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148-402: Primary care is the day-to-day healthcare given by a health care provider . Typically this provider acts as the first contact and principal point of continuing care for patients within a healthcare system , and coordinates other care the patient may need. Patients commonly receive primary care from professionals such as a primary care physician ( general practitioner or family physician ),

296-549: A megacity like Lagos and other major Nigerian cities which are linked with economic development, population growth and the inability of municipal councils to manage the resulting rise in industrial and domestic waste. This waste management problem is also attributable to unsustainable environmental management lifestyles of Kubwa community in the Federal Capital Territory, where there are habits of indiscriminate disposal of waste, dumping of waste along or into

444-452: A physician assistant , a physical therapist , or a nurse practitioner . In some localities, such a professional may be a registered nurse , a pharmacist , a clinical officer (as in parts of Africa), or an Ayurvedic or other traditional medicine professional (as in parts of Asia). Depending on the nature of the health condition, patients may then be referred for secondary or tertiary care . The World Health Organization attributes

592-649: A basic framework for defining the sector, the United Nations' International Standard Industrial Classification categorizes health care as generally consisting of hospital activities, medical and dental practice activities, and "other human health activities." The last class involves activities of, or under the supervision of, nurses, midwives, physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities, patient advocates or other allied health professions . In addition, according to industry and market classifications, such as

740-480: A basic, common element of the health care system in Poland. The basic health care unit (formerly: health care facility) is a medical entity that provides comprehensive care for people who have declared their willingness to use the services of a family doctor or another doctor who has the right to create an active list of patients. This means treatment and prevention of diseases, rehabilitation, as well as adjudication on

888-537: A career in primary care. The average age of a primary care physician in the United States is 47 years old, and one-quarter of all primary care physicians are nearing retirement. Fifty years ago, roughly half of the physicians in America practiced primary care; today, fewer than one-third of them do. Projections show that by the year 2033, the population of individuals 65 and older will increase by 45.1%, creating

1036-569: A challenge for the design of ICT (information and communication technology) for home care. Because statistics show that over 80 million Americans have taken time off of their primary employment to care for a loved one, many countries have begun offering programs such as the Consumer Directed Personal Assistant Program to allow family members to take care of their loved ones without giving up their entire income. With obesity in children rapidly becoming

1184-471: A civilian government but not before appointing Ernest Shonekan head of an interim national government . Babangida's regime has been considered the most corrupt and responsible for creating a culture of corruption in Nigeria. Shonekan's interim government, the shortest in the political history of the country, was overthrown in a coup d'état of 1993 led by General Sani Abacha , who used military force on

1332-612: A clear correlation between worse quality and higher spending. Expand the OECD charts below to see the breakdown: The management and administration of health care is vital to the delivery of health care services. In particular, the practice of health professionals and the operation of health care institutions is typically regulated by national or state/provincial authorities through appropriate regulatory bodies for purposes of quality assurance . Most countries have credentialing staff in regulatory boards or health departments who document

1480-545: A demand for primary care physicians that is greater than the supply. The medical home model is intended to help coordinate care with the primary care provider at the center of the patient's healthcare. The Patient Protection Affordable Care Act contains several provisions to increase primary care capacity. These provisions are directed towards medical school graduates and include payment reform, student loan forgiveness programs, and increased primary care residency positions The PPACA also provides funding and mandates to increase

1628-516: A formally independent federation on 1 October 1960. It experienced a civil war from 1967 to 1970, followed by a succession of military dictatorships and democratically elected civilian governments until achieving a stable government in the 1999 Nigerian presidential election , with the election of Olusegun Obasanjo of the Peoples Democratic Party . However, the country frequently experiences electoral fraud , and corruption

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1776-609: A gain of 10 years since 1970. The US (78.7 years) ranges only on place 26 among the 34 OECD member countries, but has the highest costs by far. All OECD countries have achieved universal (or almost universal) health coverage, except the US and Mexico . (see also international comparisons .) In the United States , where around 18% of GDP is spent on health care, the Commonwealth Fund analysis of spend and quality shows

1924-441: A licensed independent practitioner such as a physiotherapist , or a non-physician primary care provider such as a physician assistant or nurse practitioner . Depending on the locality and health system organization, the patient may see another health care professional first, such as a pharmacist or nurse . Depending on the nature of the health condition, patients may be referred for secondary or tertiary care. Primary care

2072-576: A list of registered patients. In Canada , access to primary and other healthcare services is guaranteed for all citizens through the Canada Health Act . The Hong Kong Special Administrative Region Government's 2016 Policy Address recommended strengthening the development of primary care and establishing an electronic database of the "Primary Care Guide" to facilitate public consultation. The Department of Health developed reference profiles for preventive care for some chronic diseases. In 2017,

2220-419: A major concern, health services often set up programs in schools aimed at educating children about nutritional eating habits, making physical education a requirement and teaching young adolescents to have a positive self-image. Health care ratings are ratings or evaluations of health care used to evaluate the process of care and health care structures and/or outcomes of health care services. This information

2368-407: A primary care doctor. There is currently limited evidence to form a robust conclusion that involving older patients with multiple long-term conditions in decision-making during primary care consultations has benefits. Examples of patient involvement in decision-making about their health care include patient workshops and coaching, individual patient coaching. Further research in this developing area

2516-479: A primary care practitioner must possess a wide breadth of knowledge in many areas. Continuity is a key characteristic of primary care, as patients usually prefer to consult the same practitioner for routine check-ups and preventive care , health education , and every time they require an initial consultation about a new health problem. Collaboration among providers is a desirable characteristic of primary care. The International Classification of Primary Care (ICPC)

2664-400: A primary care practitioner must possess a wide breadth of knowledge in many areas. Continuity is a key characteristic of primary care, as patients usually prefer to consult the same practitioner for routine check-ups and preventive care , health education , and every time they require an initial consultation about a new health problem. The International Classification of Primary Care (ICPC)

2812-432: A river system. The river system of the northeast is also a major river system. In addition, Nigeria has numerous coastal rivers. Over the last million years, Lake Chad in the far north-east of Nigeria has dried up several times for a few thousand years and just as often growing to many times its current size. In recent decades its surface area has been reduced considerably, which may also be due to humans taking water from

2960-633: A short period of time for a brief but serious illness, injury, or other health condition. This care is often found in a hospital emergency department . Secondary care also includes skilled attendance during childbirth , intensive care , and medical imaging services. The term "secondary care" is sometimes used synonymously with "hospital care". However, many secondary care providers, such as psychiatrists , clinical psychologists , occupational therapists , most dental specialties or physiotherapists , do not necessarily work in hospitals. Some primary care services are delivered within hospitals. Depending on

