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The study examined the influence of primary Health Care delivery services on the health status of rural dwellers in Abia State Nigeria. A sample size of 120 respondents selected via multi-stage random sampling technique was used. in selecting .Primary data generated using structured questionnaire and Focus Group Discussion were analyzed using descriptive statistics such as frequency counts, percentages, means, pooled means, and KAP analysis respectively. Result showed a mean age of 25 years, 58.3% were male, and 75% were married. About 61.0% had secondary education, 58.3% were farmers/traders, and earned mean monthly income of N48, 250.00 and had a mean household size of 4 persons respectively. Majority (50.0%) owed water system toilets, and 58.3% sourced their drinking water from boreholes, 75.0% fed 3 2 meals/day and 83.3% were not registered with NHIS. Result further showed high (X = 3.03) level of awareness on seven out of eight PHC delivery service packages in the study area. There was also high level of utilization on immunization (X= 3.00) and moderate level of utilization on treatment for malaria, prevention/ treatment of communicable diseases, family planning/ HIV and AIDS, maternal / child health care, public health education and environmental health education respectively. The KAP analysis showed the Knowledge, Attitude, and Practice Levels of the respondents towards these PHC activities and interventions influenced their health status positively in the study area.
Journal of Medicine & Biomedical Sciences
Perceptions and factors affecting utilization of health services in a rural community in Southern Nigeria2014 •
Good utilization of health services improves the health status of the population. However, the presence of health facilities alone is not enough to guarantee use as other socioeconomic factors could influence access and utilization. This study assessed the community perceptions and factors affecting the utilization of health services in a rural community in Southern Nigeria. A descriptive cross-sectional study was carried out in Anegbette, a rural community in Etsako Central Local Government Area (LGA) of Edo State, Nigeria in 2011. Data was obtained through a structured, interviewer-administered questionnaire administered to adult respondents in two selected settlements in Anegbette using cluster sampling method. Over three-quarters of respondents, 219 (76.8%) utilized the health facilities. There was no statistical significant association in the utilization of health services with regard to gender (p=0.889, OR=1.04; 0.55-2.00), educational level (p=0.707, OR=1.16; 0.50-2.79) and age (p=0.839, OR=0.94; 0.51-1.72). Community perceptions of poor quality and inadequacy of available services, however, determined largely the level of use of the primary health care facility. The utilization of the primary health facility was good, community perceptions of poor quality and inadequacy of available services were identified barriers to satisfactory use of primary health services. Identified barriers to access and effective use of qualitative health care services in rural communities should be tackled by the relevant Local Government and State health authority.
Introduction: Primary health care, though supposed to be the bedrock of the country`s health care policy, is catering for less than 20% of the potential beneficiaries. This study is aimed at looking at the current status in primary health care services in rural communities in Nigeria, the gaps in services and possible ways to address them. Methods: Secondary data was obtained from results of search for the National health policy review report 2008, National health and demographic survey, Millennium Development Goal, World and Africa report 2014 and UNDP 2014 report for Nigeria. Results: Nigeria is still short of 2015 Primary Health Care targets with under 5 mortality rate at 94 deaths per 1000 live birth in 2012, maternal mortality at 350 maternal deaths per 100,000 live births and TB burden still at 5.0 per 100,000 in 2012. Challenges include amongst others poor financing, poor strategy and inter-sectorial collaboration. Conclusion: Increase in government funding with good strategy and inter-sectorial collaboration while involving community will help in reducing the present gaps in primary health services. KEYWORDS-Primary health care, rural communities, current status and gaps. Primary Health Care in Nigeria-Current status and gaps in services in rural communities and possible ways to address them.
