Question 1 Report
In the city of Lagos, a health team mapped access to clinics in two contrasting wards. Fig. 1 shows that Ward A has paved streets and a formal clinic, whereas Ward B has narrow tracks and a small mobile health point. The investigation is about urban inequality rather than simply total city population. Residents in Ward B report that journeys become difficult during the wet season, when standing water covers paths. City authorities have limited funds and must decide how to improve access fairly.
(a) Identify the ward with the formal clinic in Fig. 1. [1]
(b) Identify two barriers to health care access for residents of Ward B. [2]
(c) Identify three actions that could reduce health inequality between the wards. [3]
(a) The formal clinic is in Ward A. [1]
(b) Ward B has only a mobile health point rather than a formal clinic. Its narrow tracks restrict travel, and standing water can block paths in the wet season. Any two barriers gain credit. [2]
(c) Health inequality could be reduced by building or expanding a permanent clinic in Ward B, improving drainage, and paving or upgrading access routes. Subsidised transport, additional mobile clinics, and more staff and medicine supplies are further valid actions. Any three gain credit. [3]
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