3108-989: A significant part of a country's economy , development, and industrialization . Health care is an important determinant in promoting the general physical and mental health and well-being of people around the world. An example of this was the worldwide eradication of smallpox in 1980, declared by the WHO, as the first disease in human history to be eliminated by deliberate healthcare interventions. The delivery of modern health care depends on groups of trained professionals and paraprofessionals coming together as interdisciplinary teams . This includes professionals in medicine , psychology , physiotherapy , nursing , dentistry , midwifery and allied health , along with many others such as public health practitioners , community health workers and assistive personnel , who systematically provide personal and population-based preventive, curative and rehabilitative care services. While

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3256-559: A successful jihad against the Hausa Kingdoms , founding the centralised Sokoto Caliphate . This empire, with Arabic as its official language, grew rapidly under his rule and that of his descendants , who sent out invading armies in every direction. The vast landlocked empire connected the east with the western Sudan region and made inroads down south conquering parts of the Oyo Empire (modern-day Kwara ), and advanced towards

3404-572: A triumvirate of three brigadier generals whose decisions could be vetoed by a Supreme Military Council . For this triumvirate, they convinced General Murtala Muhammed to become military head of state, with General Olusegun Obasanjo as his second-in-command, and General Theophilus Danjuma as the third. Together, the triumvirate introduced austerity measures to stem inflation, established a Corrupt Practices Investigation Bureau, replaced all military governors with new officers, and launched "Operation Deadwood" through which they fired 11,000 officials from

3552-706: A wide scale to suppress the continuing civilian unrest. In 1995, the government hanged environmentalist Ken Saro-Wiwa on trumped-up charges in the deaths of four Ogoni elders, which caused Nigerian's suspension from the Commonwealth . Lawsuits under the American Alien Tort Statute against Royal Dutch Shell and Brian Anderson, the head of Shell's Nigerian operation, settled out of court with Shell continuing to deny liability. Several hundred million dollars in accounts traced to Abacha were discovered in 1999. The regime came to an end in 1998 when

3700-429: Is English , chosen to facilitate linguistic unity at the national level. Nigeria's constitution ensures de jure freedom of religion , and it is home to some of the world's largest Muslim and Christian populations. Nigeria is divided roughly in half between Muslims , who live mostly in the north part of the country, and Christians , who live mostly in the south; indigenous religions , such as those native to

3848-494: Is a standardized tool for understanding and analyzing information on interventions in primary care based on the reason for the patient's visit. Common chronic illnesses usually treated in primary care may include, for example, hypertension , diabetes , asthma , COPD , depression and anxiety , back pain , arthritis or thyroid dysfunction . Primary care also includes many basic maternal and child health care services, such as family planning services and vaccinations . In

3996-682: Is a standardized tool for understanding and analyzing information on interventions in primary care by the reason for the patient visit. Common chronic illnesses usually treated in primary care may include, for example: hypertension , angina , diabetes , asthma , COPD , depression and anxiety , back pain , arthritis or thyroid dysfunction . Primary care also includes many basic maternal and child health care services, such as family planning services and vaccinations . In context of global population ageing , with increasing numbers of older adults at greater risk of chronic non-communicable diseases , rapidly increasing demand for primary care services

4144-417: Is considered necessary, regardless of whether the funding is from private insurance schemes or national health insurance . Allied health professionals , such as physical therapists , respiratory therapists , occupational therapists , speech therapists , and dietitians , also generally work in secondary care, accessed through either patient self-referral or through physician referral. Tertiary care

4292-551: Is considered to be the foundation of Igbo culture . Nri and Aguleri , where the Igbo creation myth originates, are in the territory of the Umeuri clan. Members of the clan trace their lineages back to the patriarchal king-figure Eri . In West Africa, the oldest bronzes made using the lost wax process were from Igbo-Ukwu , a city under Nri influence. The Yoruba kingdoms of Ife and Oyo in southwestern Nigeria became prominent in

4440-406: Is expected around the world, in both developed and developing countries. Funding for primary care varies a great deal between different countries: general taxation, national insurance systems, private insurance and direct payment by patients are all used, sometimes in combination. The payment system for primary care physicians also varies. Some are paid by fee-for-service and some by capitation for

4588-930: Is needed.   Healthcare Health care , or healthcare , is the improvement of health via the prevention , diagnosis , treatment , amelioration or cure of disease , illness , injury , and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields . Medicine , dentistry , pharmacy , midwifery , nursing , optometry , audiology , psychology , occupational therapy , physical therapy , athletic training , and other health professions all constitute health care. The term includes work done in providing primary care , secondary care , tertiary care , and public health . Access to healthcare may vary across countries, communities, and individuals, influenced by social and economic conditions and health policies . Providing health care services means "the timely use of personal health services to achieve

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4736-574: Is often used as the term for the health care services that play a role in the local community. It can be provided in different settings, such as Urgent care centers that provide same-day appointments or services on a walk-in basis. Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health , and patients with all types of acute and chronic physical, mental and social health issues, including multiple chronic diseases . Consequently,

4884-564: Is plains of tall grass interrupted by trees. Sudan savannah is similar but with shorter grasses and shorter trees. Sahel savannah consists of patches of grass and sand, found in the northeast. Nigeria is divided into two main catchment areas - that of Lake Chad and that of the Niger. The Niger catchment area covers about 63% of the country. The main tributary of the Niger is the Benue, whose tributaries extend beyond Cameroon into Cameroon into Chad and

5032-478: Is provided by specialist doctors, including medical specialists from medical organizations that provide specialized, including high-tech, medical care. In the United Kingdom , patients can access primary care services through their local general practice , community pharmacy, optometrist, dental surgery and community hearing care providers. Services are generally provided free-at-the-point-contact through

5180-462: Is rampant in various levels of Nigerian politics. Nigeria is a multinational state inhabited by more than 250 ethnic groups speaking 500 distinct languages , all identifying with a wide variety of cultures. The three largest ethnic groups are the Hausa in the north , Yoruba in the west , and Igbo in the east , together constituting over 60% of the total population. The official language

5328-505: Is seen from the analysis carried out each year by Bloomberg. Clearly this kind of analysis is flawed in that life expectancy is only one measure of a health system's performance, but equally, the notion that more funding is better is not supported. In 2011, the health care industry consumed an average of 9.3 percent of the GDP or US$ 3,322 ( PPP-adjusted ) per capita across the 34 members of OECD countries. The US (17.7%, or US$ PPP 8,508),