The year 2000 has passed and clearly we have not attained Health for All. Nowhere is more evident than in the rural and remote communities where most of the World's people lives. The study is focused to determine the influence of rural communities attributes on the implementation of primary health care in Edo North Senatorial District, Nigeria. A descriptive research design of cross sectional type was adopted for the study. A sample of 384 primary health care stakeholders were selected using purposive sampling technique along the six local government areas in Edo north senatorial district of Nigeria. Researcher designed questionnaire was used for data collection after been validated by three experts in the field of health education. A reliability correlation coefficient of 0.74 was obtained using Pearson product moment correlation from the scores of the two administrations. Questionnaires were administered with the help of three research assistants. Five research hypotheses were formulated and tested using chi-square inferential statistic at 0.05 alpha level of significance. The findings of the study showed that social amenities, homogeneity of population, poverty, cultural beliefs and illiteracy have significant influence on the implementation of primary health care. It was concluded that the lack of social amenities, homogeneity of population, cultural/superstitious beliefs, poverty and illiteracy should be taken into consideration in planning and implementation of primary health care in rural communities of Edo north senatorial district of Nigeria. The researchers recommended among others that government should alleviate the poverty of rural communities through the provision of basic amenities and heightened health education to raise health literacy at all levels
Effective healthcare delivery in each country remains one of the parameters for ascertaining the country’s level of development. Today countries in developed countries have better functioning health care delivery systems compared to those in developing countries such as Nigeria. Hence, the standard of health care delivery in Nigeria pre and post-independence has not effectively performed to meet the health needs of its growing population especially those in rural areas. In fact, extant reviews of literature further justify the wide lacuna in health care channelled to rural areas as against the urban centres in the country. Therefore, this conceptual paper discusses healthcare delivery in rural Nigeria. Issues such as inadequate health workforce, complex health care systems, poor health financing mechanisms, poor quality of care, unavailability of drugs and vaccines are discussed in this paper pre and post-independence. The paper depicts that the Nigerian government shows greater att...
Ibadan Journal of Sociology
Healthcare Delivery and Health Systems Development in Rural Nigeria: An Overview2019 •
Effective healthcare delivery in each country remains one of the parameters for ascertaining the country's level of development. Today countries in developed countries have better functioning health care delivery systems compared to those in developing countries such as Nigeria. Hence, the standard of health care delivery in Nigeria pre and post-independence has not effectively performed to meet the health needs of its growing population especially those in rural areas. In fact, extant reviews of literature further justify the wide lacuna in health care channelled to rural areas as against the urban centres in the country. Therefore, this conceptual paper discusses healthcare delivery in rural Nigeria. Issues such as inadequate health workforce, complex health care systems, poor health financing mechanisms, poor quality of care, unavailability of drugs and vaccines are discussed in this paper pre and post-independence. The paper depicts that the Nigerian government shows greater attention and preference to urban centres as against her largest occupant "rural dwellers"who needs improved care and medical attention. This is implying that healthcare delivery of urban centres grows at a geometric rate while the rural areas receive little or no care. It was also discovered that health delivery in Nigeria is not standardised as multiple providers exist. The paper suggests that adequate funding must be channelled towards rural areas as at utmost priority. More so, health policies/programmes should be designed and implemented in a participatory way for rural settlers.
2019 •
Primary health care (PHC) accelerates timely intervention during and after pregnancy and child birth. According to Olise (2007) the strategy is meant to address the main health problems in the community providing promotive, preventive, curative and rehabilitative services. The PHC has collapsed in Nigeria due to many factors leading to the collapse of the national health system in Nigeria. The evidence include the poor health indicators such as infant mortality rate of 69.4/1000 live births, under 5 mortality rate of 108.8/1000 live births, maternal mortality among others. The situation poses a threat in the nation’s effort at achieving the SDGs. The core objective was to find out factors retarding the accessibility of primary health care services for expectant women among rural communities and to proffer policy recommendations to better health care delivery system. It was an exploratory study and covered all the 16 wards of Ado-Odo/Ota Local Government Area. 112 respondents were ra...
This study aimed at identifying salient factors affecting utilization of public health facilities among rural communities in Yobe State with the view to proposing ways of tackling the emerging factors. The methods employed in the study include administration of interview schedules and key informant interview. A total number of 183 patients/ patients' relatives were interviewed and eight medical and health workers were selected as key informants. The study adopted cross sectional design. This study revealed that poor attitudes of medical and health workers, extortion of money by medical and health workers and fear of arrest/discrimination as salient factors affecting health facility utilization among rural communities. Pregnant women, accident victims and those suffering from other illnesses indicated poor attitudes of medicaland health staff as major reasons for poor utilization of publichealth facilities. Extortion of money was reported in spite of the free medical services introduced by the Yobe State Government for pregnant women, children under the age of five and accident victims (within 3 days of the accident). Accident victims and People Living with HIV/AIDS do not utilize public health facilities for the fear of arrest and discrimination respectively. Establishment of public complaintsunits in all public health centers is recommended.
