FACTORS AFFECTING UTILIZATION OF PRIMARY HEALTHCARE SERVICES IN ASA LOCAL GOVERNMENT AREA, ILORIN, KWARA STATE, NIGERIA

Abstract

This study therefore aimed to explore The Factors that Influence the Utilization of Primary Health Care Services in Asa Local Government Area, Ilorin, Kwara State, Nigeria. A total of 250 questionnaires were administered for the study through a descriptive cross-sectional research design which were retrieved, analyzed and presented using descriptive statistics with the use of frequency distribution, percentages and inferential statistical test using Pearson’s chi-square. The study revealed that 26.8% make use of the facility frequently, 55.2% used it sometimes, 16% rarely make use of it and 2.0% have never used it. Also, 75.6% visit the facility for general consultations, 60.8% visit for maternal and child health services, 41.2% visit for immunization, 27.2% visit for family planning services, and 21.6% visit for treatment of chronic diseases. 89.2% are satisfied with the services rendered, 78% said they are well listened to and 74.4% received clear explanation of their diagnoses and treatment. However, 27 (10.8%) are not satisfied with their services, 22% feel the healthcare staff do not listen to them and 25.6% do not receive clear explanation of their diagnosis. Factors affecting the usage of PHC includes high cost of consultation, 62% agreed, seeking traditional healers and private clinics 41.2% agreed and 52.8% is lack of awareness about the PHC. Also, from the chi-square analysis, socio-demographic characteristics (sex, educational status, and income) are significantly associated with the Utilization of Primary Healthcare Services in Asa Local Government Area. The study concluded that high reliance on PHC for essential care services coupled with significant dissatisfaction among the respondents highlight urgent need for reforms. It is recommended that government at all levels should implement policies that enhance accessibility of the PHC, invest in training of healthcare providers, community outreach programs and subsidize healthcare cost.