5476-622: Is sometimes used as an extension of tertiary care in reference to advanced levels of medicine which are highly specialized and not widely accessed. Experimental medicine and some types of uncommon diagnostic or surgical procedures are considered quaternary care. These services are usually only offered in a limited number of regional or national health care centers. Many types of health care interventions are delivered outside of health facilities. They include many interventions of public health interest, such as food safety surveillance, distribution of condoms and needle-exchange programs for

5624-545: Is specialized consultative health care, usually for inpatients and on referral from a primary or secondary health professional, in a facility that has personnel and facilities for advanced medical investigation and treatment, such as a tertiary referral hospital . Examples of tertiary care services are cancer management, neurosurgery , cardiac surgery , plastic surgery , treatment for severe burns , advanced neonatology services, palliative, and other complex medical and surgical interventions. The term quaternary care

5772-414: Is translated into report cards that are generated by quality organizations, nonprofit, consumer groups and media. This evaluation of quality is based on measures of: Access to healthcare may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies . Providing health care services means "the timely use of personal health services to achieve

5920-689: The American Osteopathic Association , and the American Geriatrics Society . A 2009 report by the New England Healthcare Institute determined that increased demand for primary care by older, sicker patients and decreased supply of primary care practitioners has led to a crisis in primary care delivery. The research identified a set of innovations that could enhance the quality, efficiency, and effectiveness of primary care in

6068-502: The Bight of Benin , and Bonny Island on the Bight of Biafra. The majority of those taken to these ports were captured in raids and wars. Usually, the captives were taken back to the conquerors' territory as forced labour ; they were sometimes gradually acculturated and absorbed into the conquerors' society. Slave routes were established throughout Nigeria linking the hinterland areas with

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6216-798: The Bornu Empire gave rise to the British-controlled Borno Emirate which established Abubakar Garbai of Borno as ruler. In 1903, the British victory in the Battle of Kano gave them a logistical edge in pacifying the heartland of the Sokoto Caliphate and parts of the former Bornu Empire. On 13 March 1903, at the grand market square of Sokoto, the last vizier of the caliphate officially conceded to British rule. The British appointed Muhammadu Attahiru II as

6364-666: The Eastern Region . In May 1967, Governor of the Eastern Region Lt. Colonel Emeka Ojukwu declared the region independent from the federation as a state called the Republic of Biafra , as a result of the continuous and systematically planned attacks against Igbos and those of Eastern extraction popularly known as 1966 pogroms . This declaration precipitated the Nigerian Civil War , which began as

6512-760: The Federal Republic of Nigeria , is a country in West Africa . It is situated between the Sahel to the north and the Gulf of Guinea to the south in the Atlantic Ocean . It covers an area of 923,769 square kilometres (356,669 sq mi). With a population of more than 230 million, it is the most populous country in Africa , and the world's sixth-most populous country . Nigeria borders Niger in

6660-619: The Global Industry Classification Standard and the Industry Classification Benchmark , health care includes many categories of medical equipment, instruments and services including biotechnology , diagnostic laboratories and substances, drug manufacturing and delivery. For example, pharmaceuticals and other medical devices are the leading high technology exports of Europe and the United States. The United States dominates

6808-582: The Igbo and Yoruba ethnicities, are in the minority. Nigeria is a regional power in Africa and a middle power in international affairs. Nigeria's economy is the fourth-largest in Africa , the 53rd-largest in the world by nominal GDP , and 27th-largest by PPP . Nigeria is often referred to as the Giant of Africa owing to its large population and economy , and is considered to be an emerging market by

6956-669: The Lagos Treaty of Cession . British missionaries expanded their operations and travelled further inland. In 1864, Samuel Ajayi Crowther became the first African bishop of the Anglican Church . In 1885, British claims to a West African sphere of influence received recognition from other European nations at the Berlin Conference . The following year, it chartered the Royal Niger Company under

7104-571: The Muslim world . There are early historical references by medieval Arab and Muslim historians and geographers which refer to the Kanem–Bornu Empire as the region's major centre for Islamic civilization. The Kingdom of Nri of the Igbo people consolidated in the 10th century and continued until it lost its sovereignty to the British in 1911. Nri was ruled by the Eze Nri , and the city of Nri

7252-736: The National Health Service . In the UK, unlike many other countries, patients do not normally have direct access to hospital consultants and the GP controls access to secondary care. This practice is referred to as "gatekeeping"; the future of this role has been questioned by researchers who conclude " Gatekeeping policies should be revisited to accommodate the government's aim to modernise the NHS in terms of giving patients more choice and facilitate more collaborative work between GPs and specialists. At

7400-556: The Netherlands (11.9%, 5,099), France (11.6%, 4,118), Germany (11.3%, 4,495), Canada (11.2%, 5669), and Switzerland (11%, 5,634) were the top spenders, however life expectancy in total population at birth was highest in Switzerland (82.8 years), Japan and Italy (82.7), Spain and Iceland (82.4), France (82.2) and Australia (82.0), while OECD's average exceeds 80 years for the first time ever in 2011: 80.1 years,

7548-589: The Niger River running through the country. This name was coined on 8 January 1897, by the British journalist Flora Shaw . The neighboring Republic of Niger takes its name from the same river. The origin of the name Niger , which originally applied to only the middle reaches of the Niger River, is uncertain. The word is likely an alteration of the Tuareg name egerew n-iger ewen used by inhabitants along

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7696-564: The Nigerian Political Bureau which made recommendations for the transition to the Third Nigerian Republic. In 1989, Babangida started making plans for the transition to the Third Nigerian Republic. Babangida survived the 1990 Nigerian coup d'état attempt , then postponed a promised return to democracy to 1992. Babangida legalized the formation of political parties and formed the two-party system with

7844-602: The Northern Nigeria Protectorate into the Colony and Protectorate of Nigeria . Administratively, Nigeria remained divided into the Northern and Southern Protectorates and Lagos Colony . Inhabitants of the southern region sustained more interaction, economic and cultural, with the British and other Europeans owing to the coastal economy. Christian missions established Western educational institutions in

7992-560: The Social Democratic Party and National Republican Convention ahead of the 1992 general elections . He urged all Nigerians to join either of the parties, which Chief Bola Ige referred to as "two leper hands". The 1993 presidential election held on 12 June was the first since the military coup of 1983. The results, though not officially declared by the National Electoral Commission, showed

8140-800: The World Bank . Nigeria is a founding member of the African Union and a member of many international organizations, including the United Nations , the Commonwealth of Nations , NAM , the Economic Community of West African States , Organisation of Islamic Cooperation and OPEC . It is also a member of the informal MINT group of countries and is one of the Next Eleven economies. The name Nigeria derives from

