Influence of Literacy on Mothers\' Patronage of Government Primary Health Care (PHC) Services in Ibadan North Local Government, Nigeria.

2008 ◽  
Vol 10 (1) ◽  
Author(s):  
G Adekola ◽  
MA Oyebamiji
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Primary Health

Health Worker Perceptions of the Integration of Leprosy Control Services at the Primary Health Care Level in Ibadan, Nigeria

2003 ◽  
Vol 22 (1) ◽  
pp. 111-124 ◽  
Author(s):  
Oluseyi R. Olaseinde ◽  
William R. Brieger
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Worker ◽  
Health Staff ◽  
Basic Training ◽  
Front Line ◽  
Primary Health ◽  
Service Training ◽  
Leprosy Control

A goal of both the World Health Organization and the Nigerian National Tuberculosis and Leprosy Control (TBL) Program is to integrate leprosy control services into the front line primary health care service system. Traditionally, leprosy services had been handled by one local government officer with little involvement of other health staff, and this limited access and timeliness of services for leprosy patients. Even after the national TBL program was implemented, integration has not been achieved, and this study of 203 front line health workers in the five local government areas that comprise the Ibadan metropolitan area of Oyo State, Nigeria sought to determine the role of health worker knowledge, attitudes, and self-efficacy in fostering or inhibiting leprosy service integration. Leprosy knowledge scores were positively associated with years in service, having lectures on leprosy during basic training, and having attended in-service training (IST) on leprosy. Among the cadres interviewed, Environmental Health Officers (EHOs), who had traditionally managed leprosy services prior to the move for integrated services, had the highest scores. EHOs and those who had leprosy lectures during basic training also had better attitudes toward leprosy than their counterparts. Male health staff and those who had leprosy lectures during basic training also had higher attitude scores concerning integrating leprosy control services with primary care. Finally, the only factor associated with perceived self-efficacy to perform leprosy control services was cadre. Ironically, Community Health Extension workers, who have had little in the way of experience with and training in leprosy control, believed they could handle these responsibilities better than other cadres. The influence of basic and in-service training on enhancing leprosy control knowledge and attitudes is recognized and enhancement of curricula for all cadres on leprosy issues is recommended.

scholarly journals Regional government concerns in health services in remote areas: Case study on special capitation policies in North Bengkulu Regency

2020 ◽  
Vol 28 ◽  
pp. 05003
Author(s):  
Try Purnamasari ◽  
Diah Ayu Puspandari ◽  
Mubasysyir Hasanbasri ◽  
Firdaus Hafidz ◽  
Muttaqien Muttaqien
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Services ◽  
Local Governments ◽  
Regional Government ◽  
Weak Support ◽  
Remote Areas ◽  
Primary Health ◽  
Branch Office

The Minister of Health Regulation No. 52 of 2016 states that the tariff for first-level health services in remote areas and islands is determined based on special capitation tariffs, which is greater than the usual capitation tariffs. In North Bengkulu there is a primary health care that does not include a special capitation even though the criteria are the same as the primary health care that received it. The perception of stakeholders involved is needed to see whether the determination of criteria for disadvantaged areas for recipients of special capitation funds is in accordance with existing regulations or not. The study was based on in-depth interviews with 6 respondents from 6 institutions (Local Government, Regional Secretary, Health Office, the BPJS health branch office, and two Primary health care). The local government does not help question that matter to BPJS or help in other ways so that health care that do not receive special capitation funds can still provide optimal services like other remote health care. This study found the lack of socialization about health services in remote areas to non-health officials in local governments is the causes of weak support by local governments. This research shows that the application of central policies without joint review and verification with local stakeholders can lead to unproductive situations. Local governments should also look for solutions so that health care in remote areas that do not receive special capitation funds continue to run optimally.

scholarly journals Availability of personnel, facilities and services in Primary Health Care Centres in a Local Government Area in Benin City, Nigeria

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Vincent Yakubu Adam ◽  
Joy Chinyere Nwaogwugwu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Healthcare Services ◽  
Local Government Area ◽  
Benin City ◽  
Essential Drugs ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres

Background: Effective delivery of healthcare services especially at the Primary Health Care level requires availability of adequate infrastructure, basic diagnostic medical equipment, drugs and well-trained medical personnel. Quality Primary Health Care initiatives have been recognized as fundamental to improving health outcomes. This study assessed the resources available for Primary Health Care delivery in a Local Government Area in Benin City, Nigeria. Materials and Methods: This was a descriptive cross-sectional study. All the public primary health centres in Egor LGA, Benin City, Nigeria were assessed for availability of personnel, facilities/ equipment and services using an adapted observational checklist. Results: All the 10 public primary health centres were assessed. The primary health centres had inadequate skilled-manpower: only 1 (10.0%) had a medical officer, Community Health Officers and nurse/midwives were adequate in only 2 (20.0%), and none of them (0.0%) had a medical record officer and pharmacy technician. Basic equipment for examination of clients were available in 3 of the health facilities (30.0%). All 10 of the health centres (100.0%) offered basic services but not for 24 hours. Essential drugs were not regularly available in all the facilities. Conclusions: Basic healthcare services were rendered but not for 24 hours. Several challenges such as inadequate skilled health personnel, lack of basic amenities, and shortage of essential drugs affect the primary health centres. Basic hospital facilities/equipment needed to enhance 24 hours’ service delivery at the primary health centres should be provided by the Local Government.

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