Prince Agwu
Datos Biográficos
| ID | 100445 |
|---|---|
| NOMBRE | Prince Agwu |
| NOMBRES | Prince |
| APELLIDO | Agwu |
| FIRMA | AGWU P |
| AFILIACIONES | University of Nigeria |
| ORCID | 0000-0001-9224-7622 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 37 |
| TOTAL DE CITAS | 24 |
| TOTAL COMO AUTOR | 37 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2018 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Sex Trafficking as a Public Health Crisis
The World Health Organization (WHO) recognizes human trafficking as a public health issue, yet this perspective has rarely been adopted in Africa, especially in Nigeria. Our research investigates healthcare for sex-trafficking survivors within Nigeria’s health system, focusing on identifying specific illnesses they face and the interactions between them and the healthcare system. This study involved 26 respondents, representing sex trafficking su…
“Doctors are targeted and kidnapped”
Background Nigeria ranked third in Africa and eleventh globally in the 2024 Crime Index. Despite the country’s endemic crime level, its impact on the health sector has been under-researched. The paper presents qualitative data from a study conducted in selected urban Local Government Areas in Abia and Anambra states in the southeastern part of Nigeria. Method Fifty-two key stakeholders in security and health sectors, comprising health policymaker…
A narrative review of sex trafficking and sexual exploitation of men and boys in Nigeria
In typical patriarchal societies like Nigeria, where men’s dominance over women in sexual relations is common, sexually exploited cis-males may appear rare. However, structural violence, characterised by ungoverned spaces and severe economic deprivation, can lead to non-normative sexual behaviours driven by survival or coercion. Nigeria’s anti-sex trafficking policies and programmes rarely recognise sex-trafficked cis-men and cis-boys. Through 10…
Measuring and assessing corruption in public health systems in low- and middle-income countries
Corruption in health systems has serious implications for health outcomes and equitable care. Although various methods exist to measure it, their application, purpose, effectiveness, and context have not yet been systematically consolidated to enable learning. We conducted a scoping review to identify empirical approaches used to measure health-sector corruption globally, with a focus on low- and middle-income countries. We examined the opportuni…
Multisectoral contributions to health security and formal policy availability at the community level in Nigeria
Introduction: Multisectoral plans and actions at the community level are one of the strategies that are deployed in the primary healthcare (PHC) system for improving the health and wellbeing of the people and also a means of addressing the social determinants of health. Multisectoral actions are also a means of implementing the Health in All Policies (HiAP) policy directions, which Nigeria has agreed to implement. However, there is a paucity of k…
Re-Envisioning Antihuman Trafficking Response in Nigeria Through an Anticorruption Lens
What I’m Trying to Say Is That Some Nurses Are Good While Some Are Not Good
Corruption and the emergence of a healthcare 'marketplace' in Nigeria's primary health centres
Corruption in the health systems of low- and middle-income countries (LMICs) is fuelled by many factors, including health system failures, practical norms, informal rules, and social networks. Researchers have historically scrutinized these factors in isolation, often failing to grasp the intricate interconnections and the combined manner in which they manifest. In this ethnographic study, we present evidence from Nigeria's healthcare system, whe…
Leadership for ethical conduct of Senior Secondary School Certificate Examination (SSCE) in Nigeria and the challenge of ‘Miracle Examination Centres’
The importance placed on passing Senior Secondary School Certificate Examinations (SSCE) in Nigeria has led to the emergence of ‘Miracle Examination Centres’ (MECs). MECs are schools where candidates get undeserving excellent SSCE results through institutionally enabled malpractice. This undermines the Nigerian education sector and its leadership. But well-researched empirical evidence on MECs in Nigeria is scarce. Through a reconnaissance techni…
Demand and supply side factors that drive delayed referrals from traditional birth attendants to public primary healthcare facilities
Despite global efforts encouraging institutional deliveries with skilled attendants, many pregnant women in developing countries such as Nigeria continue to rely on traditional birth attendants (TBAs) for child delivery. Attempts at weeding off TBAs have been firmly resisted by their clients who have developed confidence and trust in their services and herald them as first and trusted responders to child delivery cases. Unfortunately, recent evid…
To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review
The contributions of informal providers to the urban health system and their linkage to the formal health system require more evidence. This paper highlights the collaborations that exist between informal providers and the formal health system and examines how these collaborations have contributed to strengthening urban health systems in sub-Sahara Africa. The study is based on a scoping review of literature that was published from 2011 to 2023 w…