8288-525: The Yoruba heartland of Ibadan , to reach the Atlantic Ocean. The territory controlled by the empire included much of modern-day northern and central Nigeria. The sultan sent out emirs to establish suzerainty over the conquered territories and promote Islamic civilization; the emirs in turn became increasingly rich and powerful through trade and slavery. By the 1890s, the largest slave population in

8436-481: The biopharmaceutical field, accounting for three-quarters of the world's biotechnology revenues. The quantity and quality of many health care interventions are improved through the results of science, such as advanced through the medical model of health which focuses on the eradication of illness through diagnosis and effective treatment. Many important advances have been made through health research, biomedical research and pharmaceutical research , which form

8584-440: The certification or licensing of health workers and their work history. Health information technology (HIT) is "the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making." Health information technology components: Nigeria Nigeria , officially

8732-536: The social model of health and disability , which emphasizes the societal changes that can be made to make populations healthier. Results from health services research often form the basis of evidence-based policy in health care systems. Health services research is also aided by initiatives in the field of artificial intelligence for the development of systems of health assessment that are clinically useful, timely, sensitive to change, culturally sensitive , low-burden, low-cost, built into standard procedures, and involve

8880-576: The 10th century. With the spread of Islam from the 7th century AD, the area became known as Sudan or as Bilad Al Sudan (English: Land of the Blacks). Since the populations were partially affiliated with the Arab Muslim culture of North Africa , they began trans-Saharan trade and were referred to by the Arabic speakers as Al-Sudan (meaning "The Blacks") as they were considered an extended part of

9028-467: The 12th and 14th centuries, respectively. The oldest signs of human settlement at Ife's current site date back to the 9th century, and its material culture includes terracotta and bronze figures. In the 16th century, Portuguese explorers were the first Europeans to begin important, direct trade with the peoples of southern Nigeria, at the port they named Lagos (formerly Eko) and in Calabar along

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9176-586: The 2007 general elections, Umaru Yar'Adua of the People's Democratic Party came to power. The international community, which had observed the Nigerian elections to promote a free and fair process, condemned these elections as seriously flawed. Yar'Adua died on 5 May 2010, and Vice President Goodluck Jonathan had been sworn in by the Senate three months earlier as acting president to succeed Yar'Adua. Jonathan won

9324-449: The 2011 presidential election; the polls went smoothly and with relatively little violence or electoral fraud. Jonathan's tenure saw an economic recovery that made Nigeria the leading economic power in Africa. The Jonathan administration also saw an increase in unparalleled corruption, with as many as 20 billion US dollars said to have been lost to the Nigerian state through the national oil company. Above all, however, Jonathan's tenure saw

9472-483: The American public to be open to a greater role for physician extenders in the primary care setting. Policies and laws, primarily at the state level, would need to redefine and reallocate the roles and responsibilities for non-physician licensed providers to optimize these new models of care. According to a FAIR Health analysis, 29 percent of patients who received medical care in the US between 2016 and 2022 did not see

9620-467: The British government moved Nigeria toward self-government on a representative and increasingly federal basis. By the eve of independence in 1960, regional differences in modern educational access were marked. The legacy, though less pronounced, continues to the present day. The balance between north and south was also expressed in Nigeria's political life. For instance, northern Nigeria did not outlaw slavery until 1936 whilst in other parts of Nigeria, slavery

9768-763: The Chad Basin, where the course of the El Beid River forms the border with Cameroon, from the Mandara Mountains to Lake Chad. The Komadugu Yobe river system gives rise to the internationally important Hadejia-Nguru wetlands and Ox-bow lakes around Lake Nguru in the rainy season. Other rivers of the northeast include the Ngadda and the Yedseram, both of which flow through the Sambisa swamps, thus forming

9916-590: The Kwankwassiya of Rabiu Kwankwaso , former governor of Kano State in the Northwest. Bola Tinubu , of the ruling party, won the disputed election with 36.61% of the vote, but both runners-up claimed victory and litigation is ongoing in an election tribunal. Bola Tinubu's inauguration was held on 29 May 2023. Problems with widespread kidnapping in Nigeria continued. On 29 May 2024, Tinubu signed into law an act readopting Nigeria, We Hail Thee , which

10064-491: The Ministry of Health, granting the right to create an active list to internists and pediatricians without experience of working in primary care, met with severe criticism of all family medicine organizations. In organizational terms, POZ can act as: The Act of October 27, 2017 on basic health care (Journal of Laws of 2020, item 172) has been in force since 2017. POZ clinics are independent companies (except SPZOZ), however,

10212-600: The Niger and the Cross Rivers has lost most of its forest because of development and harvesting by increased population and has been replaced by grassland . Everything in between the far south and the far north is savannah (insignificant tree cover, with grasses and flowers located between trees). Rainfall is more limited to between 500 and 1,500 millimetres (20 and 60 in) per year. The savannah zone's three categories are Guinean forest-savanna mosaic , Sudan savannah, and Sahel savannah. Guinean forest-savanna mosaic

10360-531: The Nigerian government, with Nigeria utilizing air support from Egyptian pilots provided by Gamal Abdel Nasser , while France and Israel aided the Biafrans. The Congolese government, under President Joseph-Désiré Mobutu , took an early stand on the Biafran secession, voicing strong support for the Nigerian federal government and deploying thousands of troops to fight against the secessionists . Following

10508-425: The Primary Healthcare Office on March 1, 2019, to monitor and supervise the development of primary health care services. In the process of developing the district health centers, regional health stations will be set up in various districts as transitional units offering the public with primary care services. In Nigeria , healthcare is a concurrent responsibility of three tiers of government. Local governments focus on

10656-739: The Sharie catchment area. In the Sahel region, rain is less than 500 millimetres (20 in) per year, and the Sahara Desert is encroaching. In the dry northeast corner of the country lies Lake Chad , on a shared water boundary delimitation with Niger, Chad and Cameroon. The Chad Basin is fed from the north-eastern quarter of Nigeria. The Bauchi Plateau forms the watershed between the Niger/Benue and Komadugu Yobe river systems. The flat plains of north-eastern Nigeria are geographically part of

10804-482: The UC Davis Health System found that earnings throughout the careers of primary care physicians averaged as much as $ 2.8 million less than the earnings of their specialist colleagues. This discrepancy in pay has potentially made primary care a less attractive choice for medical school graduates. In 2015, almost 19,000 doctors graduated from American medical schools, and only 7 percent of graduates chose

10952-416: The United States, the 2013 National Health Interview Survey found that skin disorders (42.7%), osteoarthritis and joint disorders (33.6%), back problems (23.9%), disorders of lipid metabolism (22.4%), and upper respiratory tract disease (22.1%, excluding asthma) were the most common reasons for accessing a physician. In the United States, primary care physicians have begun to deliver primary care outside of

