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

International Journal for Equity in Health
Nkechi G OnyenehoJoseph C Okeibunor

Abstract

The relationship between people's perception and utilization of public health services was investigated. 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. 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 interv...Continue Reading

References

Jan 1, 1988·Health Education Quarterly·I M RosenstockM H Becker
Apr 1, 1996·Social Science & Medicine·P GoelS Soumerai
Sep 1, 1996·Social Science & Medicine·S C McCombie
Jan 26, 2007·The Lancet Infectious Diseases·Brian GreenwoodRichard W Steketee
Jan 26, 2011·Journal of Health, Population, and Nutrition·Nkechi G Onyeneho, Joseph N Chukwu
Jul 4, 2012·North American Journal of Medical Sciences·Palanivel ChinnakaliKapil Yadav

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Citations

Sep 2, 2016·Journal of Health, Population, and Nutrition·Nkechi G Onyeneho, Obianuju U Igweonu
Jul 29, 2018·BMC Public Health·Adaobi I Bisi-OnyemaechiMaduka D Ughasoro
Dec 26, 2018·International Quarterly of Community Health Education·Benjamin C OzumbaS V Subramanian

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