Utilization of Primary Health Care Facilities: Lessons from a Rural Community in Southwest Nigeria
Niger. j. med. (Online)
; 17(1): 98-106, 2008.
Artigo
em Inglês
| AIM (África)
| ID: biblio-1267235
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
This study assessed service/organisational factors and clients' perceptions that influenced utilisation of Primary Health Care (PHC) facilities in a rural community in Nigeria.Method:
A cross-sectional household survey in the community as well as key-informant interviews of opinion leaders and health care providers and participant observations of health facilities and utilisation pattern was used to collect data.Results:
Forty-four percent of respondents to the survey who were ill in the preceding six months visited a PHC facility for treatment; while others relied on self-medication/self-treatment. Education was positively associated with utilisation of PHC services (P0.05). Maternal and child health (45.4); prompt attention (23.0); and appropriate outpatient (20.5) services attracted respondents to use PHC services. Poor education about when to seek care; poverty; perceived high cost of PHC services; lack of drugs and basic laboratory services; and a regular physician on site at the facility were identified as barriers to utilisation.Conclusion:
We conclude that community perceptions of poor quality and inadequacy of available services was responsible for low use of PHC services
Buscar no Google
Base de dados:
AIM (África)
Assunto principal:
Atenção Primária à Saúde
/
População Rural
/
Instalações de Saúde
Tipo de estudo:
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
/
Pesquisa de implementação
Idioma:
Inglês
Revista:
Niger. j. med. (Online)
Ano de publicação:
2008
Tipo de documento:
Artigo