An Audit of Healthcare Provision in Internally Displaced Population Camps in Nigeria

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

Journal of Public Health, 2018,  Pages 1–10


The objectives of this study were to assess camp conditions in IDP camp-like settings in Nigeria; and to evaluate if their management and organization met international Standards (Sphere minimum standards), with a specific focus on health impact. Data was collected in nine camps across seven states from camp managers, and direct observation in September–October 2016. The results showed significant disparities between IDP living standards in Nigeria and the Sphere minimum standards. The authors found that 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 program implementation was uneven, and especially poor in self-settled and dispersed settlements. Inequality in the distribution of humanitarian support was observed across different settings, which could lead to a higher likelihood of water, food and air-related diseases and consequently, a poorer quality of life for IDPs. The authors conclude that ensuring standardized health assessments could promote a more even distribution of resources across IDP locations.