Factors influencing the utilization of public primary health care facilities in Kumbotso Local Government Area of Kano State, Nigeria

Abstract

This study is concerned with the examination of factors responsible for the utilization of public primary healthcare services in Kumbotso Local Government Area of Kano State. Primary health care (PHC) can be considered the first level of contact between the patient and the health care system. The Andersen Model of Healthcare Utilisation was used as theoretical guide and frame of analysis in the study. The model is a conceptual framework developed and used to understand health behaviour and possible reasons for utilization of available healthcare facilities and services. The study is a survey research design. A total of 295 respondents were sampled for the study. These include 285 members of the public who were sampled through a multi stage cluster sampling for questionnaire administration and 10 other respondents (Doctors, Nurses, and Community Health Extension Workers) who were purposively sampled for in-depth interview. The study utilized both qualitative and quantitative instruments for data collection. The findings revealed that awareness has influence on the utilization of PHC services in the study area. It also revealed that even though there is high rate of patronage of PHC facilities in the area, respondents reported facing problems associated with availability of drugs, healthcare personnel for effective PHC delivery. It recommended that the government should ensure compliance with the WHO benchmark for PHC delivery.

Keywords: Primary health care, Awareness, Availability, Access, Health workers behaviour