Journal of Social Sciences (COES&RJ-JSS)
Social-Economic and Cultural Barriers and Primary Health Care Service Delivery in Rural Communities in Abuja, Nigeria2017 •
Babcock University Medical Journal (BUMJ)
A Comparative Study of Predictors of Health Service Utilization among Rural and Urban Areas in Ilorin East Local Government Area of Kwara State2021 •
Objective: Health facilities utilization among Nigerians is affected by access to hospitals and, availability of personnel. This study compared the predictors of health service utilization in rural and urban areas of Ilorin East Local Government Area of Kwara State. Method: A cross-sectional study, involving 250 rural and 250 urban respondents selected through multi-stage sampling techniques. Quantitative data were collected using an interviewer-administered questionnaire. Qualitative data collection was done with an FGD guide. Data were analyzed using SPSS version 16. Chi-square, t-test, and z-test were used to test for significance. The level of significance was set at p < 0.05. Results: The mean age of urban respondents was 37.1±7.9 years and 42.6 ±13.7 years for rural. Utilization among the urban respondents were 71.2%, and 89.2% among rural (z-score = 27.93; p-value = 0.01). Health services factors such as waiting time (Adjusted OR=1.012; p-value=0.989) were ...
The Bekwai Municipality is a Municipality with many rural communities, and greater percentage of its population live in rural communities. There are low levels of healthcare utilization by the rural people in the Bekwai Municipality, and no study has been done in the area to investigate the factors that influence the rate of healthcare utilization in the rural communities. The purpose of this study is to examine the determinants of healthcare utilization by the rural dwellers. The study was conducted in four rural communities in the Bekwai Municipality using a total of 286 household heads selected by systematic sampling as respondents. Data were collected using structured face to-face interviews and questionnaires, and analyzed using percentage and frequency charts, cross tabulation, and multiple (stepwise) regression, and a significance level of .05 was considered. Factors including age, gender, health status, household size, insurance status, education, service quality, attitude of staff, and employment status were found to influence utilization of health care in the rural communities. Also, insurance status was found to have the most significant influence people’s health care utilization. Hypotheses for the study were also clearly justified. Predisposing factors including Education, Age, and Household Size, were all found to have significant influence on utilization of health care by the rural people. Health status was also found to have significant influence on the utilization of health care. Also the hypothesis that education will be more predictive of utilization for males than for females was not rejected. The study demonstrated poor uptake of health care as well as the importance of predisposing, enabling, need and restrictive factors in influencing health care utilization. The study has made recommendations such as promotion of rural communities’ health education, improvement of educational opportunities for rural people, improving services of National Health Insurance Scheme, and effective supervision of health care providers.
The Canadian Journal of Chemical Engineering
Cocurrent downflow circulating fluidized bed (downer) reactors - A state of the art review1995 •
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Diálogos mediados pelas tecnologias, pelos saberes interculturais e pela competência comunicativa2015 •
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Intra-abdominal Hypertension: An Important Consideration for Diuretic Resistance in Acute Decompensated Heart Failure2015 •
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Osteosarcoma metastasising to the duodenum and pancreas2007 •
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Tracheal Reaction to Three Different Intraluminal Stents in an Animal Model of Tracheomalacia2005 •
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Electrochimica Acta
Flexible, large-area, all-solid-state supercapacitors using spray deposited PEDOT:PSS/reduced-graphene oxide2018 •
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Synthesis, characterization, and computational study of copper bipyridine complex [Cu (C18H24N2) (NO3)2] to explore its functional properties2021 •
Nature Genetics
Interplay between whole-genome doubling and the accumulation of deleterious alterations in cancer evolution2020 •
American Journal of Kidney Diseases
Evaluation of disease-state management of dialysis patients2001 •
Proceedings of the 2019 2nd International Conference on Algorithms, Computing and Artificial Intelligence
An Augmented Translation Technique for Low Resource Language Pair2019 •
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