Perception and utilization of public health services in Southeast Nigeria: Implication for health care in communities with different degrees of urbanization

Onyeneho, Nkechi G.; Amazigo, Uche; Njepuome, N; Nwaorgu, O. C.; Okeibunor, Joseph

doi:10.1186/s12939-016-0294-z

Cited by 35 publications

(42 citation statements)

References 17 publications

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“…This finding is different from a study conducted in South Africa where the majority of the respondents were above 45 years of age ( 6 ). However, the finding is similar with a study conducted in Southeastern Nigeria ( 10 ). In addition, the majority were educated and civil servants.…”

Section: Discussionsupporting

confidence: 90%

Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria

Agofure¹,

Elizabeth²

2017

Ethiop J Health Sci

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BackgroundPrimary health care was designed to provide accessible health care for all. However, most primary health care facilities are in various states of disrepair, catering for less than 20% of potential patients in the population. This study was designed to investigate the utilisation of primary health care services in Jaba Local Government Area of Kaduna State Nigeria.MethodsThe study employed a cross-sectional study design conducted among 383 respondents utilising simple random sampling techniques. A pretested semi-structured questionnaire was administered to obtain information from respondents, while descriptive statistics was used to analyse the data.ResultsThe results show that almost all of the respondents, 333(97.90%), were aware of the existence of primary health care services in their community. Furthermore, the majority of the respondents, 304(89.40%), utilized primary health care services while 293(86.20%) and 212(62.40%) were satisfied with the amount of charges for services and the supply of drugs respectively. According to the respondent, weak services in primary health care includes; personal hygiene and nutritional education, management of chronic diseases and cancer screening. Factors that influence the utilization of primary health care services according to the respondents were availability of trained personnel (AOR=1.828 95% CI=0.410–1.672), attitude of staffs (AOR=1.114 95% CI=0.527–2.355), waiting times (AOR=1.110 95% CI=0.584–2.224) and availability of diagnostic services (AOR=0.951 95% CI=0.472–1.918).ConclusionThe study highlighted the weaknesses in some of the services offered at the various primary health centres and the factors which can hinder the residents from patronizing primary health care services.

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Section: Discussionsupporting

confidence: 90%

Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria

Agofure¹,

Elizabeth²

2017

Ethiop J Health Sci

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“…21 Besides, a Nigerian study had shown that utilization of health services was higher when the perceived quality was good. 11 This is important in Nigeria and other countries where health services are "essentially consumer goods" paid for largely through out-of-pocket mechanisms and as such clients should therefore get maximum value for money spent. Furthermore, the quality of service may in part determine the choice between orthodox and non-orthodox providers.…”

Section: Discussionmentioning

confidence: 99%

“…Clients with a good perception of the quality of health service provided, rated and patronized them more (p < 0.001). 11 A study of waiting time and service satisfaction at antenatal clinics in Ile-Ife reported that only 55% of the women were satisfied with the quality of antenatal care received. There was prolonged waiting and transit times for the clients.…”

Section: Introductionmentioning

confidence: 99%

A Community-based assessment of quality of health care received and client satisfaction in Lagos, Nigeria

Akinyinka

Oluwole

Odusanya

2019

Preprint

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BackgroundQuality of health care and client satisfaction are key elements in improving the performance of health systems. A community-based assessment was conducted to determine the level of client satisfaction and the perception of the quality of services received by citizens of Lagos State. MethodologyA descriptive cross-sectional study using both quantitative and qualitative methods, was conducted in four local government areas of Lagos state selected by multi-stage sampling techniques. The survey instruments included an interviewer-administered, pre-tested questionnaire and a 10-itemed focus group discussion guide. The survey obtained information about quality of the facilities and services. The outcome variables were client satisfaction and service quality. ResultsTwo thousand respondents were recruited with a mean age of 37.6±10.21 years. Almost all respondents (98%) rated the health facilities to be clean, 96% felt they received effective treatment from their providers. Six out of ten respondents rated the waiting time to be short and 60% felt that most drugs were available. Eight-five percent opined that the quality of care received was good and 95% were satisfied with the services received. There was a significant correlation between quality of care and client satisfaction ( r=0.145, p=0.001). Service factors such as perceived effectiveness of treatment received, confidence in health providers and use of higher level of health care were predictive of client satisfaction and good service quality. ConclusionMost clients were satisfied with health services and felt that service quality was good.

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“…Some studies have highlighted the social, cultural, and health system constraints to the use of health facilities [ 16 ]. Health workers’ attitudes and behaviour towards pregnant women and attitudes towards specific services offered can also potentially deter women from accessing ANC at health facilities [ 33 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…The findings here confirm the arguments in the health belief model, and one can conclude that pregnant women in Anambra State would adopt anaemia preventive measures if these measures were available and if they are sufficiently educated on the values of these measures. However, the health workers who should educate and encourage the women to make optimal use of the focused antenatal care services are themselves short of world expected standards [ 41 ]. The health workers also need to be trained on appropriate communication skills that will ensure they play their roles as facilitators on the use of focused antenatal care services positioned to control anaemia during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria

Onyeneho

Igweonu

2016

J Health Popul Nutr

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BackgroundAnaemia during pregnancy continues to constitute significant challenge to maternal health in Nigeria and contributes substantially to the worsening maternal mortality ratio (MMR) in Nigeria despite a global reduction in MMR in response to effort to improve safe motherhood. The incidence of anaemia during pregnancy is still high (>40 %) in Nigeria, and attitudes and management practices are yet unclear as the peoples’ understanding of the phenomenon remains unclear. This study explored the perceptions/attitudes on anaemia during pregnancy and practices to prevent and/or manage it in Anambra State.MethodsIn-depth interview and focus group discussion data were collected from health workers and mothers who delivered within 6 months preceding the study and from mothers and husbands of women who delivered within 6 months preceding the study, respectively.ResultsThe people expressed some knowledge of anaemia, being common in pregnancies. However, some expressed the view that anaemia being a typical sign of pregnancy cannot be prevented. Some mothers expressed desire for focused antenatal care services to control anaemia but lamented the attitude of the health workers, who make access to these interventions difficult.ConclusionsControl of anaemia in pregnancy should start with providing health education to pregnant women and their partners, who reinforce what the women are told during antenatal care, and with training health workers for friendlier attitudes to clients.

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Perception and utilization of public health services in Southeast Nigeria: Implication for health care in communities with different degrees of urbanization

Cited by 35 publications

References 17 publications

Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria

Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria

A Community-based assessment of quality of health care received and client satisfaction in Lagos, Nigeria

Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria

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