Informal–Formal Healthcare Services Delivery Nexus in Nigeria’s Urban Slums
Urban slums are human habitats with poor habitation qualities that are vulnerable to infectious diseases and public health crises. Low coverage from formal healthcare services providers created opportunity for informal providers to thrive in urban slums. This study examined the nature of relationship between informal and formal healthcare services providers in urban slums and explored opportunities for strengthening collaborations between them. R…
Using Preventive, Protection, Prosecution and Partnership Framework to Explore the Successes and Constraints of Social Work to Address Sex Trafficking in Edo, Nigeria
Social work features in human trafficking discourses as a remedial approach, but the profession’s potentials in Nigeria have not been fully realised. Thus, our research seeks to understand how social work has fared across the Prevention, Protection, Prosecution and Partnership (4Ps) of anti-human trafficking in Edo (a prime source destination for sex trafficking in Nigeria), and what can be done to scale up the presence and efficacy of social wor…
Ungoverned Spaces Among Informal Health Providers in Nigeria and Health Security Implications
“I can’t kill myself”
Background: Absenteeism in the health sector is increasingly seen as a form of harmful rule-breaking, with health workers receiving a salary although they are not present to provide care. It is a barrier to achieving universal health coverage yet remains widespread in primary health centres (PHCs) in Nigeria and many other low-resource settings. Traditional approaches to combatting absenteeism have relied on anti-corruption measures such as promo…
An analysis of urban policies and strategies on health and nutrition in Nigeria
Urban policies on health and nutrition in Nigeria are much in need. To underscore the reality of such need, we conducted a review of selected urban health and nutrition policies and strategies. We used an appropriate framework by Bandauko that outlines the content of a good urban policy for high-level analysis of the reviewed policies and strategies. Our review discovered neglect of urban health in Nigeria, evidence by a lack of urban health-focu…
Designing feasible anti-corruption strategies in the Nigerian health system
Health worker absenteeism is a major form of corruption in the Nigerian health system, reducing the impact of healthcare investment and disproportionately affecting vulnerable communities. Top-down governance and accountability measures to improve attendance have had limited effect, potentially because they have not addressed underlying incentives driving health worker behaviour. To inform feasible interventions to reduce absenteeism, we sought t…
Complex roles of families in enabling sex trafficking in Edo, Nigeria
Families are an expected haven for their members but can present threats in some contexts. Part of a large-scale PhD study with 101 participants, empirical findings on the roles played by families in encouraging sex trafficking in Edo, Nigeria, are presented here. Using in-depth interviews and group discussions, data were elicited from actors within trafficking in persons. Core findings included the exploitation of roles and responsibilities in f…
Absenteeism in primary health centres in Nigeria
BACKGROUND: Primary health centres (PHCs) in Nigeria suffer critical shortages of health workers, aggravated by chronic absenteeism that has been attributed to insufficient resources to govern the system and adequately meet their welfare needs. However, the political drivers of this phenomenon are rarely considered. We have asked how political power and networks influence absenteeism in the Nigerian health sector, information that can inform the …
Challenges faced by informal caregivers of patients in a Nigerian hospital and implications for social work
Unlike in the global-north where care of hospital in-patients is within the remit of the nursing and social care staff, the burden of care in most Nigerian hospitals is borne by informal caregivers who are relatives, family members or friends of the in-patients. Their unpaid roles in ensuring health and wellbeing of in-patients cannot be overstated, yet they remain often invisible to and unappreciated by hospital authorities. We used in-depth int…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
The gendered drivers of absenteeism in the Nigerian health system
The ability to deliver primary care in Nigeria is undermined by chronic absenteeism, but an understanding of its drivers is needed if effective responses are to be developed. While there is a small but growing body of relevant research, the gendered dynamics of absenteeism remains largely unexplored. We apply a gendered perspective to understanding absenteeism and propose targeted strategies that appear likely to reduce it. We did so by means of …
Miracle Examination Centres” as hubs for malpractices in Senior Secondary School Certificate Examination in Nigeria
Is filial care for older adults in Nigeria threatened? Examining concerns from adult offspring providing care
