Barriers and facilitators to the delivery of age-friendly health services in Primary Health Care centres in southwest, Nigeria: A qualitative study

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

With the rapid growth of Nigeria’s older population, it has become important to establish age-friendly healthcare systems that support care for older people. This study aimed to explore the barriers and facilitators to the delivery of age-friendly health services from the perspectives of primary healthcare managers in Lagos State, Nigeria.

Method

We conducted 13 key informant interviews including medical officers of health, principal officers of the (Primary Health Care) PHC Board and board members at the state level. Using a grounded theory approach, qualitative data analysis was initially done by rapid thematic analysis followed by constant comparative analysis using Dedoose software to create a codebook. Three teams of two coders each blind-coded the interviews, resolved coding discrepancies, and reviewed excerpts by code to extract themes.

Results

The main barriers to the delivery of age-friendly services included the lack of recognition of older adults as a priority population group; absence of PHC policies targeted to serve older adults specifically; limited training in care of older adults; lack of dedicated funding for care services for older adults and data disaggregated by age to drive decision-making. Key facilitators included an acknowledged mission of the PHCs to provide services for all ages; opportunities for the enhancement of older adult care; availability of a new building template that supports facility design which is more age-friendly; access to basic health care funds; and a positive attitude towards capacity building for existing workforce.

Conclusion

While we identified a number of challenges, these offer opportunities to strengthen and prioritize services for older adults in PHCs and build on existing facilitators. Work is needed to identify and test interventions to overcome these challenges and improve the responsiveness of the PHC system to older adults through the delivery of age-friendly health services in PHCs in Lagos, Nigeria.

Related collections

Most cited references 34

Record: found
Abstract: found
Article: not found

Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

A Tong, P SAINSBURY, J. Craig (2007)

Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.

0 comments Cited 8073 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The burden of disease in older people and implications for health policy and practice.

Martin Prince, Shun-Fan Wu, Yanfei Guo … (2015)

23% of the total global burden of disease is attributable to disorders in people aged 60 years and older. Although the proportion of the burden arising from older people (≥60 years) is highest in high-income regions, disability-adjusted life years (DALYs) per head are 40% higher in low-income and middle-income regions, accounted for by the increased burden per head of population arising from cardiovascular diseases, and sensory, respiratory, and infectious disorders. The leading contributors to disease burden in older people are cardiovascular diseases (30·3% of the total burden in people aged 60 years and older), malignant neoplasms (15·1%), chronic respiratory diseases (9·5%), musculoskeletal diseases (7·5%), and neurological and mental disorders (6·6%). A substantial and increased proportion of morbidity and mortality due to chronic disease occurs in older people. Primary prevention in adults aged younger than 60 years will improve health in successive cohorts of older people, but much of the potential to reduce disease burden will come from more effective primary, secondary, and tertiary prevention targeting older people. Obstacles include misplaced global health priorities, ageism, the poor preparedness of health systems to deliver age-appropriate care for chronic diseases, and the complexity of integrating care for complex multimorbidities. Although population ageing is driving the worldwide epidemic of chronic diseases, substantial untapped potential exists to modify the relation between chronological age and health. This objective is especially important for the most age-dependent disorders (ie, dementia, stroke, chronic obstructive pulmonary disease, and vision impairment), for which the burden of disease arises more from disability than from mortality, and for which long-term care costs outweigh health expenditure. The societal cost of these disorders is enormous.

0 comments Cited 433 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: found

Is Open Access

Grounded theory research: A design framework for novice researchers

Ylona Chun Tie, Melanie Birks, Karen D. Francis (2019)

Background: Grounded theory is a well-known methodology employed in many research studies. Qualitative and quantitative data generation techniques can be used in a grounded theory study. Grounded theory sets out to discover or construct theory from data, systematically obtained and analysed using comparative analysis. While grounded theory is inherently flexible, it is a complex methodology. Thus, novice researchers strive to understand the discourse and the practical application of grounded theory concepts and processes. Objective: The aim of this article is to provide a contemporary research framework suitable to inform a grounded theory study. Result: This article provides an overview of grounded theory illustrated through a graphic representation of the processes and methods employed in conducting research using this methodology. The framework is presented as a diagrammatic representation of a research design and acts as a visual guide for the novice grounded theory researcher. Discussion: As grounded theory is not a linear process, the framework illustrates the interplay between the essential grounded theory methods and iterative and comparative actions involved. Each of the essential methods and processes that underpin grounded theory are defined in this article. Conclusion: Rather than an engagement in philosophical discussion or a debate of the different genres that can be used in grounded theory, this article illustrates how a framework for a research study design can be used to guide and inform the novice nurse researcher undertaking a study using grounded theory. Research findings and recommendations can contribute to policy or knowledge development, service provision and can reform thinking to initiate change in the substantive area of inquiry.