11100-583: The United States. On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) into law. The law is estimated to have expanded health insurance coverage by 20 million people by early 2016 and is expected to expand health care to 34 million people by 2021. The success of the expansion of health insurance under the ACA in large measure depends on the availability of primary care physicians. The ACA has drastically exacerbated

11248-662: The basis for evidence-based medicine and evidence-based practice in health care delivery. Health care research frequently engages directly with patients, and as such issues for whom to engage and how to engage with them become important to consider when seeking to actively include them in studies. While single best practice does not exist, the results of a systematic review on patient engagement suggest that research methods for patient selection need to account for both patient availability and willingness to engage. Health services research can lead to greater efficiency and equitable delivery of health care interventions, as advanced through

11396-501: The best possible health outcomes". Factors to consider in terms of healthcare access include financial limitations (such as insurance coverage), geographical and logistical barriers (such as additional transportation costs and the ability to take paid time off work to use such services), sociocultural expectations, and personal limitations (lack of ability to communicate with health care providers, poor health literacy , low income). Limitations to health care services affect negatively

11544-502: The best possible health outcomes". Factors to consider in terms of healthcare access include financial limitations (such as insurance coverage), geographical and logistical barriers (such as additional transportation costs and the ability to take paid time off work to use such services), sociocultural expectations, and personal limitations (lack of ability to communicate with health care providers, poor health literacy , low income). Limitations to health care services affects negatively

11692-552: The border with Cameroon , where the montane land is part of the Bamenda Highlands of Cameroon. The far south is defined by its tropical rainforest climate , where annual rainfall is 1,500 to 2,000 millimetres (60 to 80 in) per year. In the southeast stands the Obudu Plateau . Coastal plains are found in both the southwest and the southeast. Mangrove swamps are found along the coast. The area near

11840-593: The border with Cameroon close to the coast is rich rainforest and part of the Cross-Sanaga-Bioko coastal forests ecoregion , an important centre for biodiversity . It is a habitat for the drill primate , which is found in the wild only in this area and across the border in Cameroon. The areas surrounding Calabar , Cross River State, also in this forest, are believed to contain the world's largest diversity of butterflies. The area of southern Nigeria between

11988-405: The caliphate and the central Sokoto administration to prevent any defence as he worked towards the capital. As the British approached the city of Sokoto , Sultan Muhammadu Attahiru I organized a quick defence of the city and fought the advancing British-led forces. The British force quickly won, sending Attahiru I and thousands of followers on a Mahdist hijra . In the northeast, the decline of

12136-477: The canals, sewerage systems that are channels for water flows, and the like. Haphazard industrial planning, increased urbanisation, poverty and lack of competence of the municipal government are seen as the major reasons for high levels of waste pollution in major cities of the country. Some of the solutions have been disastrous to the environment, resulting in untreated waste being dumped in places where it can pollute waterways and groundwater . In 2005, Nigeria had

12284-565: The civil service. Colonel Buka Suka Dimka launched a February 1976 coup attempt , during which General Murtala Muhammed was assassinated. Dimka lacked widespread support among the military, and his coup failed, forcing him to flee. After the coup attempt, General Olusegun Obasanjo was appointed military head of state. Obasanjo vowed to continue Murtala's policies. Aware of the danger of alienating northern Nigerians, Obasanjo brought General Shehu Yar'Adua as his replacement and second-in-command as Chief of Staff, Supreme Headquarters completing

12432-470: The context of global population aging , with increasing numbers of older adults at greater risk of chronic non-communicable diseases , rapidly increasing demand for primary care services is expected in both developed and developing countries. The World Health Organization attributes the provision of essential primary care as an integral component of an inclusive primary health care strategy. Secondary care includes acute care : necessary treatment for

12580-540: The course of pregnancy, the formation of a healthy lifestyle, including reducing the level of risk factors for diseases, and sanitary and hygienic education. Primary health care is provided to citizens on an outpatient basis and in an inpatient setting, in planned and emergency forms. Types of primary health care: Primary medical health care is provided by general practitioners, district general practitioners, pediatricians, district general pediatricians and general practitioners (family doctors). Primary specialized health care

12728-490: The cultural and political differences were sharp among Nigeria's dominant ethnic groups: the Hausa in the north, Igbo in the east and Yoruba in the west. The Westminster system of government was retained, and thus the President 's powers were generally ceremonial. The parliamentary system of government had Abubakar Tafawa Balewa as Prime Minister and Nnamdi Azikiwe as the ceremonial president. The founding government

12876-438: The definitions of the various types of health care vary depending on the different cultural , political, organizational, and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process and may also include the provision of secondary and tertiary levels of care. Health care can be defined as either public or private . Primary care refers to

13024-474: The delivery of primary care (e.g. through a system of dispensaries), state governments manage the various general hospitals (secondary care), while the federal government's role is mostly limited to coordinating the affairs of the Federal Medical Centres and university teaching hospitals (tertiary care).general medical Basic Primary care, ( Polish : Podstawowa Opieka Zdrowotna, POZ ) is

13172-570: The dictator died in the villa. He looted money to offshore accounts in Western European banks and defeated coup plots by arresting and bribing generals and politicians. His successor, General Abdulsalami Abubakar , adopted a new constitution on 5 May 1999, which provided for multiparty elections. On 29 May 1999, Abubakar handed over power to the winner of the 1999 presidential election, former military ruler General Olusegun Obasanjo , as President of Nigeria. Obasanjo had been in prison under

13320-516: The dictatorship of Abacha. Obasanjo's inauguration heralded the beginning of the Fourth Nigerian Republic, ending a 39-year period of short-lived democracies, civil war and military dictatorship. Although the elections that brought Obasanjo to power and allowed him to run for a second term in the 2003 presidential elections were condemned as unfree and unfair, Nigeria made significant progress in democratization under Obasanjo. In

13468-622: The direct control of the British government and established the Southern Nigeria Protectorate as a British protectorate and part of the British Empire . By 1902, the British had begun plans to move north into the Sokoto Caliphate. British General Lord Frederick Lugard was tasked by the Colonial Office to implement the agenda. Lugard used rivalries between many of the emirs in the southern reach of

13616-561: The duo of Moshood Abiola and Baba Gana Kingibe of the Social Democratic Party defeated Bashir Tofa and Sylvester Ugoh of the National Republican Convention by over 2.3 million votes. However, Babangida annulled the elections, leading to massive civilian protests that effectively shut down the country for weeks. In August 1993, Babangida finally kept his promise to relinquish power to

