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Download StatisticsSekoni, Adekemi (2020). The right to health for the Lesbian, Gay, Bisexual and Transgender (LGBT) population in Nigeria? – an exploration of access to, and delivery of healthcare services. University of Birmingham. Ph.D.
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Sekoni2020PhD.pdf
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Abstract
Lesbian, Gay, Bisexual or Transgender (LGBT) individuals experience challenges in accessing culturally and clinically appropriate healthcare services. The aim of this research was to generate scientific evidence on barriers and facilitators influencing access to healthcare services for LGBT people living in Nigeria. Three empirical studies and a systematic review were carried out. The first study, a cross-sectional survey among undergraduate students in Lagos examined the existence and severity of homophobia against men who have sex with men. Findings showed that for heterosexual individuals, the criminalization of same-sex relationships provided justification for denial of rights including access to healthcare services. This study was followed by semi-structured qualitative interviews among LGBT people living in two cosmopolitan cities in Nigeria, exploring their experiences of accessing healthcare services. Analysis of the data generated a framework for social determinants of LGBT health in Nigeria and an adapted three-level intersectionality wheel displaying the factors responsible. These studies provided evidence on barriers to healthcare services. A systematic review to synthesise evidence of the effectiveness of educational training programs on LGBT health for healthcare students and professionals showed that such training programs have the potential to improve the knowledge, attitudes and practices of professionals. Finally, a mixed-method case study of a college of medicine showed deficiencies in the current state of teaching and learning about LGBT health and service provision. The findings above were used to modify the WHO social determinants of health framework to address LGBT health within the Nigerian context.
| Type of Work: | Thesis (Doctorates > Ph.D.) | |||||||||
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| Award Type: | Doctorates > Ph.D. | |||||||||
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| Licence: | All rights reserved | |||||||||
| College/Faculty: | Colleges (2008 onwards) > College of Medical & Dental Sciences | |||||||||
| School or Department: | Institute of Applied Health Research | |||||||||
| Funders: | Other | |||||||||
| Other Funders: | Tertiary Education Trust Fund (TETFUND), University of Lagos | |||||||||
| Subjects: | R Medicine > RA Public aspects of medicine | |||||||||
| URI: | http://etheses.bham.ac.uk/id/eprint/10464 |
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