0 comments Cited 267 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Adedoyin O. Ogunyemi:

ORCID: https://orcid.org/0000-0002-6131-0446

Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing

Mobolanle R. Balogun: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – review & editing

Adedayo E. Ojo: Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: ResourcesRole: SoftwareRole: ValidationRole: VisualizationRole: Writing – review & editing

Sarah B. Welch:

ORCID: https://orcid.org/0000-0001-5609-3718

Oluwatosin O. Onasanya:

ORCID: https://orcid.org/0000-0002-4064-7832

Role: Data curationRole: Formal analysisRole: MethodologyRole: ResourcesRole: ValidationRole: Writing – review & editing

Victoria O. Yesufu: Role: Data curationRole: Formal analysisRole: MethodologyRole: SupervisionRole: ValidationRole: Writing – review & editing

Abisola T. Omotayo: Role: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: SoftwareRole: ValidationRole: Writing – review & editing

Lisa R. Hirschhorn:

ORCID: https://orcid.org/0000-0002-4355-7437

Babatunde Adewale: Role: Editor

Journal

Journal ID (nlm-ta): PLoS One

Journal ID (iso-abbrev): PLoS One

Journal ID (publisher-id): plos

Title: PLOS ONE

Publisher: Public Library of Science (San Francisco, CA USA )

ISSN (Electronic): 1932-6203

Publication date (Electronic): 19 March 2024

Publication date Collection: 2024

Volume: 19

Issue: 3

Electronic Location Identifier: e0288574

Affiliations

[1 ] Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria

[2 ] Department of Internal Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria

[3 ] Department of Epidemiology and Global Health, University Medical Centre, Utrecht University, Utrecht, The Netherlands

[4 ] Buehler Center for Health Policy and Economics, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America

[5 ] Robert J Havey Institute for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America

[6 ] Lagos State Ministry of Health, Nigeria

[7 ] Lagos State Sports Commission, Nigeria

[8 ] Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America

Nigerian Institute of Medical Research, NIGERIA

Author notes

Competing Interests: The authors have declared that no competing interests exist.

‡ OOO, VOY, and ATO also contributed equally to this work.

* E-mail: aoogunyemi@ 123456cmul.edu.ng

Author information

Adedoyin O. Ogunyemi https://orcid.org/0000-0002-6131-0446

Sarah B. Welch https://orcid.org/0000-0001-5609-3718

Oluwatosin O. Onasanya https://orcid.org/0000-0002-4064-7832

Lisa R. Hirschhorn https://orcid.org/0000-0002-4355-7437

Article

Publisher ID: PONE-D-23-19632

DOI: 10.1371/journal.pone.0288574

PMC ID: 10950227

PubMed ID: 38502650

SO-VID: 8a8edaf5-40a4-4ab3-b484-e345244d8632

License:

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

Date received : 30 June 2023

Date accepted : 7 February 2024

Page count

Figures: 0, Tables: 2, Pages: 16

Funding

Funded by: Robert J. Havey, MD Institute for Global Health’s catalyzer fund at Northwestern University

Award Recipient :

ORCID: https://orcid.org/0000-0002-4355-7437

Lisa R. Hirschhorn

-LRH -(No award number) -Robert J. Havey, MD Institute for Global Health’s catalyzer fund at Northwestern University, Feinberg School of Medicine https://www.globalhealth.northwestern.edu/-The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Custom metadata

Data Availability Data cannot be shared publicly because of the possibility of violating participant’s privacy. Data are available from the Secretary, Health Research Ethics Committee, Institutional Data Access / Ethics Committee (contact via hrec@ 123456cmul.edu.ng ) for researchers who meet the criteria for access to confidential data.

Barriers and facilitators to the delivery of age-friendly health services in Primary Health Care centres in southwest, Nigeria: A qualitative study

Read this article at

Abstract

Background

Method

Results

Conclusion

Related collections

PLOS Global Public Health

Most cited references 34

Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

The burden of disease in older people and implications for health policy and practice.

Grounded theory research: A design framework for novice researchers

Author and article information

Contributors

Journal

Affiliations

Author notes

Author information

Article

History

Page count

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 78

Most referenced authors 312