Factors Affecting Utilization Of Health Care Services

Factors Affecting Utilization Of Health Care Services

Preface

Differences in health status, grounded on indicators similar as child mortality, youthful and child mortality and motherly mortality, between advanced countries and developing countries have witnessed literal attestation. Within the developing countries, the miracle has shown aggravation as we move from civic to pastoral areas. Unfortunately, the causes of this disturbing reality are ails that can be treated and deaths that can be averted by simple interventions but for which unhappy structures have constituted a stumbling block. In order to justify the quantum of plutocrat spent on health and the number of workers employed, serious attention is needed in perfecting quality of healthcare services while containing costs and also in planning of health care conditioning and carrying out effective operation functions relating to health care delivery systems( HCDS).

This can not be done outside the imperatives of application. This is because application is the most exertion- related problem, being consumer- acquainted with different confines in requirements, comprehensions and knowledge. To the extent that application entails the cooperation and assignation of people outside the health system crystallizes the magnitude of the problem. Indeed, application as a major factor in planning any health care delivery system is validated by once and contemporary situations around the world. At the commencement of HFA/ 2000, WHO had advised that its pretensions, support conditioning, operation and perpetration may be inapplicable if they aren’t tuned towards maximum application. In the United States of America, hospitals and affiliated health installations bear formal application review procedures as condition for participation under health plans and some kind of application review process in each institution seeking delegation. In the United Kingdom, the comprehensive National Health Scheme( NHS) is structured to insure equity and encourage all ingredients to seek the use of services. Indeed in the intolerance period in South Africa, the health sector enjoyed racism by reconstructing health services along the principles of availability, affordability, adequacy, equity and efficacity. In developing countries, attempts have been directed towards promoting application particularly among the pastoral populations but success has been limited. Free medical services as a means of perfecting application through the elimination of fiscal walls has formed a major issue of political activism. Success in this direction has been limited due to unhappy structures that affect from not tuning planning and operation conditioning towards application, a situation compounded by other being problems including

Rapid population growth

adding demand for health services against abating coffers

Faulty allocation of limited coffers

Internal inefficiency of government health care programs and health services.

Poor quality of private health care services

shy support infrastructural installations like water, electricity and good roads.

These problems have redounded in unhappy structures, defective allocation of coffers and incongruent staff scheduling which would not have arisen if implicit application had formed the bases upon which the establishment of the installations were originally depended. This situation is a call to restructuring which can only be eased byx-raying the relationship between distribution of coffers, health problems and patterns of application whereby linked determinants would reveal the services to be handed for the growing population as well as their magnitude.

Application of service is the factual content and it’s distributed into itinerant medical care services( inpatient and home); inpatient services( sanitarium); and preventative services. To achieve optimal situations of application, all the three orders must matriculate the cooperation and action of the population as well as those of the health service providers. Heretofore, the supposition has been that the Health Ministry and other providers of health services knew the demand on their coffers, upon which planning was grounded, by the number of people that demand services. There’s at present adding substantiation, especially in the developing world, that numerous further who essay to gain similar services aren’t getting them for a number of reasons. In Nigeria, particularly in Kwara State, the distinction between what the situations of health care application are and what they ought to be is fluently perceptible. This underlines current sweats in relating application to coffers as well as to history and present planning sweats. It has been said that there’s need to review planning sweats and their felicitousness, especially when viewed from the environment of application of health care services.