Impediment to the Harnessing of Primary Health Care Services

Innime Righteous

doi:10.56201/ijhpr.vol.5.no3.2020.pg148.156

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Impediment to the Harnessing of Primary Health Care Services

Innime Righteous

Abstract

The study investigated the Impediment to the Harnessing of primary health care services in Okpoko, Ogbaru Local Government Area, Anambra State, with a focus on socioeconomic, health system, cultural, and accessibility factors. The study adopted a descriptive survey research design, targeting a population of 2,500 adult residents, from which a sample of 250 respondents was selected using stratified and simple random sampling techniques. Data were collected using a structured questionnaire comprising demographic information and Likert- scale items measuring factors influencing PHC Harnessing. The study analyzed data using descriptive statistics (frequencies, percentages, and mean scores) and inferential statistics, specifically chi-square (χ2) tests, to examine the relationship between identified Impediment and PHC service Harnessing. Findings revealed that socioeconomic factors, including income, education, and occupation, significantly influenced PHC Harnessing, with higher-income and educated individuals more likely to access services. Health system Impediment, such as shortages of drugs, long waiting times, and poor staff attitudes, were found to discourage service use. Additionally, cultural beliefs and attitudes moderately affected Harnessing, as traditional practices and family influence guided health-seeking behavior. Accessibility factors, including distance, poor road networks, and travel time, were also significant Impediment to PHC Harnessing. Chi-square analysis confirmed a statistically significant relationship between all identified Impediment and the Harnessing of PHC services, leading to the rejection of the null hypothesis. The study concludes that PHC underHarnessing in Okpoko is influenced by a combination of socioeconomic, health system, cultural, and accessibility factors. Recommendations include improving health service delivery, enhancing community awareness, addressing cultural beliefs through engagement, and improving accessibility through infrastructural development. This study contributes to understanding the multifaceted Impediment to PHC Harnessing in rural Nigerian communities and provides practical recommendations for policymakers, health planners, and community stakeholders to enhance access to primary health care and improve health outcomes.

References

Abiodun, O., & Olu-Abiodun, O. (2016). Determinants of childhood immunization in Nigeria. Pan African Medical Journal, 25(1), 1–9. Adedini, S. A., et al. (2014). Role of cultural beliefs in maternal healthcare Harnessing in Nigeria. BMC Pregnancy and Childbirth, 14(1), 1–10. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care. Journal of Health and Social Behavior, 36(1), 1–10. Aregbeshola, B. S., & Khan, S. M. (2018). Out-of-pocket health expenditure and poverty in Nigeria. International Journal of Health Policy and Management, 7(9), 798–806. Atinga, R. A., et al. (2011). Healthcare quality and Harnessing in Ghana. International Journal of Health Care Quality Assurance, 24(2), 123–134. Becker, M. H. (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324–473. Fagbamigbe, A. F., & Idemudia, E. S. (2015). Impediment to antenatal care Harnessing in Nigeria. BMC Pregnancy and Childbirth, 15(1), 1–9. Okeke, T. A., et al. (2016). Challenges facing primary healthcare in Nigeria. Nigerian Journal of Clinical Practice, 19(3), 330–336. Onwujekwe, O., et al. (2010). Inequities in Harnessing of health services in Nigeria. BMC Health Services Research, 10(1), 1–9. World Health Organization (2021). Primary Health Care on the Road to Universal Health Coverage: 2021 Monitoring Report. Geneva: WHO. Abiodun, O., & Olu-Abiodun, O. (2016). Determinants of childhood immunization in Nigeria. Pan African Medical Journal, 25(1), 1–9. Adedini, S. A., et al. (2014). Role of religious leaders in promoting maternal health. BMC Pregnancy and Childbirth, 14(1), 1–10. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care. Journal of Health and Social Behavior, 36(1), 1–10. Aregbeshola, B. S., & Khan, S. M. (2018). Out-of-pocket health expenditure and poverty in Nigeria. International Journal of Health Policy and Management, 7(9), 798–806. Atinga, R. A., et al. (2011). Healthcare quality and Harnessing in Ghana. International Journal of Health Care Quality Assurance, 24(2), 123–134. Becker, M. H. (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324–473. Fagbamigbe, A. F., & Idemudia, E. S. (2015). Impediment to antenatal care Harnessing in Nigeria. BMC Pregnancy and Childbirth, 15(1), 1–9. Okeke, T. A., et al. (2016). Challenges facing primary healthcare in Nigeria. Nigerian Journal of Clinical Practice, 19(3), 330–336. Onwujekwe, O., et al. (2010). Inequities in Harnessing of health services in Nigeria. BMC Health Services Research, 10(1), 1–9. World Health Organization (2021). Primary Health Care on the Road to Universal Health Coverage: 2021 Monitoring Report. Geneva: WHO. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care. Journal of Health and Social Behavior, 36(1), 1–10. Federal Ministry of Health Nigeria. (2016). National Health Policy. Abuja: FMOH. Rifkin, S. B. (2009). Lessons from community participation in health programmes. Health Policy and Planning, 24(1), 1–3. World Health Organization (2021). Primary Health Care on the Road to Universal Health Coverage: 2021 Monitoring Report. Geneva: WHO. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10. Rifkin, S. B. (2009). Lessons from community participation in health programmes. Health Policy and Planning, 24(1), 1–3. Starfield, B. (1998). Primary Care: Balancing Health Needs, Services, and Technology. New York: Oxford University Press. Walsh, J. A., & Warren, K. S. (1979). Selective primary health care: An interim strategy for disease control in developing countries. New England Journal of Medicine, 301(18), 967–974. World Health Organization (1978). Declaration of Alma-Ata. Geneva: WHO. World Health Organization (2018). Declaration of Astana. Geneva: WHO. World Health Organization (2021). Primary Health Care on the Road to Universal Health Coverage: 2021 Monitoring Report. Geneva: WHO. Aday, L. A., & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208–220. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10. Federal Ministry of Health Nigeria. (2016). National Health Policy. Abuja: FMOH. World Health Organization (1978). Declaration of Alma-Ata. Geneva: WHO. World Health Organization (2021). Primary Health Care on the Road to Universal Health Coverage: 2021 Monitoring Report. Geneva: WHO.

Impediment to the Harnessing of Primary Health Care Services

Abstract

References

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