• Users Online: 367
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 194-200

Examining key issues with the utilization and quality of services in primary healthcare facilities in Rural and Urban areas in Nigeria


1 Department of Health Administration and Management, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria
2 Department of Health Administration and Managemen; Health Policy Research Group, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria
3 Department of Health Administration and Management; Health Policy Research Group; Department of Pharmacology & Pharmaco-therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria

Correspondence Address:
E Etiaba
Department of Health Administration and Management, College of Medicine, University of Nigeria, Enugu Campus
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4314/jcm.v23i2.5

Rights and Permissions

Background: Utilization and quality of services in primary healthcare (PHC) facilities in Nigeria are a source of concern due to the essential role of primary healthcare in providing key health care services and achieving universal health coverage. Objective: This study examined the perception of service users on utilization and quality of services in rural and urban areas of south east Nigeria. Methods: A cross sectional quantitative survey was conducted in one rural and one urban local government area in southeast Nigeria; in eight (8) PHC facilities. A pre-tested interviewer - administered questionnaire was used to collect data on utilization and perceived quality of services. Data was analyzed with SPSS Version 16. Results: Most visits (86.6%) to facilities were for outpatient services. Antenatal care (27.2%) and child health services (23.0%) were the predominant services in urban and rural areas. Educational level, being married, purpose of visit and attending health worker were all associated with utilization while affordability, waiting time, presence of a doctor and laboratory services were positively associated with perception of quality. Conclusion: This study indicates that utilization of healthcare at PHC facilities was sub-optimal for key healthcare services. Underlying health system challenges must be addressed with appropriate recommended reforms if the utilization and quality of services at PHC facilities will be significantly improved.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed52    
    Printed12    
    Emailed0    
    PDF Downloaded16    
    Comments [Add]    

Recommend this journal