Interventions to Improve Health Literacy in Nigeria: Systematic review of effectiveness and policy recommendations
Keywords:
Policy Recommendations, Nigeria, Health promotion, Health policy, Health literacyAbstract
Background: Health literacy plays a crucial role in enabling individuals to navigate and make informed decisions within the healthcare system. It encompasses the ability to understand, interpret, and act upon medical information and instructions, as well as the capacity to source and analyse relevant health information for preventive measures and self-care. This paper explores the interventions aimed at improving health literacy in Nigeria and synthesizes policy recommendations for the Nigerian government.
Method: A systematic literature review based on the PRISMA methods was carried out to identify published interventions and reported effectiveness in the Nigerian population. A search strategy using key words health literacy and health interventions was executed in PubMed, Embase and African Index Medicus. A total of 268 records were screened for relevance and 18 were identified.
Results: Of the 18 reports identified, 13 interventions were effective, 3 interventions had mixed results reporting effectiveness in some domains and ineffectiveness in other important domains, while 2 interventions were not effective. The nature of effectiveness in the interventions was based on the outcomes as reported in the identified studies.
Conclusion: The health literacy situation in Nigeria provides a background into some of the challenges faced in achieving universal health coverage and promoting health in Nigeria. Low literacy rates, particularly in its many rural areas, the lack of functional, communicative, and critical health literacy competencies among many adults, as conceptualised in literature pose a significant obstacle to health literacy development in Nigeria. Many of the health literacy interventions have been effective to address various aspects
of health literacy on a rather small scale. To comprehensively address the problem, collaborative efforts involving the government, healthcare professionals, non-governmental organisations, media, and the community are necessary.
References
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health (European Health Literacy Project). 2012; 12:80. https://doi.org/10.1186/1471-2458-12-80
Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475-482. https://doi:10.1001/jama.288.4.475
Malik M, Zaidi RB, Hussain A. Health Literacy as a Global Public Health Concern: A Systematic Review. J Pharmacol Clin Res. 2017;4(2):555632.
https://doi:10.19080/JPCR.2017.04.5556324
Sukkar E. Enabling people to manage their health and wellbeing. The Economist. November 11, 2019. Available at:
World Health Organization. Self-care in the Context of Primary Health Care; Report of the Regional Consultation Bangkok, Thailand, 7-9 January 2009. World Health Organization; January. 2009:80.
Awosusi A. Nigeria's mandatory health insurance and the march towards universal health coverage. Lancet Glob Health. 2022, Nov;10(11):e1555-e1556.
Federation of American Women’s Clubs Overseas (FAWCO). Literacy in Nigeria (SDG Target 4.6) FAWCO.org; 2021 Accessed on 19th Feb, 2023.Available from: https://www.fawco.org/globalissues/education/education-articles/4623-literacy-innigeria-sdg-target-4-6
Ekoko NO. An assessment of Health Information Literacy Among Rural Women in Delta State, Nigeria. Library Philosophy and Practice. 2020; 2020:1-14.
Kuyinu YA, Femi-Adebayo TT, Adebayo BI, Abdurraheem-Salami I, Odusanya OO. Health literacy: Prevalence and determinants in Lagos State, Nigeria. PLoS One. 2020;15(8):e0237813. https://doi:10.1371/journal.pone.0237813
Adekoya-Cole TO, Akinmokun OI, Enweluzo GO, Badmus OO, Alabi EO. Poor Health Literacy in Nigeria: Causes, Consequences and Measures to improve it. Nigerian quarterly journal of hospital medicine. 2015;25(2):112-117.
Global Self Care Federation. Self-Care Readiness Index. Nigeria. 2021 Available for download at: Self-Care Readiness Index Report | Global Self-Care Federation (wsmi.org)
National Bureau of Statistics. Poverty and Inequality in Nigeria. 2019. Available for download at: Reports | National Bureau of Statistics
(nigerianstat.gov.ng)
Koce F, Randhawa G, Ochieng B. Understandinghealthcare self-referral in Nigeria from the service users’ perspective: a qualitative study of Niger state. BMC Health Serv Res. 2019; 19:209. Https://doi:10.1186/s12913-019-4046-9
Garuba HA, Kohler JC, Huisman AM. Transparency in Nigeria's public pharmaceutical sector: perceptions from policymakers. Global Health. 2009; 5:14. https://doi:10.1186/1744-8603-5-14
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:71. https://doi:10.1136/bmj.n71
Joanna Briggs Institute. Critical Appraisal tools. JBI Global; Accessed on 17th Feb, 2023. Available from: https://jbi.global/critical-appraisal-tools
Dulli L, Ridgeway K, Packer C, Murray KR, Mumuni T, Plourde KF., et al. A social media-based support group for Youth living with HIV in Nigeria (SMART Connections): Randomized Controlled Trial. J Med Internet Res. 2020;22(6):e18343.
