The Demand for Primary Health Care Service in Nigeria: New Evidence from Facility Determinants
DOI:
https://doi.org/10.24203/ajhss.v7i1.5663Keywords:
Demand, Primary health care, Health Facility, SDI data, Negative Binomial Model, Poisson, Infrastructure, NigeriaAbstract
Despite high distribution of Primary Health Care Centres (PHC) and low cost of care provision, patronage is low in Nigeria. Findings for the determinants of health care demand are one sided with focus on patient related factors. Less attention is given to facility determinants. This study examined facility determinants of the demand for PHC service in Nigeria using basic infrastructures, equipment and staff type. The 2013-2014 SDI data covering 11,690 primary health care facilities was used. The Negative Binomial regression model was fitted to determine the effects of facility factors on number of visits. The results show more community workers and paraprofessionals and few medical Doctors and Nurses in PHC’s. Facilities are equipped with weighing scales, sphygmomanometer and stethoscope with few thermometer. High staff absence rate, lack of improved water source and non-regular power supply are also observed. Findings associate presence of Nurses with increased number of visits than other staff type. Child weighing scale, regular power supply and improved water are also key positive determinants. Better use of PHC’s in Nigeria is possible with medical personnel especially nurses in employment. Improved water, regular power and instruments like child weighing scale are also vital.
References
Federal Ministry of Health (FMOH) (2006) Revised policy-program and strategic plan of action Department of Health Planning and Research, National Health Management Information System (NHMIS) Unit, Abuja .
World Health Organization WHO (2008) The World Health Report. Primary care-now more than ever. retrieved from http://www.who.int/whr/2008/en/ accessed sept 29, 2016
Federal Ministry of Health (FMOH) (2004) Revised national health policy Abuja.
Federal Ministry of Health (FMOH) (2005) Inventory of health facilities in Nigeria, Abuja.
World Health Organization (WHO) (2014) Trends in maternal mortality 1990-2013. Retrieved June 6th, 2014, from www.who.int/gho/countries/nga/country-profiles/en.
United Nations International Children’s Emergency Fund (UNICEF) (2014) Nigeria at a glance. Retrieved May 3rd, 2014, from www.unicef.org/infobycountry/nigeria_statistics.html. .
Ellis R.P.1. McInnes D.K & Stephenson E.H. (1994) Inpatient and outpatient health care demand in Cairo, Egypt. Health Econ. 3(3):183-200
Akin J.S.1, Guilkey, D.K & Denton, E.H. (1995) Quality of services and demand for health care in Nigeria: a multinomial probit estimation. Soc Sci Med. 40(11):1527-37.
Sarma, S. (2009) Demand for outpatient healthcare: empirical findings from rural India Appl Health Econ Health Policy; 7(4):265-77
Kamrul M.D. H (2012) Quality of primary health care services in rural Bangladesh: patients’ perspectives. Issn 1923-6662 (online)
Purohit, B. C. (2013) Demand for healthcare in India. Health care in low resource settings ;Vol 1, No 1
Arendt J.N. (2012) The demand for health care by the poor under universal health care coverage Journal of Human Capital.; volume 6, Number 4.
Becker G.S. (1965) A theory of time allocation. The Economic Journal; Vol 75, No 229, pp 493-519.
Abamba U. (2016) Malaria in Nigeria: Implications for Labour market and cost outcome. Unpublished Phd Dissertation. University of Ibadan, Nigeria.
Ayadi, M. O, Osakede, A.U and Lawanson A. O (2016) The Effects of health care service delivery on health outcomes: Evidence from Service Delivery Indicators Survey. Paper presented at the African Economic Research Consortium National Policy Workshop on Service Delivery Indicators (SDI): Evidence, Policy Outcomes and Actions, Abuja, October 13-14.
Bold T, Svensson J, Gauthier B, Mæstad O, & Wane W. (2011) Service Delivery Indicators: Pilot in Education and Health Care in Africa. CMI REPORT R2011:8.
Arobieke O, Osafehinti S. & Oluwajobi F. O.(2012) Electrical Power outage in Nigeria: History, causes and possible solutions. Journal of Energy Technologies and Policy; Vol 2, No 6.
Ohajianya A. C. Abumere , O. E. Owate, I. O. &, Osarolube E. (2014) Erratic power supply in Nigeria: causes and solutions. International Journal of Engineering Science Invention;Volume 3 Issue 7 PP.51-55
Poisson, S.-D. (2013) Researches into the Probabilities of Judgements in Criminal and Civil Cases Recherches sur la probabilité des jugements en matière criminelle et en matière civile Paris, 1837 Translated by Oscar Sheynin Berlin, ISBN 978-3-94294
World Bank (2018). Nigeria - Service Delivery Indicators Health Survey 2013-2014 - Harmonized Public Use Data 2018. Available at http://microdata.worldbank.org/index.php/catalog/2559/study-description
Downloads
Published
How to Cite
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.