Social Determinants of Health among Health Workers in a Tertiary Health Institution in Anambra State, Nigeria: A Pilot Study

Abstract

Background
 Social determinants of health (SDH) are a critical theme for health equality for Nigeria. Nigeria is one of the countries in the world which is far from achieving targets of 2030 SDG 3 due to this inequity in health.
 Methods
 This is a cross-sectional pilot survey designed to collect information about the SDH, strengths, challenges and perceived areas to be addressed among different cadres of healthcare workers at the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH) Awka in the South eastern part of Nigeria. This is a cross-sectional pilot survey among the different cadres of healthcare workers.
 Results
 The elements of SDH are vital for the continuing well-being of health workers because of their role in attending to the totality of their community. From our study, two elements of SDH (family and physical activity) had the greatest level of confidence (44% and 26% respectively), while the justice system (police and the legal issues) had the lowest areas of confidence (2% each), but the greatest strength of the community were found in education (70%) and family (58%).
 Conclusions
 Policies in general need to be implemented to address the economic instability in order to yield positive outcomes towards education, security of lives and property, food security and affordable healthcare and transportation. Reducing health inequities in Nigeria will depend on a focus addressing the social circumstances of individuals, families and communities using equity-based approaches on the broader structural environment. The role of formal and informal educational strategies will be beneficial in the highlighted social, economic and political factors from this study.