13764-723: The earliest known sculptures in sub-Saharan Africa and smelted iron by about 550 BC and possibly a few centuries earlier. Evidence of iron smelting has also been excavated at sites in the Nsukka region of southeast Nigeria: dating to 2000 BC at the site of Lejja and to 750 BC and at the site of Opi . The Kano Chronicle highlights an ancient history dating to around 999 AD of the Hausa Sahelian city-state of Kano , with other major Hausa cities (or Hausa Bakwai ) of Daura , Hadeija , Kano , Katsina , Zazzau , Rano , and Gobir all having recorded histories dating back to

13912-792: The emergence of a wave of terror by the Boko Haram insurgency , such as the Gwoza massacre and Chibok schoolgirls kidnapping in 2014. Ahead of the general election of 2015 , a merger of the biggest opposition parties in Nigeria – the Action Congress of Nigeria , the Congress for Progressive Change , the All Nigeria Peoples Party , a faction of the All Progressives Grand Alliance and

14060-522: The first time since the return of democracy, no former military ruler ran for president, marking a strengthening of democracy and faith in the multiparty constitution . The election also saw the rise of metonymic supporters of the new candidates, the Obidient movement of Peter Obi , previously governor of Anambra State, widely appealed to young, urban voters and has his core base in the Southeast; and

14208-416: The forest zone's most southerly portion, especially around the Niger River and Cross River deltas, is mangrove swamp . North of this is a freshwater swamp, containing different vegetation from the saltwater mangrove swamps, and north of that is a rainforest. The savannah zone's three categories are divided into Guinean forest-savanna mosaic , made up of plains of tall grass which are interrupted by trees,

14356-532: The healthcare system, the primary care position has suffered in terms of its prestige in part due to the differences in salary compared to doctors that decide to specialize. A 2010 national study of physician wages conducted by the UC Davis Health System found that specialists are paid as much as 52 percent more than primary care physicians, even though primary care physicians see far more patients. In 2005, primary care physicians earned $ 60.48 per hour; specialists, on average earned $ 88.34. A follow-up study conducted by

14504-528: The highest rate of deforestation in the world, according to the Food and Agriculture Organization of the United Nations . That year, 12.2%, the equivalent of 11,089,000 hectares, had been forested in the country. Between 1990 and 2000, Nigeria lost an average of 409,700 hectares of forest every year equal to an average annual deforestation rate of 2.4%. Between 1990 and 2005, in total Nigeria lost 35.7% of its forest cover or around 6,145,000 hectares. Nigeria had

14652-407: The inlets to irrigate agricultural land. Nigeria is covered by three types of vegetation: forests (where there is significant tree cover), savannahs (insignificant tree cover, with grasses and flowers located between trees), and montane land (least common and mainly found in the mountains near the Cameroon border). Both the forest zone and the savannah zone are divided into three parts. Some of

14800-477: The leadership of Sir George Taubman Goldie . By the late 19th and early 20th centuries, the company had vastly succeeded in subjugating the independent southern kingdoms along the Niger River , the British conquered Benin in 1897, and, in the Anglo-Aro War (1901–1902), defeated other opponents. The defeat of these states opened up the Niger area to British rule. In 1900, the company's territory came under

14948-476: The location of a large area of Central African mangroves . Nigeria's most expansive topographical region is that of the valleys of the Niger and Benue river valleys (which merge and form a Y-shape). To the southwest of the Niger is a "rugged" highland . To the southeast of the Benue are hills and mountains, which form the Mambilla Plateau , the highest plateau in Nigeria. This plateau extends through

15096-676: The major coastal ports. Some of the more prolific slave-trading kingdoms who participated in the Atlantic slave trade were linked with the Edo's Benin Empire in the south, Oyo Empire in the southwest, and the Aro Confederacy in the southeast. Benin's power lasted between the 15th and 19th centuries. Oyo, at its territorial zenith in the late 17th to early 18th centuries, extended its influence from western Nigeria to modern-day Togo . In

15244-526: The managed care (insurance-billing) system through direct primary care which is a subset of the more familiar concierge medicine . Physicians in this model bill patients directly for services, either on a pre-paid monthly, quarterly, or annual basis, or bill for each service in the office. Examples of direct primary care practices include Foundation Health in Colorado and Qliance in Washington. In

15392-461: The middle reaches of the river around Timbuktu before 19th-century European colonialism . Before Flora Shaw suggested the name Nigeria , other proposed names included Royal Niger Company Territories , Central Sudan , Niger Empire , Niger Sudan , and Hausa Territories . Kainji Dam excavations showed ironworking by the 2nd century BC. The transition from Neolithic times to the Iron Age

15540-418: The military triumvirate, with Obasanjo as head of state and General Theophilus Danjuma as Chief of Army Staff , the three went on to re-establish control over the military regime and organized the military's transfer of power programme: states creation and national delimitation , local government reforms and the constitutional drafting committee for a new republic. The military carefully planned

15688-403: The most common across the country; Sudan savannah, with short grasses and short trees; and Sahel savannah patches of grass and sand, found in the northeast. Waste management including sewage treatment , the linked processes of deforestation and soil degradation , and climate change or global warming are the major environmental problems in Nigeria. Waste management presents problems in

15836-594: The new PDP (a faction of serving governors of the ruling People's Democratic Party) – formed the All Progressives Congress led by current president Bola Ahmed Tinubu. At the time, it was the most expensive election ever to be held on the African continent (being surpassed only by the elections of 2019 and 2023 ). The new mega-opposition party chose as their candidate for the election former military dictator Muhammadu Buhari. Buhari's campaign in 2015

15984-434: The new caliph. Lugard abolished the caliphate but retained the title sultan as a symbolic position in the newly organized Northern Nigeria Protectorate . This remnant became known as " Sokoto Sultanate Council ". In June 1903, the British defeated the remaining northern forces of Attahiru. By 1906, all resistance to British rule had ended. On 1 January 1914, the British formally united the Southern Nigeria Protectorate and

16132-514: The north , Chad in the northeast , Cameroon in the east , and Benin in the west . Nigeria is a federal republic comprising 36 states and the Federal Capital Territory , where its capital, Abuja , is located. The largest city in Nigeria is Lagos , one of the largest metropolitan areas in the world and the largest in Africa . Nigeria has been home to several indigenous pre-colonial states and kingdoms since

16280-579: The north, the incessant fighting amongst the Hausa city-states and the decline of the Bornu Empire allowed the Fulani people to gain headway into the region. Until this point, the Fulani, a nomadic ethnic group, primarily traversed the semi-desert Sahelian region north of Sudan with cattle and avoided trade and intermingling with the Sudanic peoples. At the beginning of the 19th century, Usman dan Fodio led

