Social work intervention and management of indigent patients in government hospitals in Cross River State, Nigeria
Keywords:
Social work practice, indigent Patient, management, government hospitalAbstract
Social work intervention involves the deliberate acts and processes of helping clients to achieve a functional state and to meet their needs. The services social workers render consist of assessing, diagnosing, caring for, and solving the various problems of patients or clients assigned to them. Social workers also help clients rebuild skills, cope with social situations, and reduce distress in everyday life. It is more worrisome that indigent patients in a health facility are neglected or abandoned by health practitioners such as doctors, and nurses just because of the unavailability of medical social workers. For this reason, they fail to provide optimum responses that would enable indigent persons to live meaningful existence and be socially functioning in society. This paper uses quantitative analysis and secondary data to examine the management of indigent patients and the place of the social work profession as a moving force in social engineering to help indigent patients achieve a balance. Data were collected through the administration of questionnaires and presented using frequencies and descriptive statistics. The results of the study revealed that social work advocacy, rehabilitation, counselling, and referrals have a significant influence on the management of indigent patients in CRS. The paper concludes that among indigent patients in government hospitals in Cross River States, social work practice has played enormous roles in their lives through advocacy, social work rehabilitation, social work counselling, and social work referral. The study therefore recommends among others that the governments of Cross River State should intensify efforts to ensure that social work advocacy service is well entrenched in all government hospitals so that the majority of patients including indigent patients will access and benefit from the services.Downloads
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1. Abasiubong F., Abiola T., & Udofia O. (2021). A Comparative Study of Aggression Amongst Nigerian University Students in Niger Delta Region. Psychology Health Medicine, 16(1), 86-93. PubMed
2. Adamu H.S. (2021). Utilization of Social Work Services in Nigeria: An Analysis of Regional Differences in the Patterns and Determination of Care. African Social Issues Review, 16(5), 18-31
3. Adekunle M. & Tayebri D. (2015). Social Work Practice with Vulnerable Groups. Ibadan: Divine Printing Press Ltd., Oyo State, Nigeria
4. Adele P. (2020). Counseling Services in China. Lippincott William and Wilkins
5. Agba I.S. (2018). Medical Social Work Practice: An Introductory Analysis. Calabar: Baye Communications, Nigeria
6. Arington J., Arvey P., & Golater R. (2017). Social Work in Development Contexts
7. Ashley M. (2022). Social Workers' Roles in Helping the Poor. work.chron.com
8. Barker B. (2020). Rehabilitation Programs for Indigent Patients in Hospital Settings. University of Lagos Press
9. Behram S. & Fatusi A. (2015). Determinants of Use of Healthcare Services in Nigeria: Looking Beyond Individuals and Household Factors. http://www.ncbi.n/m.nih.org
10. Babara & Libiog (2023). Assessment of the Impact of Social Work
11. Buldern & Manuel (2021). Patients-Centred Medical Home Resource. http://pcmh.ahrq.gov/
12. Bichi A.A. (2015). AMSWON Makes a Case for Increasing Social Workers in Hospitals. Vanguard. http://www.vanguardngr.com/2015//11/amswon-makes-case-for-increasemedeicalsocial-workers-in-hospitals/
13. Berg A. & Kallegerb M. (2020). Evaluation of a Social Welfare Programme in Intervention Projects on Poverty Alleviation in Ekiti State. Mediterranean Journal of Social Science, 5(4), 2039-2117
14. Coady D. & Parker D. (2022). A Cost-Effectiveness Analysis of Social Work Interventions in Jamaica. Discussion Paper 127. Washington D.C: International Food Policy Research Institute
15. Cross River State Ministry of Social Welfare and Community Development. (2019). Operational Framework for Social Welfare Scheme Implementation and Project Implementation Manual (PIM). Calabar
16. Duiosaio S. (2018). The Federal Government Warns Against Detaining Patients Over Unpaid Hospital Bills. Vanguard, 29th December 2016
17. Darko H., Rooney H., & Jo A.L. (2018). Direct Social Work Practice: Theory and Skills. Brooks/Cole-Thomson Learning
18. Danvers J. (2020). Health Promotion in Health Care: Vital Theories and Research. Indian Journal of Social Sciences, 3(2), 137-144
19. Federal Ministry of Health. (2019). Nigeria Health Facility Registry (HFR)
20. Gage A.J. & Calixte M.G. (2016). Effect of the Physical Accessibility of Counselling Services on Their Use in Rural Haiti. Journal of Scientific Research, 11(3), 22-29
21. Garba S.N., Hellandenu J., Ajayia A., & Saleyman F.H. (2019). Social Work Practice Among the Kambari of Niger State, Nigeria. Social Work Council Research Journal, 1(1)
22. Gbadeyan R.A. (2020). Customer Relationship Management and Hospital Service Quality in Nigeria. Africa Research Review, 4(2), 168
