Factor’s affecting utilization of primary health care facilities

Factor’s affecting utilization of primary health care facilities

Abstract

This study was carried out on the factors affecting application of health care services using Moro LGA, kwara state as case study. To achieve this 4 exploration questions were formulated. The check design was espoused and the simple arbitrary slice ways were employed in this study. The population size comprise of named residers in Guma Local Government Area of Benue State. In determining the sample size, the experimenter accessibly named 123 residers while 100 were returned and validated. tone- constructed and validated questionnaire was used for data collection. The collected and validated questionnaires were anatomized using frequence tables and chance. The result of the findings reveals that the extent to which health care services available in Moro LGA, kwara state is low, more so, the factors affecting the application of health care services in Moro LGA, kwara state include; poverty, capability and propensity to use services, geographic area of hearthstone race and race, disability status, poor vacuity of health care installations, and long staying in the health care centres. And hamstrung association of services or work processes; inadequate outfit, inventories, or structure; shy staffing; and low health worker provocation/ know- do gap are among numerous others the causes for health installation inefficiencies in Moro LGA, kwara state. In regard to the findings, the study recommends that there’s a need to insure that cases have easy access to health care by icing that health labor force are available when demanded. Long waiting times should be discouraged by relating areas in the health care delivery system that’s prone to causing long staying times with a view to developing alternate health systems that will exclude long hours of stay in public installations. This can be achieved by involving consumers of health care in government installations in decision timber process to make the installation more guests acquainted. Also, periodic evaluation of the quality of care handed by the health installations should be conducted where guests of the installation are asked to rate the quality of care. And sweats to further upgrade medical outfit and associated pool chops are demanded to sustainably increase access to and application. In the same manner, the cost of health care services should be reduced in other for the residers to have access to it as at when demanded.

Chapter One

Preface

Background Of The Study

The thing of primary health care( PHC) was to give accessible health for all by the time 2000 and further. Unfortunately, this is yet to be achieved in Nigeria and seems to be unrealistic in the coming decade. The PHC aims at furnishing people of the world with the introductory health services. Though PHC centers were established in both pastoral and civic areas in Nigeria with the intention of equity and easy access, regrettably, the pastoral populations in Nigeria are seriously underserved when compared with their civic counterparts. About two- thirds of Nigerians live in pastoral areas thus they earn to be served with all the factors of PHC.

Quality health is a abecedarian right of all Nigerian citizens. While primary health care( PHC) centers are fairly slightly distributed throughout original government areas( LGAs) in Nigeria, the pastoral people tend to underuse the introductory health services. This composition examines some cross cutting issues in PHC and outlines strategies to enhance the application of health services by pastoral people. The responsibility for immortalizing the being low use of PHC services should be held by PHC policy makers and LGA. Responsible health labor force can make a new social order, grounded on lesser equity and mortal quality, in which health for all by the time 2015, including that of pastoral populations, will no more be a dream but a reality. Capacity structure and commission of communities through exposure, rallying and community association as respects training, information sharing and nonstop dialogue, could further enhance the application of PHC services by pastoral populations.

While utmost PHC installations are in colorful state of seediness, with outfit and structure being either absent or obsolete, the referral system is nearly missing. The thing of the National Health Policy( 1987) is to bring about a comprehensive health care system, grounded on primary health care that’s promotive, defensive, preventative, restorative and rehabilitative to all citizens within the available coffers so that individualities and communities are assured of productivity, social well- being and enjoyment of living. The health services, grounded on PHC, include among other effects education concerning prevailing health problems and the styles of precluding and controlling them, creation of food force and proper nutrition, material and child care, including family planning immunization against the major contagious conditions, forestallment and control of locally aboriginal and epidemic conditions and provision of essential medicines and inventories. The provision of health care at PHC position is largely the responsibility of original governments with the support of state ministries of health hand within the overall public health policy( Nigeria Constitution, 1999). Private medical interpreters also give health care at this position. Although PHC was said to have made important progress in the 1980s, its thing of 90 content was presumably exorbitantly ambitious, especially in view of the profitable strains of structural adaptation that percolated the Nigerian frugality throughout the late 1980s. But numerous transnational patron agencies similar as UNICEF, World Health Organization( WHO) and the United States Aids for International Development,( USAID) embraced the programme and shared laboriously in the design and perpetration of programmes at that position( USAID, 1994). At a stage, utmost of the programmes were patron driven. It wasn’t surprising that at the height of the political extremity in 1993, utmost of them withdrew their backing and the programme started passing interruptions. With the return to republic in 1999, still, primary health care system deteriorated to an inferior position. The vacuity of introductory health services handed by the PHC especially to pastoral areas in a country might be used as a mark to measure the extent of its health position of development. The end of this composition is to describe some strategies which, if enforced, might enhance the proper and timely use of PHC by Nigerian pastoral populations.