Effects of corruption and unaccountability on responses of frontline health workers to Covid-19 in Nigeria
COVID-19 stretched health systems, exacerbated by concerns about those that are corrupt and lack equity. Twelve (12) health workers and 12 hospital social workers across Nigeria were purposively sampled and virtually interviewed to explore unaccountability and corruption effects on COVID-19 responses. Findings show that corruption and unaccountability negatively affected responses of frontline health workers to the pandemic. Lack of social care a…
Mother-to-child transmission of HIV and utilization of preventive services in Anambra South Senatorial Zone, Nigeria
Low- and middle-income countries, including Nigeria, are often associated with poor health outcomes, such as the prevalence of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Mother-to-child transmission (MTCT) is a dominant driver of HIV/AIDS in these countries, necessitating the need to prevent such mode of transmission. With the availability of prevention of mother-to-child transmission (PMCTC) services in Anambra S…
Informal foster care practice in Anambra State, Nigeria and safety concerns
We Sleep with One Eye Open
In instances of insecurity in many societies, churches "also" suffer. Yet there is a dearth of literature exploring the experiences of churches in connection with situations of insecurity. This study, therefore, explored the experiences of churches in the face of the high rate of insecurity in Rivers State, Nigeria. Information was elicited from 16 church leaders of different denominations in different communities in Rivers State. Using a descrip…
Using Preventive, Protection, Prosecution and Partnership Framework to Explore the Successes and Constraints of Social Work to Address Sex Trafficking in Edo, Nigeria
Social work features in human trafficking discourses as a remedial approach, but the profession’s potentials in Nigeria have not been fully realised. Thus, our research seeks to understand how social work has fared across the Prevention, Protection, Prosecution and Partnership (4Ps) of anti-human trafficking in Edo (a prime source destination for sex trafficking in Nigeria), and what can be done to scale up the presence and efficacy of social wor…
Is filial care for older adults in Nigeria threatened? Examining concerns from adult offspring providing care
Effects of corruption and unaccountability on responses of frontline health workers to Covid-19 in Nigeria
COVID-19 stretched health systems, exacerbated by concerns about those that are corrupt and lack equity. Twelve (12) health workers and 12 hospital social workers across Nigeria were purposively sampled and virtually interviewed to explore unaccountability and corruption effects on COVID-19 responses. Findings show that corruption and unaccountability negatively affected responses of frontline health workers to the pandemic. Lack of social care a…
Social work and Covid-19
It is highlighted in some parts of the world that several professionals, including social workers, are involved in interventions against COVID-19. This, however, appears not to be so in Nigeria, as social workers are said to be suboptimally involved. Through telephone interviews, the views of six healthcare workers and six social workers were sought on the inclusion and efforts of Nigerian social workers in contributing to COVID-19 interventions.…
Perception and attitudes to end of life planning and implications for social work practice in Enugu State, Nigeria
This study examined perceptions of end of life planning by 80 adults selected using a multistage sampling technique. Eight focus group discussions (FGDs) of 10 discussants each were used to collect data, while analysis was done thematically. Participants are not ready to engage in end of life planning because doing so seems like beckoning death. When participants saw the need to plan for end of life it was because of the negative consequences tha…
To What Extent Are Informal Healthcare Providers in Slums Linked to the Formal Health System in Providing Services in Sub-Sahara Africa? A 12-Year Scoping Review
The contributions of informal providers to the urban health system and their linkage to the formal health system require more evidence. This paper highlights the collaborations that exist between informal providers and the formal health system and examines how these collaborations have contributed to strengthening urban health systems in sub-Sahara Africa. The study is based on a scoping review of literature that was published from 2011 to 2023 w…
Ungoverned Spaces Among Informal Health Providers in Nigeria and Health Security Implications
Designing feasible anti-corruption strategies in the Nigerian health system
Health worker absenteeism is a major form of corruption in the Nigerian health system, reducing the impact of healthcare investment and disproportionately affecting vulnerable communities. Top-down governance and accountability measures to improve attendance have had limited effect, potentially because they have not addressed underlying incentives driving health worker behaviour. To inform feasible interventions to reduce absenteeism, we sought t…
Complex roles of families in enabling sex trafficking in Edo, Nigeria