16428-516: The official Nigerian government side attacked Biafra on 6 July 1967, at Garkem. The 30-month war, with a long blockade of Biafra and its isolation from trade and international relief, ended in January 1970. Estimates of the number of dead in the former Eastern Region during the 30-month civil war range from one to three million. Britain and the Soviet Union were the main military backers of

16576-400: The organization and policies of the national health system, patients may be required to see a primary care provider for a referral before they can access secondary care. In countries that operate under a mixed market health care system, some physicians limit their practice to secondary care by requiring patients to see a primary care provider first. This restriction may be imposed under

16724-544: The patient. There are generally five primary methods of funding health care systems : In most countries, there is a mix of all five models, but this varies across countries and over time within countries. Aside from financing mechanisms, an important question should always be how much to spend on health care. For the purposes of comparison, this is often expressed as the percentage of GDP spent on health care. In OECD countries for every extra $ 1000 spent on health care, life expectancy falls by 0.4 years. A similar correlation

16872-516: The plotters struggled to form a central government. Senate President Nwafor Orizu handed over government control to the Army , under the command of another Igbo officer, Major General Johnson Aguiyi-Ironsi . Later, the counter-coup of 1966, supported primarily by Northern military officers, facilitated the rise of Yakubu Gowon as military head of state. Tension rose between north and south; Igbos in northern cities suffered persecution and many fled to

17020-473: The policy address recommended the establishment of a primary health care development steering committee to comprehensively review the planning of primary health care services and provide community medical services through regional medical and social cooperation. The 2018 policy address proposed the establishment of the first district health centre and promoted the establishment of district centre in other districts. The Hong Kong Food and Health Bureau established

17168-553: The prevention of transmissible diseases. They also include the services of professionals in residential and community settings in support of self-care , home care , long-term care , assisted living , treatment for substance use disorders among other types of health and social care services. Community rehabilitation services can assist with mobility and independence after the loss of limbs or loss of function. This can include prostheses , orthotics , or wheelchairs . Many countries are dealing with aging populations, so one of

17316-577: The priorities of the health care system is to help seniors live full, independent lives in the comfort of their own homes. There is an entire section of health care geared to providing seniors with help in day-to-day activities at home such as transportation to and from doctor's appointments along with many other activities that are essential for their health and well-being. Although they provide home care for older adults in cooperation, family members and care workers may harbor diverging attitudes and values towards their joint efforts. This state of affairs presents

17464-513: The projected deficit of primary care physicians needed to ensure care for insured Americans. According to the Association of American Medical Colleges (AAMC), without the ACA, the United States would have been short roughly 64,000 physicians by 2020; with the implementation of the ACA, it will be 91,000 physicians short. According to the AAMC's November 2009 physician work force report, nationally,

17612-495: The protectorates. Under Britain's policy of indirect rule and validation of Islamic legitimist tradition, the Crown did not encourage the operation of Christian missions in the northern, Islamic part of the country. By the mid-20th century following World War II , a wave for independence was sweeping across Africa, in response to the growth of Nigerian nationalism and demands for independence, successive constitutions legislated by

17760-448: The provision of essential primary care as an integral component of an inclusive primary healthcare strategy. Primary care involves the widest scope of healthcare, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health , and patients with all manner of acute and chronic physical, mental and social health issues, including multiple chronic diseases . Consequently,

17908-430: The rate of physicians providing primary care is 79.4 physicians per 100,000 residents. Primary healthcare results in better health outcomes, reduced health disparities , and lower spending, including on avoidable emergency department visits and hospital care. That said, primary care physicians are an important component in ensuring that the healthcare system as a whole is sustainable. However, despite their importance to

18056-573: The region Slave Coast . Europeans traded goods with peoples at the coast; coastal trade with Europeans also marked the beginnings of the Atlantic slave trade . The port of Calabar on the historical Bight of Biafra (now commonly referred to as the Bight of Bonny) became one of the largest slave-trading posts in West Africa in this era. Other major slaving ports were located in Badagry , Lagos on

18204-727: The resettlement of slaves freed by Britain in North America after the American Revolutionary War . Britain intervened in the Lagos kingship power struggle by bombarding Lagos in 1851, deposing the slave-trade-friendly Oba Kosoko , helping to install the amenable Oba Akitoye and signing the Treaty between Great Britain and Lagos on 1   January 1852. Britain annexed Lagos as a crown colony in August 1861 with

18352-536: The return to civilian rule putting in place measures to ensure that political parties had broader support than witnessed during the first republic. In 1979, five political parties competed in a series of elections in which Alhaji Shehu Shagari of the National Party of Nigeria (NPN) was elected president. All five parties won representation in the National Assembly. On 1 October 1979, Shehu Shagari

18500-431: The role of mid-level practitioners like physician assistants and nurse practitioners to enhance the primary care workforce. The PPACA is projected to increase patient demand for primary care services. By adopting new patient care delivery models that include physicians working in tandem with physician assistants and nurse practitioners, the demand for future primary care services could be met. Consumer surveys have found

18648-527: The same time, any relaxation of gatekeeping should be carefully evaluated to ensure the clinical and non-clinical benefits outweigh the costs ". As of 2012, there were about six primary care professional societies in the United States , including American College of Physicians , American Academy of Family Physicians , the Society of General Internal Medicine , the American Academy of Pediatrics ,

18796-528: The second millennium BC, with the Nok civilization in the 15th century BC marking the first internal unification. The modern state originated with British colonialization in the 19th century, taking its present territorial shape with the merging of the Southern Nigeria Protectorate and the Northern Nigeria Protectorate in 1914. The British set up administrative and legal structures while practicing indirect rule through traditional chiefdoms . Nigeria became

18944-587: The separatist Ambazonia ) 1,690 km or 1,050 mi. Its coastline is at least 853 km (530 mi). Nigeria lies between latitudes 4° and 14°N , and longitudes 2° and 15°E . The highest point in Nigeria is Chappal Waddi at 2,419 m (7,936 ft). The main rivers are the Niger and the Benue , which converge and empty into the Niger Delta . This is one of the world's largest river deltas and

19092-566: The services they provide are free for insured persons when POZ has a contract with the National Health Fund . Primary health care ( Russian : Первичная медико-санитарная помощь ) in the Russian Federation is free (as part of territorial compulsory health insurance programs ). Primary health care includes measures for the prevention, diagnosis, treatment of diseases and conditions, medical rehabilitation, monitoring

19240-485: The state of health. For a health care center to become a primary care provider, it must also provide care for its health visitor and midwife. Since 2007, only General Practitioners, doctors undergoing specialization in family medicine, and doctors who have previously acquired the right to create an active list due to seniority in POZ before 2007 can be doctors creating active primary care lists. The currently pending proposals of