Statement Of The Problem

Nigeria, with a population of 170 million, is one of the most vibrant nations but weak in health- care norms. Among the people of Nigeria a vast maturity live in pastoral areas and at most times have access to little or none of the essential introductory amenities. According to the National Primary Health Care Development Agency, Abuja, Nigeria Despite expansive investments, the country still has inadequate healthcare delivery architectures, poor quality health- care services, and inversely distributed mortal resource capacity( Adeniyi 2014). These are reflected in its health- care quality ranking of 187 of 200 countries and listing among countries with some of the worst health pointers in the world. The country has an estimated 23 640 health installations, and85.5 of these are primary health- care installations. Although these installations serve the maturity of the population, they’re unfit to give introductory and cost-effective services, especially in pastoral areas. Adeniyi( 2014) said this poor performance is attributed to colorful factors including inadequately equipped health installations, inadequate staff, lack of easily defined places and liabilities, shy political commitment, and poor responsibility. Quality enhancement at primary health- care installations is critical, still, sweats to address the quality of care as a contributory factor to the country’s poor health issues admit lower attention. It’s in light of this that this study seeks to examine the factor’s affecting application of primary health care installations.

Objects Of The Study

The main end of this study is to assess the factor’s affecting application of primary health care installations. Other objects of this study are

To determine the extent of application of primary health care installations in Nigeria

To examine the factors affecting the application of healthcare services in Moro LGA, kwara state.

Identify the underpinning causes for health installation inefficiencies in Moro LGA, kwara state.

To proffer strategies for enhancing the use of PHC services in Moro LGA, kwara state.

Exploration Question

The following exploration question attendants this study

To what extent is the application of primary health care installations in Nigeria?

What are the factors affecting the application of health care services in Moro LGA, kwara state?

What are the causes for health installation inadequacy in Moro LGA, kwara state?

What are the strategies for enhancing the application of Primary Health Care services in Moro LGA, kwara state?

Significance Of Study

The findings of this study will prop the bodies in charge of primary health care service delivery at these installations as it’ll punctuate the factors affecting the application of health care services in Nigeria. It’ll also help service providers at the installation position in developing strategies and action plans to encourage increased use of the services available. These sweats will help to start the process of enhancing access to health care services, which will ultimately ameliorate the overall health of everyone in Moro LGA.

This study will contribute to the current literature in this field and will also serve as a resource for academics, experimenters, and scholars who may want to do future exploration on this content.

Compass Of Study

This study focuses on assessing the factors affecting the application of primary health care installations. This study will also be concentrated on determining the extent of application of primary health care installations, examining the factors affecting the application of healthcare services, relating the underpinning causes for health installation inefficiencies and proffering strategies for enhancing the use of PHC services.

This study will be using staff of primary health care installations in Moro LGA, kwara state as enrolled actors for the check.

Limitations Of The Study

Finance, shy accoutrements and time constraint were the challenges the experimenters encountered during the course of the study.

This study was also limited to Moro LGA, kwara state therefore further exploration is demanded if this study is to be used any where differently.

Description Of Terms

Primary Health Care( Phc) This is health care handed in the community for people making an original approach to a medical guru or clinic for advice or treatment.