Families are an expected haven for their members but can present threats in some contexts. Part of a large-scale PhD study with 101 participants, empirical findings on the roles played by families in encouraging sex trafficking in Edo, Nigeria, are presented here. Using in-depth interviews and group discussions, data were elicited from actors within trafficking in persons. Core findings included the exploitation of roles and responsibilities in f…
Perception and attitudes to end of life planning and implications for social work practice in Enugu State, Nigeria
This study examined perceptions of end of life planning by 80 adults selected using a multistage sampling technique. Eight focus group discussions (FGDs) of 10 discussants each were used to collect data, while analysis was done thematically. Participants are not ready to engage in end of life planning because doing so seems like beckoning death. When participants saw the need to plan for end of life it was because of the negative consequences tha…
Corruption in Anglophone West Africa health systems
West African countries are ranked especially low in global corruption perception indexes. The health sector is often singled out for particular concern given the role of corruption in hampering access to, and utilization of health services, representing a major barrier to progress to universal health coverage and to achieving the health-related Sustainable Development Goals. The first step in tackling corruption systematically is to understand it…
We Sleep with One Eye Open
In instances of insecurity in many societies, churches "also" suffer. Yet there is a dearth of literature exploring the experiences of churches in connection with situations of insecurity. This study, therefore, explored the experiences of churches in the face of the high rate of insecurity in Rivers State, Nigeria. Information was elicited from 16 church leaders of different denominations in different communities in Rivers State. Using a descrip…
Women in African Marriages
When Primary Healthcare Facilities are Available but Mothers Look the Other Way
Poor maternal health outcomes are reported commonplace in Northern Nigeria in spite of a relatively efficient distribution of primary healthcare centers (PHCs) across the grassroot. There is need to understand why such availability of PHCs is yet to translate into improved maternal health for the region in line with global health goals. Thus, this article investigates factors that affect utilization of PHCs by maternal-aged women in Niger-east se…
A systematic review of drivers and interventions against sex work migration in Edo State, Nigeria
Informal foster care practice in Anambra State, Nigeria and safety concerns
Mother-to-child transmission of HIV and utilization of preventive services in Anambra South Senatorial Zone, Nigeria
Low- and middle-income countries, including Nigeria, are often associated with poor health outcomes, such as the prevalence of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Mother-to-child transmission (MTCT) is a dominant driver of HIV/AIDS in these countries, necessitating the need to prevent such mode of transmission. With the availability of prevention of mother-to-child transmission (PMCTC) services in Anambra S…
Women in African Marriages
Health Worker Absenteeism in Selected Health Facilities in Enugu State
Background: Absenteeism is widespread in Nigerian health facilities and is a major barrier to achievement of effective Universal Health Coverage. We have examined the role of internal (by managerial staff within facilities) and external (by managers at a higher level) supervision arrangements on health worker absenteeism. Specifically, we sought to determine whether these forms of supervision have any role to play in reducing health worker absent…
The prevalence and contextual correlates of non-communicable diseases among inter-provincial migrants and non-migrants in South Africa
These findings, therefore, among other things underscore the need for increased education and awareness campaigns, especially among the older populations on the preventive and mitigative strategies for NCDs. In addition, changes in lifestyles with regard to smoking and physical exercises should be more emphasized in specific contextual situations for the migrant and non-migrant populations, as highlighted by the results of this study
Social work and Covid-19
It is highlighted in some parts of the world that several professionals, including social workers, are involved in interventions against COVID-19. This, however, appears not to be so in Nigeria, as social workers are said to be suboptimally involved. Through telephone interviews, the views of six healthcare workers and six social workers were sought on the inclusion and efforts of Nigerian social workers in contributing to COVID-19 interventions.…
Absenteeism in primary health centres in Nigeria
BACKGROUND: Primary health centres (PHCs) in Nigeria suffer critical shortages of health workers, aggravated by chronic absenteeism that has been attributed to insufficient resources to govern the system and adequately meet their welfare needs. However, the political drivers of this phenomenon are rarely considered. We have asked how political power and networks influence absenteeism in the Nigerian health sector, information that can inform the …
