Assessment of Utilization of Primary Health Care Services and Quality Health System Among Inhabitants of Wukari Local Government, Taraba State, Nigeria
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455-473
Digital Object Identifier:
10.58578/ajmsphr.v2i3.6851
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Authors:
Samuel Tamunoiyowuna Cockeye Brown1, Usman Ikrimah Mohammed2, Timothy Nehemiah3, Eze Emmanuel Onyemaechi4, Shuaibu Adamu Ladan5, Odey Catharine Rita6 
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Authors retain copyright and grant the journal right of first publication.
Main Article Content
Abstract
This study assesses the utilization of Primary Health Care (PHC) services and the perceived quality of the healthcare system among residents of Wukari Local Government Area, Taraba State, Nigeria. While the presence of health facilities is crucial, access and utilization are influenced by a range of socioeconomic factors. Using a cross-sectional survey design, the demographic analysis revealed that the majority of respondents (59%) were aged 20–39 years, with 58% female and 42% male participants. Educational levels varied, with 37% having secondary education, 27% primary education, 20% no formal education, and 16% tertiary education. Marital status data showed 52% were single, 32% married, and 16% divorced, while religious affiliation indicated that 54% were Christians, 32% practiced African traditional religions, and 14% were Muslims. Occupationally, 53% were farmers, 26% civil/public servants, 13% artisans, and 7% petty traders. Findings revealed that major barriers to PHC utilization included inadequate staffing (90%), high drug costs (95%), long waiting times (80%), poor staff attitudes (85%), and long distances to health facilities (70%). Notably, 75% of respondents did not consider staff incompetence a major issue. Regarding satisfaction, high levels of dissatisfaction were recorded with service charges (75%), drug supply (90%), treatment modalities (60%), chronic disease management (95%), child care services (87.5%), antenatal care (90%), and delivery services (87.5%). Chi-square analysis showed a statistically significant relationship between PHC facility-related factors and service utilization (χ² = 250.7, df = 18, p < 0.001). The study concludes that despite the availability of PHC facilities, critical issues such as cost, accessibility, quality of care, and staff performance hinder effective utilization. It recommends targeted policy interventions to improve staffing, service delivery, affordability, and access to ensure equitable and efficient primary healthcare in Wukari.
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References
2. World Health Organization. (2018). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals (No. WHO/HIS/SDS/2018.15). World Health Organization.
3. Ahmad, A H., Koya, M., Said, A.S. & Adam, R.A. (2019). Factors Influencing the Utilization of Public Primary Health Care Facilities in Kumbotso Local Government Area of Kano State. International Journal of Development and Management Review (INJODEMAR), 14(1): 55.
4. Federal Ministry of Health. (2010). National Strategic Health Development Plan. (NSHDP) 2010 -2015.
5. Olatomiwa, L., Sadiq, A. A., Longe, O. M., Ambafi, J. G., Jack, K. E., Abd’azeez, T. A., & Adeniyi, S. (2022). An overview of energy access solutions for rural healthcare facilities. energies, 15(24), 9554.
6. Parial, L. L. B., Leyva, E. W. A., Siongco, K. L. L., Dones, L. B. P., Bernal, A. B. S., Lupisan, J. A. C., ... & Bonito, S. R. (2024). Staffing and workload in primary care facilities of selected geographically isolated and disadvantaged communities in the Philippines. Acta Medica Philippina, 58(12), 21.
7. Ogunyemi, A. O., Balogun, M. R., Ojo, A. E., Welch, S. B., Onasanya, O. O., Yesufu, V. O., ... & Hirschhorn, L. R. (2024). Barriers and facilitators to the delivery of age-friendly health services in Primary Health Care centres in southwest, Nigeria: A qualitative study. Plos one, 19(3), e0288574.
8. Gizaw, Z., Astale, T., & Kassie, G. M. (2022). What improves access to primary healthcare services in rural communities? A systematic review. BMC Primary Care, 23(1), 313.
9. Nyande, F. K., Ricks, E., Williams, M., & Jardien-Baboo, S. (2022). Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study. BMC health services research, 22(1), 289.
10. Chukwuma, J. N. (2023). Implementing health policy in Nigeria: The basic health care provision fund as a catalyst for achieving universal health coverage?. Development and Change, 54(6), 1480-1503.
11. World Bank. Improving Primary Health Care Delivery in Nigeria, Evidence from Four States, World Bank Working Paper, 2010 NO. 187.
12. Ibebuike, J. E., Ojie, C. A., Nwokike, G. I., Obeagu, E. I., Nwosu, D. C., Nwanjo, H. U., ... & Akujuobi, A. U. (2017). Factors that influence women’s utilization of primary health care services in Calabar Cros river state, Nigeria. Int. J. Curr. Res. Chem. Pharm. Sci, 4(7), 28-33.
13. Agofure, O. & Sarki, E. (2017). Analysis Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria. J Health Sci, 27(4):339.
14. Adam, V. Y., & Awunor, N. S. (2014). Perceptions and factors affecting utilization of health services in a rural community in Southern Nigeria. Journal of Medicine and Biomedical Research, 13(2), 117-124.
15. Azuh, D. E., Chinedu, S. N., & Azuh, A. E. (2017). Factors influencing primary health care service utilization among women in rural communities in Ogun State, Nigeria. In Proceedings of 6th International Conference on Education and Social Sciences, Dubai, UAE.
16. Sule, S. S., Ijadunola, K. T., Onayade, A. A., Fatusi, A. O., Soetan, R. O., & Connell, F. A. (2008). Utilization of primary health care facilities: lessons from a rural community in southwest Nigeria. Nigerian journal of medicine, 17(1), 98-106.