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

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          Abstract

          Background

          Primary 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.

          Methods

          The 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.

          Results

          The 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).

          Conclusion

          The 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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          Most cited references15

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          Is Open Access

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

          Background The relationship between people’s perception and utilization of public health serviceswas investigated. Methods A survey of 840 households across selected urban, peri urban and rural communities, in the Southeast of Nigeria, was conducted using the mixed methods approach. Results Of the nine (9) demographic variables, only the locality and status of the health system (strong or weak in terms of child immunization) was found to influence both the poor rating and utilization of public health services. Individuals from states with strong health system rated relatively higher and used public health services more (p < 0.001), than their counterparts from states with weak health care system. Similarly, those in the urban or peri-urban localities used public health services more (p = 0.013). The two perceptual variables significantly influence the rating and use of public health services. Those with a good perception of the quality of health service provided, rated and patronized them more (p < 0.001). Also, health centres that provide a high number of services enjoyed greater rating and patronage (p < 0.001 and p = 0.0524 respectively). The results of the structured questionnaire survey were confirmed by qualitative enquiry,based on in-depth interviews and focus group discussions. Conclusions It will be necessary to create a more responsive atmosphere in the health facilities, with culturally-sensitive and friendly health workers, and provision of affordable drug to improve the perceptions of the primary health care system, for it to succeed in providing health services for all.
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            Primary health care services in Nigeria: Critical issues and strategies for enhancing the use by the rural communities

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              Health care utilization among rural women of child-bearing age: a Nigerian experience

              Introduction Despite the availability of primary health care services in virtually every community and village in Nigeria, clients travel long distances to reach secondary and tertiary health care institutions. Against this backdrop, the researcher sought to find the factors that influence choice of health institutions among pregnant women. Methods A descriptive study was carried out across three levels of health care institutions with a total sample size of 160 clients who were randomly selected. A thoroughly validated 45- item questionnaire was used to explore clients’ perceptions about what factors influence where they access health care services. Results Major findings revealed that level of education, proximity to place of residence, affordability and quality of services rendered, spousal and significant other's influences were active determinants of choice for health institutions among pregnant women in Nigeria. Conclusion This study elicited information on why some types of institutions were preferred. The study has implications for community health nurses and policy makers on what should be done to make health institutions appropriately utilized by community in Nigeria.
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                Author and article information

                Journal
                Ethiop J Health Sci
                Ethiop J Health Sci
                Ethiopian Journal of Health Sciences
                Research and Publications Office of Jimma University (Jimma, Ethiopia )
                1029-1857
                2413-7170
                July 2017
                : 27
                : 4
                : 339-350
                Affiliations
                [1 ]Department of Public and community Health, College of Health Sciences, Novena University Ogume, Delta State Nigeria
                Author notes

                Funding: Nil

                Competing Interests: The authors declare that this manuscript was approved by all authors in its form and that no competing interest exists.

                Article
                jEJHS.v27.i4.pg339
                10.4314/ejhs.v27i4.5
                5615023
                29217936
                8903409e-193b-404a-aa41-6d37c08ab570
                Copyright © 2017 Stanley C.O.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 9 January 2017
                : 10 January 2017
                Categories
                Original Article

                Medicine
                primary health care services,utilisation,satisfaction,jaba
                Medicine
                primary health care services, utilisation, satisfaction, jaba

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