Challenges faced by informal caregivers of patients in a Nigerian hospital and implications for social work
Unlike in the global-north where care of hospital in-patients is within the remit of the nursing and social care staff, the burden of care in most Nigerian hospitals is borne by informal caregivers who are relatives, family members or friends of the in-patients. Their unpaid roles in ensuring health and wellbeing of in-patients cannot be overstated, yet they remain often invisible to and unappreciated by hospital authorities. We used in-depth int…
Examining the Roles of Stakeholders and Evidence in Policymaking for Inclusive Urban Development in Nigeria
The gendered drivers of absenteeism in the Nigerian health system
The ability to deliver primary care in Nigeria is undermined by chronic absenteeism, but an understanding of its drivers is needed if effective responses are to be developed. While there is a small but growing body of relevant research, the gendered dynamics of absenteeism remains largely unexplored. We apply a gendered perspective to understanding absenteeism and propose targeted strategies that appear likely to reduce it. We did so by means of …
Miracle Examination Centres” as hubs for malpractices in Senior Secondary School Certificate Examination in Nigeria
Is filial care for older adults in Nigeria threatened? Examining concerns from adult offspring providing care
Effects of corruption and unaccountability on responses of frontline health workers to Covid-19 in Nigeria
COVID-19 stretched health systems, exacerbated by concerns about those that are corrupt and lack equity. Twelve (12) health workers and 12 hospital social workers across Nigeria were purposively sampled and virtually interviewed to explore unaccountability and corruption effects on COVID-19 responses. Findings show that corruption and unaccountability negatively affected responses of frontline health workers to the pandemic. Lack of social care a…
“I can’t kill myself”
Background: Absenteeism in the health sector is increasingly seen as a form of harmful rule-breaking, with health workers receiving a salary although they are not present to provide care. It is a barrier to achieving universal health coverage yet remains widespread in primary health centres (PHCs) in Nigeria and many other low-resource settings. Traditional approaches to combatting absenteeism have relied on anti-corruption measures such as promo…
An analysis of urban policies and strategies on health and nutrition in Nigeria
Urban policies on health and nutrition in Nigeria are much in need. To underscore the reality of such need, we conducted a review of selected urban health and nutrition policies and strategies. We used an appropriate framework by Bandauko that outlines the content of a good urban policy for high-level analysis of the reviewed policies and strategies. Our review discovered neglect of urban health in Nigeria, evidence by a lack of urban health-focu…
Designing feasible anti-corruption strategies in the Nigerian health system
Health worker absenteeism is a major form of corruption in the Nigerian health system, reducing the impact of healthcare investment and disproportionately affecting vulnerable communities. Top-down governance and accountability measures to improve attendance have had limited effect, potentially because they have not addressed underlying incentives driving health worker behaviour. To inform feasible interventions to reduce absenteeism, we sought t…
Complex roles of families in enabling sex trafficking in Edo, Nigeria
Families are an expected haven for their members but can present threats in some contexts. Part of a large-scale PhD study with 101 participants, empirical findings on the roles played by families in encouraging sex trafficking in Edo, Nigeria, are presented here. Using in-depth interviews and group discussions, data were elicited from actors within trafficking in persons. Core findings included the exploitation of roles and responsibilities in f…
Leadership for ethical conduct of Senior Secondary School Certificate Examination (SSCE) in Nigeria and the challenge of ‘Miracle Examination Centres’
The importance placed on passing Senior Secondary School Certificate Examinations (SSCE) in Nigeria has led to the emergence of ‘Miracle Examination Centres’ (MECs). MECs are schools where candidates get undeserving excellent SSCE results through institutionally enabled malpractice. This undermines the Nigerian education sector and its leadership. But well-researched empirical evidence on MECs in Nigeria is scarce. Through a reconnaissance techni…
Demand and supply side factors that drive delayed referrals from traditional birth attendants to public primary healthcare facilities
Despite global efforts encouraging institutional deliveries with skilled attendants, many pregnant women in developing countries such as Nigeria continue to rely on traditional birth attendants (TBAs) for child delivery. Attempts at weeding off TBAs have been firmly resisted by their clients who have developed confidence and trust in their services and herald them as first and trusted responders to child delivery cases. Unfortunately, recent evid…
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