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LEGISLATIVE OVERSIGHT AND STRUCTURAL VIOLENCE IN THE LAGOS STATE HEALTH SCHEME: A STUDY OF ALIMOSHO LOCAL GOVERNMENT AREA (2015-2022)

DELE-DADA, MOYOSOLUWA PRISCILLA and Covenant University, Theses (2022) LEGISLATIVE OVERSIGHT AND STRUCTURAL VIOLENCE IN THE LAGOS STATE HEALTH SCHEME: A STUDY OF ALIMOSHO LOCAL GOVERNMENT AREA (2015-2022). Masters thesis, COVENANT UNIVERSITY.

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Abstract

Structural violence as a condition hinders individuals from equal, affordable, accessible and quality public services. The Lagos State Health Scheme was established to ensure access to healthcare services irrespective of the economic status of residents in Lagos State. Years after its establishment, residents still suffer deprivation, inaccessibility and poor quality of health services. They neither enjoy equal access to quality healthcare services nor financial protection provided under the scheme. This therefore raises the question of the effectiveness of legislative oversight which is to ensure that government programmes are effectively implemented, and hence prevent structural violence. The study therefore examines the effectiveness of legislative oversight in curtailing structural violence in the Lagos State Health Scheme. Hence, both primary and secondary data were collected using literature search, questionnaire and interview. Data gathered were analysed using systematic review, frequency, percentage, mean and regression. The research revealed that the prevalence of structural violence in the Lagos State Health Scheme is not a result of the ineffectiveness of the Lagos State House of Assembly in carrying out its oversight duties. Despite the efforts of the Lagos State House of Assembly in preventing structural violence through its oversight roles, there is a significant prevalence of inequality, inaccessibility, non-affordability and absence of quality healthcare services. The study identified absence of a sustainable funding system, deficiency in communication and lack of confidence in the scheme, as factors responsible for the prevalence of structural violence in the scheme. While the Lagos State House of Assembly have been effective its oversight duties, challenges such as executive interference, corruption and absence of a solid legislative frame work for oversight, constitutes challenges that limit its effectiveness in curtailing structural violence in the scheme. The study therefore recommends that regular interactive sessions between the committee responsible for overseeing LSHS and the agency of the scheme should be carried out. Furthermore, a developed work plan and oversight template which would guide effective conduct of the exercise should be utilized. The study concludes that that legislative oversight is key in ensuring that implementation of government programmes, projects and schemes meet the stated objectives and prevent structural violence. The effectiveness of the oversight is however limited by the socio-political character of forces of the political community.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Healthcare, legislature, oversight, structural inequality, violence
Subjects: J Political Science > JA Political science (General)
J Political Science > JZ International relations
Divisions: Faculty of Law, Arts and Social Sciences > School of Social Sciences
Depositing User: AKINWUMI
Date Deposited: 19 Sep 2022 14:35
Last Modified: 19 Sep 2022 14:35
URI: http://eprints.covenantuniversity.edu.ng/id/eprint/16182

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