SOCIOECONOMIC DYNAMICS AND ENVIRONMENTAL HEALTH OUTCOMES IN INFORMAL SETTLEMENTS OF PORT HARCOURT, NIGERIA
Main Article Content
Keywords
Environmental health, informal settlements, prevalent diseases, Port Harcourt, socioeconomic
Abstract
Although many studies have shown strong evidence of a direct relationship between the human environment and health, they have been too generic in nature, concentrating on community patterns and largely ignore the link between environmental health outcomes and specific socioeconomic indices manifesting at the household level. This study, therefore, seeks to understand the interface between household socioeconomic indices and the urban environment in
six informal coastal settlements of Port Harcourt Nigeria. It further examined how these interactions affect environmental health. It questions the extant belief that living in a deprived neighbourhood is bad for one’s health, hence the focus on the households level. Issues examined include housing and environmental conditions like sources of water, sanitation methods, drainage conditions and quality of toilet and kitchen facilities as well as socio-economic characteristics such
as age, gender, income and household size. Health seeking behaviour and recent self-reported illnesses associated with poor environmental conditions were also considered. Data collection was by mixed methods integrating simple random sampling on household heads as well as focus group discussion with community leaders in Andoni, Bundu, Captain Amangala, Emenike, Marine Base and Rex Lawson communities respectively. Data analysis was by simple descriptive statistics as
well as chi square test of relationships. Major results show that even though environmental and housing conditions across the selected communities were in deplorable conditions, socio-economic status, especially educational level of
the household head, had a significant influence on health seeking behaviour. Furthermore, sanitation related diseases (diarrhoea, typhoid and cholera) were the most prevalent, directly attributable to the poor environmental conditions. The tudy concludes by advocating for community driven urban renewal efforts aimed at improving access to urban basic services including education and health infrastructure. It further advocates for an interface of the formalinformal governance structures in order to find a mutually beneficial solution to the hitherto almost neglected people of the informal squatter waterfront settlements of Port Harcourt waterside communities.
Article Metrics Graph
References
the City of Ilorin, Nigeria. Social Science and Medicine. 29(12) Pp.133-34,
Assembly of the African Union (2003) ‘Decisions taken at the Second Ordinary Session. Maputo-
Mozambique Assembly/AU/ Dec. 6-31 (II). Addis Ababa.
Agbola, T, Nwokoro, I. and Kassim F., (2007) Housing And Health, in Agbola, Tunde, Egunjobi,
Layi and Olatubara, C.O., Housing Development And Management: A Book Of Readings,
Department Of Urban And Regional Planning, University Of Ibadan, Ibadan, Pp.499-537
Akujuru, V.A., (2008). Enhancing the transferability of Squatter Settlements through Title
Registration: The Port Harcourt Water Fronts Experience. Nig. J. Environ. Sci., 2: 1-11.
Aprioku, M. (2005) The dilemma of Urban Sprawl in Port Harcourt Metropolis – A case study of
Waterfront Areas, Unpublished Thesis, Department of Geography and Environmental
Management, University of Port Harcourt, Nigeria.
Archibong, M. (2004). Port Harcourt: Garden City with few Flowers.? The Sun Newspaper, Thursday, 11 March.
Arleen.F. B, Ang.A. & Pebley.A.R (2007). The Relationship between Neighbourhood
Characteristics and Self – Rated Health for Adults with Chronic Conditions. American Journal
of Public Health, 97 , 927 –932
Ballesteros, M (2010). Linking Poverty and the Environment: Evidence from Slums in Philippine
Cities. Philippine Institute for Development Studies1Discussion Paper Series NO. 2010-33
Bicego.G and Boerma.J (1993). Maternal Education and Child Survival: A Comparative Study of
Survey Data from 17 Countries. Social Science and Medicine 36(9)1207-1227
Bonita.R, Baglehold.R and Kjellstrom.T., (2006) Basic Epidemiology. 2nd Edition. Switzerland:
World Health Organization
Castro-Leal F, Dayton J, Demery L, Mehra K. (1999). Public Social Spending in Africa: Do the
Poor benefit? World Bank Research Observer;14:49-72
Egunjobi, L and Olatubara, C. (2002). Housing Development And Management: A Book Of
Readings, Department Of Urban And Regional Planning, University Of Ibadan, Ibadan, Pp.499-537
Feng H. & Myles, J (2004). Neighbourhood Inequality, Relative Deprivation and Self-Perceived
Health Status. Analytical Studies-Research Papers Series, Statistics Canada 11F0019 No 228.
Gwatkin, D.R, S. Rutstein, K. Johnson, R. P. Pande, and A. Wagstaff; (2000), Socioeconomic
Differences in Health, Nutrition and Population, HNP Poverty Thematic Group of the World Bank.
Institute of Medicine (2009). Race, Ethnicity, and Language Data: Standardization for Health Care
Quality Improvement. Report Brief. Accessed at http://www.iom.edu/Reports/2009/RaceEthnicityData.aspx
Obinna, V.C.; Owei, O.B. and Okwakpam, I.O. (2010). Impacts of Urbanization on the Indigenous
Enclaves of Port Harcourt and Concomitant Policy Measures. The Social Science 5 (3).
Odoemene.A ( 2011) Agony in the Garden’: Incongruity of Governance and the Travails of Port
Harcourt City, Niger Delta, Nigeria, 1912-2010; Africana: The Niger Delta (5)1, 108 – 139
Pieterse. E (2011), Rethinking African Urbanism from the Slum. Urban Age: Cities Health and Well Being
John M Ruiz, Patrick R Steffen, Courtney C Prather (2011). Socioeconomic Status and Health.
Handbook of Health Psychology, 2nd Edition.
Rustein, S.O. (1984) Socio-economic Differentials in Infant and Child Mortality. World Fertility
Survey Comparative Studies No. 22 Voorburg, ISI
Scalar, E D and Northridge M E. (2003). Editor’s Choice: Slums, Slum Dwellers, and Health.
American Journal of Public Health 93(9): 1381
Stafford, A, Laybourn, A, Hill, M and Walker, M (2003) Having a Say: Children and Young
People talk about Consultation. Children and Society, 17 (50) 361-373
Theis, M et al (2009) Port Harcourt Waterfront Urban Regeneration Scoping Study, Max Lock
Consultancy, Nigeria Limited, University of Westminster, London, UK, MLC Press
UN HABITAT (2010) State of African Cities. Governance, Inequality and Urban Land Markets.
Nairobi: United Nations
UN HABITAT (2012) World Urbanization Prospects. Nairobi: United Nations
Wen,M., Browning, C. & Cagney, K.(2003). Poverty, Affluence, and Income Inequality:
Neighbourhood Economic Structure and its Implications for Health. Soc Sci Med, 57(5), 843-860.
Woelk, G. and Chikuse, P (2000). Using Demographic and Health Surveys (DHS) Data to describe
Intra Country Inequities in Health Status: Zimbabwe, Paper presented at the EQUINET
Conference, Mid-Rand South Africa, 12-15th September 2000.
World Bank (2001). Raising the Sights: Better Health Systems for India’s Poor. Washington (DC):
World Bank;