23. Global Reports. (2020). UNAIDS Report on the Global AIDS Epidemic. www.healthpartners.int.co.uk
24. Ibekwe P.C. (2020). Social Work Challenges in Developing Countries. Med Pract Rev, 1(1), 9-11
25. Idyorough A.E. (2018). History and Philosophy of Social Welfare in Nigeria, 1900-1960. Makurdi: Aboki Publishers
26. Idyorough A.E. (2015). The Techniques and Principles of Social Casework Practice. Jos: Savannah Press Ltd.
27. International Federation of Social Workers (IFSW). (2014). Global Definition of Social Work. http://www.globaldefinitionofsocialwork_internationalfederationofsocialworkers.htm
28. Isangedighi A.J., Joshua M.T., Asim, & Ekuri E. (2014). Fundamentals of Research and Statistics in Education and Social Science (1st ed.). Calabar: University of Calabar Press
29. Jayaraman A., Chandrasekhar S., & Gebreselassie T. (2018). Factors Affecting Social Work Practice in Rwanda. London: Hysper Publications
30. Laima S.L. & Jurate G.S. (2020). The Role of the Social Worker in a Team of Rehabilitation Methodological Approach. International Journal of Innovative Science and Research Technology, 4(3), 103-118
31. Legbel O., Philip A., Brain E., & Anthony O. (2021). Social Work Counselling: A Panacea for Youth Involvement in Migration and Modern-Day Slavery. European Journal of Social Sciences, 61(2), 85-95
32. Mackenzie C. (2019). Feminist Innovation in Philosophy: Relational Autonomy and Social Justice. Women’s Studies International Forum, 72, 144-151
33. McDonald K. (2018). Social Support and Mental Health in LGBTQ Adolescents: A Review of the Literature. Issues in Mental Health Nursing, 39(1), 16-29
34. McGregor J. & Cale J. (2019). Advocacy and Activism in Social Work: Bridging the Divide. Journal of Social Work, 19(3), 340-358
35. Morse G.A., Salyers M.P., Rollins A.L., Monroe-DeVita M., & Pfahler C. (2017). Burnout in Mental Health Services: A Review of the Problem and Its Remediation. Administration and Policy in Mental Health, 44(6), 646-653
36. Morse G.A., Salyers M.P., Rollins A.L., Monroe-DeVita M., & Pfahler C. (2020). Effectiveness of a Social Work-Led Intervention to Promote Employee Well-Being and Job Satisfaction. Social Work, 65(2), 135-142
37. Nkwede J.O. (2014). Approaches for Poverty Alleviation and Sustainable Development in Nigeria: Study of Ebonyi State Community Based Poverty Reduction Agency. International Journal of Social Science Studies, 2(1), 153-158
38. Obidinma & Obidinma. (2015). Legal and Ethical Issues in the Demand for Payment Before Treatment in Nigerian Hospitals. Journal of Law, 38
39. Ogundele & Olafimihan. (2021). Referral Services in Healthcare Delivery in Nigeria: The Place of Medical Social Workers. University of Ibadan Press
40. Okoye U.O. (2023). Trends and Challenges of Social Work Practice in Nigeria. In Becoming a Social Worker: Global Narratives. Routledge, Taylor and Francis Group
41. Okoye U.O. (2019). Health Care Social Work in Nigeria: A Global Perspective. New York: Oxford University Press
42. Parko S., Louis R., & Phracia T. (2018). Evaluating Welfare Services and Health Programs. Social Development Economics. Amsterdam: New Holland-Elsevier
43. Peter Bower, Sarah K., Nancy R., & Cochrane C. (2021). Counselling for Mental Health and Psychosocial Problems in Primary Care. University of Manchester Academic Health Science Centre, British Association of Counselling and Psychotherapy, UK
44. Punch Newspaper. (2018, August 18). UBTH Granted Waivers Worth 50 Million Naira to Indigent Patients
45. Rastogi G. (2022). Health-Seeking Behaviour Among the Indigents. Utter Pradesh: onlymyhealth.com
46. Reynolds H.W., Wong E.L., & Tucker H. (2014). Adolescent Use of Health Services in Developing Countries. International Family Planning Perspective. http://www.gultmacher.org
47. Sanchez C., Lam G., & Weaver M. (2015). Hospital Detention Practices: A Position Statement of SIOP PODC Global Taskforce. Lancet, London
48. Schultz F. (2014). Social Work Practice for the Poor: Evaluating the Mexican PROGRESA Poverty Program. Journal of Social Welfare and Development, 74(1), 199-250
49. Synderman. (2019). The Analysis of the Rural Outreach Programme of a Tertiary Care Hospital in Ghaziabad. Journal of Medical Dental Sciences, 4, 9561-9567
50. Shaikh B.T. (2023). Understanding Social Determinants of Counselling Behaviours: Providing a Framework for Health Policy and Systems Development
51. Soafers M.A. (2020). Effect of Social Work Interventions in Low-Income Households in Developing Countries: A Review of the Evidence. Give Direct Inc., Nairobi
52. Statham D. & Chase E. (2020). Advocacy and Social Justice: Advocating for Change in Healthcare. Health & Social Care in the Community, 18(4), 424-432
53. Vanguard Newspaper. (2017, July 1). Free Medical Care for 50,000 Indigent Patients in Kogi State
54. Wang J., Mann F., Lloyd N., Evans B., Ma R., & Johnson S. (2018). Association Between Loneliness and Perceived Social Support and Outcome of Mental Health Problems: A Systematic Review. BMC Psychiatry, 18(1), 156
55. World Health Organization (WHO). (2021). Equitable Access to Essential Medicines: A Framework of Collective Action. WHO Policy Perspectives on Medicines
56. World Health Organization (WHO). (2022). Preterm Birth Fact Sheet. https://www.who.int/mediacentre/factsheets/fs363/en
57. World Health Organization. (2014). World Health Higher Autonomy Seeks More Maternal and Child Health Care: Evidence from Ethiopia and Eritrea
58. World Health Organization (WHO). (2015). World Health Report 2014. Geneva: WHO Report Gazette
59. Yates R., Brookes T., & Whitaker E. (2017). Hospital Detentions for Non-Payment of Fees: A Denial of Right and Dignity. Research Paper, Centre on Global Health Security, Chatham House. The Royal Institute of International Affairs. www.chatamhouse.org
60. Yates R. (2019). Universal Healthcare and the Removal of Users’ Fees. The Lancet. www.thelancet.com/journal/lancet/article/PHS0140-6736 (09)60258-0/abstract. (Accessed on 17/8/2018)
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