An audit of healthcare provision in internally displaced population camps in Nigeria

Winifred Ekezie*, Stephen Timmons, Puja Myles, Penelope Siebert, Manpreet Bains, Catherine Pritchard

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Armed conflict in Nigeria resulted in more than 2 million internally displaced persons (IDPs). IDPs live in poor conditions lacking basic resources with variable provision across different locations. This audit aimed to determine the health-related resources available to IDPs in camp-like settings in Nigeria and whether these met international standards. METHODS: Using a cross-sectional study approach, information was collected in nine camps across seven states from camp managers, and direct observation in September-October 2016. The Sphere minimum standards in humanitarian crises were used as the audit standards. FINDINGS: The 5 of 15 assessed standards were met to some extent, including the availability of water and shelter. Sanitation and vaccination were unmet in five camps, with severe overcrowding in five camps, and inadequate waste disposal in all camps. Health programme implementation was uneven, and especially poor in self-settled and dispersed settlements. CONCLUSION: Inequality in distribution of humanitarian support was observed across different settings, which could lead to a higher likelihood of water, food and air-related diseases and thereby, a poorer quality of life for IDPs. Ensuring standardized health assessments could promote a more even distribution of resources across IDP locations.

Original languageEnglish
Pages (from-to)583-592
Number of pages10
JournalJournal of public health (Oxford, England)
Issue number3
Early online date22 Aug 2018
Publication statusPublished - 30 Sept 2019


  • displacement camps
  • healthcare
  • internally displaced persons
  • Nigeria
  • public health


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