19388-410: The terms of the payment agreements in private or group health insurance plans. In other cases, medical specialists may see patients without a referral, and patients may decide whether self-referral is preferred. In other countries patient self-referral to a medical specialist for secondary care is rare as prior referral from another physician (either a primary care physician or another specialist)

19536-454: The threshold of power in the country. As oil production and revenue rose, the Nigerian government became increasingly dependent on oil revenues and international commodity markets for budgetary and economic concerns. The coup in July 1975 , led by Generals Shehu Musa Yar'Adua and Joseph Garba , ousted Gowon, who fled to Britain. The coup plotters wanted to replace Gowon's autocratic rule with

19684-626: The use of medical services, the efficacy of treatments, and overall outcome (well-being, mortality rates). Health care extends beyond the delivery of services to patients, encompassing many related sectors, and is set within a bigger picture of financing and governance structures. A health system , also sometimes referred to as health care system or healthcare system , is the organization of people, institutions, and resources that deliver health care services to populations in need. The healthcare industry incorporates several sectors that are dedicated to providing health care services and products. As

19832-661: The use of medical services, the efficacy of treatments, and overall outcome (well-being, mortality rates). Health systems are the organizations established to meet the health needs of targeted populations. According to the World Health Organization (WHO), a well-functioning healthcare system requires a financing mechanism, a well-trained and adequately paid workforce , reliable information on which to base decisions and policies , and well-maintained health facilities to deliver quality medicines and technologies. An efficient healthcare system can contribute to

19980-413: The war, Nigeria enjoyed an oil boom in the 1970s, during which the country joined OPEC and received huge oil revenues. Despite these revenues, the military government did little to improve the standard of living , help small and medium businesses, or invest in infrastructure. As oil revenues fueled the rise of federal subsidies to states, the federal government became the centre of political struggle and

20128-551: The waters of this country". In August 1983, Shagari and the NPN were returned to power in a landslide victory, with a majority of seats in the National Assembly and control of 12 state governments. But the elections were marred by violence, and allegations of widespread vote-rigging and electoral malfeasance led to legal battles over the results. There were also uncertainties, such as in the first republic, that political leaders may be unable to govern properly. The 1983 military coup d'état

20276-475: The widespread cultivation of agricultural products, such as the palm, for use in European industry. The slave trade continued after the ban, as illegal smugglers purchased slaves along the coast from native slavers. Britain's West Africa Squadron sought to intercept the smugglers at sea. The rescued slaves were taken to Freetown , a colony in West Africa originally established by Lieutenant John Clarkson for

20424-401: The work of health professionals who act as a first point of consultation for all patients within the health care system . The primary care model supports first-contact, accessible, continuous, comprehensive and coordinated person-focused care. Such a professional would usually be a primary care physician , such as a general practitioner or family physician . Another professional would be

20572-558: The world, about two million, was concentrated in the territories of the Sokoto Caliphate . The use of slave labour was extensive, especially in agriculture. By the time of its break-up in 1903 into various European colonies, the Sokoto Caliphate was one of the largest pre-colonial African states. A changing legal imperative (the outlawing of the Atlantic slave trade in 1807) and economic imperative (a desire for political and social stability) led most European powers to support

20720-529: Was a coalition of conservative parties: the Northern People's Congress led by Sir Ahmadu Bello , a party dominated by Muslim northerners, and the Igbo and Christian-dominated National Council of Nigeria and the Cameroons led by Nnamdi Azikiwe . The opposition consisted of the comparatively liberal Action Group , which was largely dominated by the Yoruba and led by Obafemi Awolowo . An imbalance

20868-657: Was abolished soon after colonialism. Nigeria gained a degree of self-rule in 1954, and full independence from the United Kingdom on 1 October 1960, as the Federation of Nigeria with Abubakar Tafawa Balewa as its Prime Minister , while retaining the British monarch , Elizabeth II , as nominal head of state and Queen of Nigeria . Azikiwe replaced the colonial governor-general in November 1960. At independence,

21016-686: Was accomplished without intermediate bronze production. Some have suggested the technology moved west from the Nile Valley . But the Iron Age in the Niger River valley and the forest region appears to predate the introduction of metallurgy in the upper savanna by more than 800 years, as well as predating it in the Nile Valley. More recent research suggests that iron metallurgy was developed independently in sub-Saharan Africa . The Nok civilization thrived between 1,500 BC and AD 200. It produced life-sized terracotta figures that are some of

21164-403: Was coordinated by key officers of the Nigerian military and led to the overthrow of the government and the installation of Major General Muhammadu Buhari as head of state. The military coup of Muhammadu Buhari shortly after the regime's re-election in 1984 was generally viewed as a positive development. In 1985, Ibrahim Babangida overthrew Buhari in a coup d'état. In 1986, Babangida established

21312-412: Was created in the polity as the result of the 1961 plebiscite . Southern Cameroons opted to join the Republic of Cameroon while Northern Cameroons chose to join Nigeria. The northern part of the country became larger than the southern part. The disequilibrium and perceived corruption of the electoral and political process led to two military coups in 1966. The first coup was in January 1966 and

21460-583: Was led mostly by soldiers under Majors Emmanuel Ifeajuna (of the Igbo tribe), Chukwuma Kaduna Nzeogwu ( Northerner of Eastern extraction) and Adewale Ademoyega (a Yoruba from the West). The coup plotters succeeded in assassinating Sir Ahmadu Bello and Sir Abubakar Tafawa Balewa alongside prominent leaders of the Northern Region and Premier Samuel Akintola of the Western Region , but

21608-418: Was popular and built around his image as a staunch anti-corruption fighter—he won the election by over two million votes. Observers generally praised the election as being fair. The election marked the first time an incumbent president had lost re-election in Nigeria. In the 2019 presidential election , Buhari was re-elected. Four candidates vied for the presidency in the 2023 presidential election . For

21756-507: Was sworn in as the first President and Commander-in-Chief of the Federal Republic of Nigeria. Obasanjo peacefully transferred power to Shagari, becoming the first head of state in Nigerian history to willingly step down. The Shagari government became viewed as corrupt by virtually all sectors of Nigerian society. In 1983, the inspectors of the state-owned Nigerian National Petroleum Corporation began to notice "the slow poisoning of

21904-501: Was the country's national anthem from 1960 to 1978, as its national anthem, replacing Arise, O Compatriots . Nigeria is located in western Africa on the Gulf of Guinea and has a total area of 923,768 km (356,669 sq mi), making it the world's 32nd-largest country . Its borders span 4,047 kilometres (2,515 mi), and it shares borders with Benin (773 km or 480 mi), Niger (1,497 km or 930 mi), Chad (87 km or 54 mi), and Cameroon (including

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