes close (the Quran about 110 languages)? Because the same Spirit of God (YHVH) who created all people likewise transcends all people; therefore the power of His Word is not limited by people; while all other religions are man-made, therefore they tend to primarily stay within their own culture. The same God who speaks to all people through His creation of the heavens and earth that draws all people around the world likewise has sent His Word to the ends of the earth so that we may come to personally know Him to be saved in spirit and in truth through His Son Jesus Christ.
Jesus stands alone among the other religions that say to rightly weigh the scales of good and evil and to make sure you have done more good than bad in this life. Is this how we conduct ourselves justly in a court of law? Bearing the image of God, is this how we project this image into reality?
Our good works cannot save us. If we step before a judge, being guilty of a crime, the judge will not judge us by the good we have done, but rather by the crimes we have committed. If we as fallen humanity, created in God’s image, pose this type of justice, how much more a perfect, righteous, and Holy God?
God has brought down His moral laws through the 10 commandments given to Moses at Mt. Siani. These laws were not given so we may be justified, but rather that we may see the need for a savior. They are the mirror of God’s character of what He has written in our hearts, with our conscious bearing witness that we know that it is wrong to steal, lie, dishonor our parents, murder, and so forth.
We can try and follow the moral laws of the 10 commandments, but we will never catch up to them to be justified before a Holy God. That same word of the law given to Moses became flesh about 2,000 years ago in the body of Jesus Christ. He came to be our justification by fulfilling the law, living a sinless perfect life that only God could fulfill.
The gap between us and the law can never be reconciled by our own merit, but the arm of Jesus is stretched out by the grace and mercy of God. And if we are to grab on, through faith in Him, He will pull us up being the one to justify us. As in the court of law, if someone steps in and pays our fine, even though we are guilty, the judge can do what is legal and just and let us go free. That is what Jesus did almost 2,000 years ago on the cross. It was a legal transaction being fulfilled in the spiritual realm by the shedding of His blood with His last word’s on the cross crying out, “It is finished!” (John 19:30).
For God takes no pleasure in the death of the wicked (Ezekiel 18:23). This is why in Isaiah chapter 53, where it speaks of the coming Messiah and His soul being a sacrifice for our sins, why it says it pleased God to crush His only begotten Son.
This is because the wrath that we deserve was justified by being poured out upon His Son. If that wrath was poured out on us, we would all perish to hell forever. God created a way of escape by pouring it out on His Son whose soul could not be left in Hades but was raised and seated at the right hand of God in power.
So now when we put on the Lord Jesus Christ (Romans 13:14), where God no longer sees the person who deserves His wrath, but rather the glorious image of His perfect Son dwelling in us, justifying us as if we received the wrath we deserve, making a way of escape from the curse of death; now being conformed into the image of the heavenly man walking in a new nature, and no longer in the image of the fallen man Adam.
Now what we must do is repent and put our trust and faith in the savior, confessing and forsaking our sins, and to receive His Holy Spirit that we may be born again (for Jesus says we must be born again to see and enter the Kingdom of God in John chapter 3). This is not just head knowledge of believing in Jesus, but rather receiving His words, taking them to heart, so that we may truly be transformed into the image of God. Where we no longer live to practice sin, but rather turn from our sins and practice righteousness through faith in Him in obedience to His Word by reading the Bible.
Our works cannot save us, but they can condemn us; it is not that we earn our way into everlasting life, but that we obey our Lord Jesus Christ:
“Not everyone who says to Me, ‘Lord, Lord,’ shall enter the kingdom of heaven, but he who does the will of My Father in heaven. Many will say to Me in that day, ‘Lord, Lord, have we not prophesied in Your name, cast out demons in Your name, and done many wonders in Your name?’ And then I will declare to them, ‘I never knew you; depart from Me, you who practice lawlessness!’ (Matthew 7:21-23)
“And having been perfected, He became the author of eternal salvation to all who obey Him.” (Hebrews 5:9)
“Now I saw a new heaven and a new earth, for the first heaven and the first earth had passed away. Also there was no more sea. Then I, John, saw the holy city, New Jerusalem, coming down out of heaven from God, prepared as a bride adorned for her husband. And I heard a loud voice from heaven saying, ‘Behold, the tabernacle of God is with men, and He will dwell with them, and they shall be His people. God Himself will be with them and be their God. And God will wipe away every tear from their eyes; there shall be no more death, nor sorrow, nor crying. There shall be no more pain, for the former things have passed away.’
Then He who sat on the throne said, ‘Behold, I make all things new.’ And He said to me, ‘Write, for these words are true and faithful.’
And He said to me, ‘It is done! I am the Alpha and the Omega, the Beginning and the End. I will give of the fountain of the water of life freely to him who thirsts. He who overcomes shall inherit all things, and I will be his God and he shall be My son. But the cowardly, unbelieving, abominable, murderers, sexually immoral, sorcerers, idolaters, and all liars shall have their part in the lake which burns with fire and brimstone, which is the second death.'” (Revelation 21:1-8)
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