Abstract
Conflicts and insurgencies constitute some of the greatest challenge to societal peace and development. While daily effort are made by government and humanitarian organisations to address the problem of conflicts and insurgency, the absence of quality health service for those affected by conflicts have further amplified the potential for conflicts and human insecurity. The paper examines conflict and insurgency as barrier to quality health service for internally displaced persons in the North Eastern part of Nigeria. It argues on the failure and inability of the Nigerian government to respond to the exigency of conflicts and insurgency, tugging on instability which affects quality health services. Access to global quality health services has become unattainable and inaccessible and the implication for the worsening health conditions of internally displaced persons in Nigeria. As the outcome of a qualitative research carried out to interrogate the impact of conflict and insurgency on global quality health services on internal displacement persons, its methodology relies heavily on in-depth and key informant interviews. The paper concludes that unless concerted effort through legal and political will are put in place to address the problem of conflict and insurgency in the northern part of the country, especially with the growing activities of Boko Haram and farmer-herders conflicts, quality health service will become unattainable, especially for internally displaced person who are not only victims of insurgency, but also vulnerable to poor quality service in the process of their integration and durable solution. Key words: Conflict, insurgency, counter-insurgency, global health services, internally displaced person, and Northern Nigeria.
Highlights
Conflicts are considered a major barrier to social, political and quality health services in Africa; between 2000 to 2017, the number of internally displaced persons rose by over 10 million (Martin, 2018)
In Nigeria, the insurgent‟s activities of Boko Haram militants and the perennial Niger Delta conflicts in the last one decade have displaced millions of people from their homes. This is not isolated from the protracted intercommunal clashes resulting from a combinations of ethno-religious and boundary disputes in the North central and North Eastern part of Nigeria respectively (Oshaghae and Suberu, 2005)
Despite the increasing numbers of studies and institutional reports on Internally Displaced Persons (IDPs) and the various specific health challenges such as sexually transmitted disease, sexually and gender-based violence, post-traumatic stress disorder and depression among others (Ager et al, 2015, Owoaje et al, 2016), there is a dearth of studies on the effect of global quality health service on internally displaced persons in the North Eastern part of Nigeria
Summary
Conflicts are considered a major barrier to social, political and quality health services in Africa; between 2000 to 2017, the number of internally displaced persons rose by over 10 million (Martin, 2018). The lack of coordination and poor environmental conditions has resulted in poor health standards and their implication for the quality of health services for IDPs. Despite the increasing numbers of studies and institutional reports on IDPs and the various specific health challenges such as sexually transmitted disease, sexually and gender-based violence, post-traumatic stress disorder and depression among others (Ager et al, 2015, Owoaje et al, 2016), there is a dearth of studies on the effect of global quality health service on internally displaced persons in the North Eastern part of Nigeria. There is a growing acknowledgement that health service cannot be accomplished only by medical infrastructure, medical supplies and health care providers, there must be a deliberate focus on quality health services which is the foundation of the World Bank report on “achieving quality health service in the year 2030” (World Bank, 2018) Against this background, the paper examines conflicts and insurgency as barriers to global quality health service for internally displaced persons in North Eastern part of Nigeria. It follows with a conclusion and recommendation as appropriate
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