Ofotokun I, Binongo JG, Rosenberg ES, Kane M, Ifland R, Lennox JL, et al. Culturally-adapted and audiotechnology assisted HIV/AIDS awareness and education program in rural Nigeria: a cohort study. BMC Int Health Hum Rights. 2010; 10:2. https://doi:10.1186/1472-698X-10-2
Asekun-Olarinmoye EO, Amusan OA. The impact of health education on attitudes towards female genital mutilation (FGM) in a rural Nigerian community. Eur J Contracept Reprod Health Care. 2008;13(3):289-297.
Egeonu NE, Nwachukwu LC. Effects of UNICEF promoted community dialogue on the attitude of farmers towards malaria prevention and control in Imo state Nigeria. Journal of Agriculture and Social Research. 2012; 13:9-14.
Abubakar JD, Gobir AA, Amina M, Umar A. Effect of health education on long-lasting insecticidal nets utilization among mothers of under five children in Yamaltu Deba LGA, Gombe state, Nigeria. Kanem Journal of Medical Sciences. 2020; 14:1-8.
Ishola G, Fayehun F, Isiugo-Abanihe U, Segun T, Yusuf S, Orji B, et al. Effect of volunteer household counselling in improving knowledge of birth preparedness and complication readiness of pregnant women in Northwest Nigeria. Afr J Reprod Health. 2017;21(1):39-48.
Mbachaga DJ. Using Drama to Promote Sustainable Health among Rural Folk in Benue State: Ikyaan and Amua Workshops. EJOTMAS: Ekpoma Journal of Theatre and Media Arts. 6(1-2). https://doi.org/10.4314/ejotmas.v6i1-2.15
Al-Mujtaba M, Shobo O, Oyebola BC, Ohemu B, Omale I, Shuaibu A, et al. Assessing the acceptability of village health workers’ roles in improving maternal health care in Gombe State, Nigeria: a qualitative exploration from women beneficiaries. PLoS ONE. 2020;15(10):e0240798.
Aja GN, Umahi EN, Allen-Alebiosu OI. Developing culturally oriented strategies for communicating women's health issues: a church-based intervention. Education for Health change in learning and practice (Abingdon). 2011;24(1):398. http://dx.doi.org/10.4103/1357-6283.101463
Ordinioha B. How Effective is the 2012 Maternal, Newborn and Child Health Week (MNCHW) in Rivers State? The Nigerian Health Journal. 2013; 13:33-39.
John NA, Adebayo A, Boychuk NA, & OlaOlorun F. Intimate partner violence (IPV) prevention using a cross-sectoral couple-based intervention: Results from a cluster randomised control trial in Ibadan, Nigeria. BMJ Global Health. 2022;7:e007192.
Perl R, Murukutla N, Occleston J, Bayly M, Lien M, Wakefield M, et al. Responses to antismoking radio and television advertisements among adult smokers and non-smokers across Africa: message-testing results from Senegal, Nigeria, and Kenya. Tob Control. 2015;24(6):601-608.
Bolarinwa OA, Juni MH, Nor-Afiah MZ, Salmiah MS, & Akande TM. Mid-term impact of home-based follow-up care on health-related quality of life of hypertensive patients at a teaching hospital in Ilorin, Nigeria. Niger J Clin Pract. 2019; 22:69-78.
Yilgwan C, Ige O, Larab ST, Gofung C, Larab SA, & AliuChatta M. Using visual and auditory tools in evaluating knowledge about rheumatic heart disease: The “Kick RHD out of Plateau” example. S46 Cardiovascular Journal of Africa, Abstracts – Sa Heart® Congress 2019.
Komolafe MA, Olorunmoteni OE, Fehintola FO. Effect of Health Education on Level of Awareness and Knowledge of Nigerian In-School adolescents on Stroke and Its Risk Factors. J Stroke Cerebrovasc Dis. 2020;29(5):104757.
Atilola O, Ayinde O, Obialo FK, Adeyemo SO, Adegbaju D, & Anthony R. Towards school-based mental health programs in Nigeria: the immediate impact of a depression-literacy program among school-going adolescents and their teachers. Child Adolesc Psychiatry Ment Health. 2022; 16:70. doi: 10.1186/s13034-022-00503-9
Bella-Awusah T, Adedokun B, Dogra N. The impact of a mental health teaching programme on rural and urban secondary school students’ perceptions of mental illness in southwest Nigeria. Journal of Child and Adolescent Mental Health. 2014;26(3):207-215.
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