Socio-Economic Status of Rural Dwellers and the Accessibility of Primary Healthcare Facilities on Child Health Management in Kurmi LGA of Taraba State, Nigeria
Main Article Content
Abstract
Poverty, as a pervasive socio-economic factor, significantly shapes child health in rural settings. Insufficient financial resources contribute to inadequate nutrition, limited access to healthcare, and substandard living conditions. Research consistently indicates that children from impoverished backgrounds face increased risks of health challenges, including malnutrition, higher rates of infectious diseases, and developmental delays. Parental education levels play a pivotal role in child health management. Low educational attainment is often linked to reduced health literacy, hindering parents' ability to make informed decisions about their child's well-being. Objective of the study is to ascertain how socio-economic status of rural dwellers influence their accessibility to primary healthcare facilities on child health management in Kurmi LGA of Taraba State. A cross sectional survey design was adopted with Taro Yamane’s formula which help the researchers in generating the sample size of the study. The study’s findings revealed that income levels, educational levels, cost of primary healthcare facilities, occupational level, and the distance to primary healthcare facilities were responsible for the accessibility of primary healthcare facilities on child’s health management among rural dwellers in Kurmi LGA of Taraba State. This implied that there were significant relationships between the socio-economic variables and accessibility of primary healthcare facilities on child health management among the rural dwellers. The study recommended that more community health workers and traditional birth attendants should be trained to provide basic health care services in rural areas, and incentives such as financial or in-kind benefits should be provided for health workers who work in rural areas.
Downloads
Article Details

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
References
Braveman, P., Egerter, S., & Williams, D. R. (2011). The Social Determinants of Health: A Maturing Concept. Annual Review of Public Health, 32, 381–398. doi:10.1146/annurev-publhealth-031210-101218
Centers for Disease Control and Prevention. (2021). Well-Child Visits.
Cunningham, S. A., & Shah, M. (2019). Decoding socio-economic disparities in child health: A multi-country analysis. International Journal of Public Health, 64(3), 357-367.Bhatia, J. C., & Cleland, J. (2002). Socioeconomic determinants of infant mortality: A worldwide study. Bulletin of the World Health Organization, 80(2), 83-90.
Currie, J., & Stabile, M. (2003). Socioeconomic status and child health: Why is the relationship stronger for older children? American Economic Review, 93(5), 1813-1823.
Diez Roux, A. V., & Mair, C. (2010). Communities and health. Annals of the New York Academy of Sciences, 1186(1), 121. World Health Organization. (2015). Health in rural communities: Context matters. Retrieved from https://www.who.int/bulletin/volumes/93/3/15-152041/en/
Fotso, J. C., et al. (2018). Socioeconomic inequalities in early childhood malnutrition and morbidity: Modification of the household-level effects by the community SES. Health & Place, 49, 7-15.
Grossman, M. (2006). Education and Nonmarket Outcomes. In E. A. Hanushek & F. Welch (Eds.), Handbook of the Economics of Education (Vol. 1, pp. 577–633). Elsevier.
Huffman, S. K., Rizov, M., & Uzun, V. (2014). The Rise of Obesity in Transition Economies: Theory and Evidence from the Case of Croatia. Journal of Development Studies, 50(10), 1379–1395.
Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099-1104. doi:10.1016/S0140-6736(05)71146-6
National Health Insurance Scheme. (2021). About NHIS.
NDHS. (2018). Nigeria Demographic and Health Survey 2018. National Population Commission, Federal Republic of Nigeria.
Saroha, E., & Altarac, M. (2016). Sibling Composition and Child Health: Evidence from South Asia. Social Science & Medicine, 166, 87–95.
Shi, L., & Singh, D. A. (2019). Delivering Health Care in America: A Systems Approach (7th ed.). Jones & Bartlett Learning.
Taraba State Ministry of Health. (2021). Health Statistics Report 2021. Taraba State Government, Nigeria.
UNICEF. (2022). Child Health in Rural Areas: A Global Perspective. UNICEF.
UNICEF. (2019). Levels and Trends in Child Mortality.
UNICEF. (2020). Under-five mortality. [Link](https://data.unicef.org/topic/child-survival/under-five-mortality/)
World Health Organization. (2007). Community health workers: What do we know about them? The state of the evidence on programs, activities, costs and impact on health outcomes. World Health Organization.
World Health Organization. (2010). The World Health Report 2010 - Health Systems Financing: The Path to Universal Coverage.
World Health Organization. (2017). Social determinants of health. World Health Organization.
World Health Organization. (2019). Primary Health Care on the Road to Universal Health Coverage: 2019 Monitoring Report. World Health Organization.
World Bank. (2021). World Bank Country and Lending Groups.
World Health Organization. (2022). Child health.




















