scholarly journals Access to child health services in Orumba North Local Government Area of Anambra State, Nigeria

2015 ◽  
Vol 17 (4) ◽  
Author(s):  
Ijeoma Igwe ◽  
Ngozi I'Aronu ◽  
Nkechi G. Onyeneho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Local Government ◽  
Health Services ◽  
Local Government Area ◽  
Child Health Services ◽  
Anambra State ◽  
Primary Health ◽  
Development Goals ◽  
Demographic Attributes

Background: As the world transits from the era of millennium development goals to that of sustainable development goals, an examination of the access to primary health care services in the previous era is germane to adequate planning and delivery of effective service in the emerging era. The objective of this study was determine factors associated with the use of primary health care (PHC) facilities for the health needs of children in Anambra State, NigeriaMethods: A cross sectional survey of 600 randomly selected mothers (15-49 years) was conducted in Orumba North local government area of Anambra State. An interviewer-based questionnaire, designed to provide information on the socio-demographic characteristics of the respondents as well as their child rearing experiences was used. The questionnaire also provided data on the women’s use of immunization services. The perceptions on government health services were also examined to understand how they influence compliance.Results: More of non-demographic attributes like the mothers’ perceptions and past experiences with the health services influenced utilization more than the demographic attributes. Satisfactory experiences with health service influenced utilization (χ2=168.478; p<0.001).  Those with good perception (95.4%) used the PHC facilities more (χ2=198.032; p<0.001).Conclusion: Irrespective of the socio-demographic backgrounds of the mothers, they all have feelings and react to situations they encounter daily. There is need to improve the experiences mothers get from encounter with the PHC facilities so as to improve on the perception and increase use of the facilities.

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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