Department of Political Science and International Relations

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    Structural violence and policy outcomes of Lagos State Health Insurance Scheme in selected ministries, Lagos State
    (Journal of Infrastructure, Policy and Development 2024, 8(11),, 2024-10-12) DELE-DADA MOYOSOLUWA PRISCILIA; Gberevbie Daniel E.; Olu-Owolabi Fadeke Esther; Atobatele Abolaji
    The decentralization of the NHIS’s implementation to states intended to hasten progress towards universal health coverage, has not effectively addressed healthcare disparities, particularly in Lagos State. The implementation of the Lagos State Health Insurance Scheme appears to perpetuate structural violence, evident in increased out-of-pocket expenses, discrimination based on insurance type, and substandard healthcare delivery. The study therefore examined how structural violence has affected the policy outcomes of the Lagos State Health Insurance Scheme, with a specific emphasis on junior officers in grade level 01–07 in five selected ministries situated within Lagos State. Both primary and secondary data were collected using questionnaire, interview and literature search. Data gathered were analysed statistically and thematically. The findings of the study indicate that the policy outcome of the scheme has been adversely affected by structural violence, resulting in dissatisfaction, compensation claims for unresolved health issues and a shift in health insurance providers among enrolled junior officers.
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    Legislative oversight and structural violence in the Lagos State Health Scheme: A study of Alimosho Local Government Area
    (Research Journal in Advanced Humanities, 2023) DELE-DADA MOYOSOLUWA PRISCILIA; Gberevebie Daniel E.; Owolabi Fadeke E.
    Structural violence imposes constraints on achieving equitable, affordable, accessible, and high-quality public services, encompassing healthcare. Despite establishing the LSHS, aimed at providing healthcare irrespective of economic status, residents continue to experience deprivation, restricted access, and substandard healthcare services. Doubts arise regarding the efficacy of legislative oversight in mitigating structural violence. This study explores this issue by employing a comprehensive methodology involving primary and secondary data collection through literature reviews, questionnaires, and interviews. The analysis reveals that the prevalence of structural violence within the LSHS cannot be exclusively attributed to deficiencies in the oversight responsibilities of the Lagos State House of Assembly. Lingering disparities, limited accessibility, unaffordability, and inadequate healthcare quality persist. Contributing factors encompass inadequate funding mechanisms, and deficiencies in communication, among others. Challenges such as executive interference, corruption, and the absence of a robust legislative framework impede the effectiveness of oversight.