College of Leadership and Development Studies

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    STRUCTURAL VIOLENCE AND POLICY OUTCOMES OF ENROLLED JUNIOR OFFICERS IN LAGOS STATE HEALTH INSURANCE SCHEME
    (Covenant University Ota, 2025-04) DELE-DADA MOYOSOLUWA PRISCILIA; Covenant University Thesis
    With the increasing recognition and importance of health for both human welfare and economic progress on a global scale, nations are progressively reinforcing their commitments and dedicating more resources toward initiatives aimed at enhancing healthcare outcomes and societal advancement. However, in Nigeria, significant barriers persist for citizens in accessing quality and affordable healthcare services, despite the presence of the National Health Insurance Scheme. Decentralisation of the scheme's operationalization to the states, aimed at expediting efforts toward universal coverage in healthcare has not effectively countered disparities in healthcare, especially in Lagos State. The operationalisation of the LSHIS seems to reinforce structural violence manifested in escalating out-of-pocket costs, insurance-type discrimination, poor healthcare provision, and favoritism to individuals capable of direct payment. The study thus investigated how structural violence has impacted on the policy outcomes of the LSHIS with an interest in junior officers on grade levels 01-07 in five sampled ministries across Lagos State. To achieve the stated objective, primary data were collected using questionnaire and interviews. Data gathered were analysed using frequency, percentage, and ordinal regression. The study adopted case study research design and employed vulnerability and equity theories as its theoretical framework of analysis. The study's findings indicated that denial of quality healthcare services has negatively impacted the policy outcomes of the scheme, leading to dissatisfaction, self- medication, and increased compensation claims, among other issues. This is due to unavailable resources, significant delays in claims processing by hospitals, and some illnesses not covered by insurance. Furthermore, the study revealed that inequity adversely affects the scheme's policy outcomes, resulting in a lack of trust, accessibility problems, and instances of substandard care. These issues stem from challenges in the reimbursement process, the nature of patients' illnesses, and resource availability. Additionally, the study found that discrimination negatively impacts the scheme's policy outcomes, causing delays in receiving timely care, hesitation in seeking medical attention, and a general sense of reluctance among enrollees. This persistence of discrimination is due to the extensive coverage and higher costs of private insurance compared to state- provided insurance. Finally, the study showed that continuous out-of-pocket payments have led patients to forgo necessary care and not adhere to recommended treatment plans. This is because the current scope of the scheme focuses on common illnesses, and there is a lack of certain medicines in hospital inventories. The study, therefore, recommended expanding the coverage of the health insurance scheme to include a wider range of medical conditions to meet all essential healthcare needs. Also, there should be a feedback mechanism to allow patients to report any bad performance by the healthcare providers. The study concluded that implementing incentive programmes, such as performance- based bonuses and flexible working hours, for healthcare providers within the scheme will enhance quality service delivery, adherence to standards, and patient satisfaction.
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    A POSTCOLONIAL EXPLORATION OF JAPA IN SELECTED NOLLYWOOD FILMS
    (Covenant University Ota, 2025-03) GOODMAN FANCY RERELOLUWA; Covenant University Thesis
    Given the escalating rate of emigration in Nigeria, this study critically analyses four Nollywood films: Arie and Chuko Esiri’s Eyimofe (2020), Dika Ofoma’s A Japa Tale (2023), Tola Olatunji’s Kanaani (2023), and Kunle Afolayan’s Ijogbon (2023). Employing a qualitative approach and the post-colonial theoretical framework, the analysis explores the depiction of the complex interplay between emigration and the postcolonial theory in the selected Nollywood films. These films serve as cultural commentaries on the lived experiences of Nigerian youths. By situating these cinematic representations within the broader context of post-colonial discourse, the study uncovers the nuances of Nigerian youths’ longing for Western life, as portrayed by contemporary Nollywood filmmakers. This study applies a descriptive research design employing qualitative data collection and analysis, with the four films serving as the primary data sources. It fills a scholarly gap by doing a literary x-ray of the selected Nollywood films, comprehensively analysing them and highlighting their approaches to emigration narratives. In addition to redefining japa, the study analyses how japa is reflected in the films, uncovering the nuances of Nigerian youths’ longing for the European life, portrayed by contemporary Nollywood filmmakers. The conclusions drawn underscore that Nollywood filmmakers are not only storytellers but also social critics, adept at articulating the motivations that fuel emigration among Nigerian youths. The conclusion of the study also highlights the relationship between hybridity, mimicry, third space of enunciation and ambivalence, offering a profound understanding of the motivations behind japa and its consequences.