Access and Utilization of Government Health Facilities by Rural Farm Households: Evidence from Kogi State, Nigeria.
محورهای موضوعی : Rural and Agricultural SociologyUfedo Shaibu 1 , Mohammed Ibrahim 2
1 - Department of Agricultural Economics and Extension, Kogi State University Anyigba, Nigeria
2 - Department of Agricultural Economics and Extension, Kogi State University Anyigba, Nigeria
کلید واژه: infrastructure, utilization, Healthcare, Access, and government-owned,
چکیده مقاله :
The study analyzed farm households’ access and utilization of government health facilities in Kogi State, Nigeria. Specifically, it described the socioeconomic characteristics of farm households, determined the level of accessibility to health facilities by farm households, and determined the factors that drive farm households’ utilization of government health facilities. A two staged random sampling technique was used to select one hundred (100) farm households and twenty (20) government-owned health care facilities from four Local Government Areas in the State. Data obtained through structured questionnaire and spot assessments were analyzed using descriptive statistics, indices of accessibility and binary logit regression model. The indices of accessibility revealed that there is unequal access to government health facilities (medical personnel and infrastructure) in the area. The binary logit model indicated that farming experience (p<0.01), distance to health centre (p<0.05), and cost of treatment (p<0.001) negatively influenced the utilization of government health facilities, while gender (p<0.05), education (p<0.05), and numbers of dependants (p<0.05) directly influenced government health care facilities utilization among farm households. It was suggested based on findings from the study that government needs to urgently engage and deploy more medical personnel and facilities to rural areas. Also, intervention programmes such as construction of good access will reduce travelling distance to health facilities.
Ahearn, M. and Mishra, A. (2009). Access of Farm Households to Health Care. Choices-The Magazine of Food, Farm and Resource Issues. A publication of Agricultural and Applied Economics Association, 24(4):1-7.
Ajala, O. A., Lekan, S. and Adeyinka, S. A. (2005. Accessibility to Healthcare Facilities: A Panacea for sustainable rural development in Osun State Southwestern, Nigeria: J. Hum. Ecol, 18(2): 121-128.
Akin, J. S., Guilkey, D. K., and Denton, E. H (1995). Quality of services and demand for health care in Nigeria. A multinomial probit estimation. Social Science & Med 40: 1527-1537.
Asenso-Okyere, K., Chiang, C., Thangata, P., Andam, K. S. (2011). Interactions between health and farm-labour productivity. International Food Policy Research Institute, Washington, DC.
Awoyemi, T. T., Obayelu, O. A. and Opaluwa, H. I. (2011). Effect of Distance on Utilization of Health Care Services in Rural Kogi State, Nigeria. Journal of Hum Ecology, 35(1): 1-9.
Buor, D. (2005). Determinants of utilization of health services by women in rural and urban areas in Ghana. Geo Journal, 61(1): 89-102.
Collette, D. (1991). Modelling Binary Data, London: Chapman
Dias, S. F., Severo, M. and Barros, H. (2008). Determinants of health care utilization by immigrants in Portugal. BMC Health Services Research, 8: 207.
Etuk, U. R., Olatunji, S. O. and Ekong, I. (2013). Analysis of health extension needs on self medication among rural farmers in Akwa-Ibom State, Nigeria. Nigerian Journal of Agriculture, Food and Environment, 9 (1):63-66.
Gulpta, M. D, Gauri, V. and Khemani, S. (2004). Decentralized Delivery of Primary Health Services in Nigeria: Survey Evidence from the States of Lagos and Kogi. Washington: The World Bank.
Hugo, N. (2013). Purdah: separation of the sexes in northern Nigeria. (Accessed from; http://www.consultanyafrica.com/index).
Kadobera, D., Satorius, B., Masanja, H., Mathew, A., and Waiswa, P. (2012). The effect of distance to formal health facility on childhood mortality in rural Tanzania. Global Health Action, 5: 143 – 163.
Manzoor, I., Hashmi, N. R., Mukhtar, F. (2009). Determinants and pattern of health care services utilization in post graduate students. J Ayub Med Coll Abbottabad, 21(3): 100-105.
Mekonnen, Y and Mekonnen, A. (2002). Utilization of Maternal Health Care Services in Ethiopia. Calverton, Maryland, USA: ORC Macro.
Mugisha, F., Bocar, K., Dong, H., Chepng’eno, G and Sauerborn, R. (2004).The two faces of enhancing utilization of health-care services: Determinants of patient initiation and retention in rural Burkina Faso. Bulletin of the World Health Organization, 82:572-579.
National Population Commission (NPC). (2006). Population and housing census enumerators manual. Federal Republic of Nigeria, National Population Commission, Nigeria, pp: 1-16.
Okafor, S. I. (1991). Distributive effect of location of Government Hospital Ibadon. Journal of Applied Geography, 9: 123-133.
Olatunji, S. O., Ehebha, E. O. and Ifeanyi-Obi, C. C. (2013). Utilization of Western and Traditional Healthcare Services by Farm Families in Ukwa-East Local Government Area of Abia State, Nigeria. Journal of Agriculture and Social Research, 13(2): 111-120
Olayide, S. O. and Heady, E. O. (1982). Introduction to Agricultural Production Economics. Ibadan. University Press Ltd.
Omotosho, O. (2010). Health seeking behaviour among the rural dwellers in Ekiti State, Nigeria. International Journal of Multi-Disciplinary, 4(3):125-138.
Onah, H., Ikeako, L., Iloabachie, G. (2009). Factors associated with the use of maternity services in Enugu, southeastern Nigeria. Social Science and Medicine, 63(7): 1870-1878.
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R and Rahman, M. H. (2008). Poverty and access to healthcare in developing countries. Ann. N Y Acad. Sci. 1136:161-171.
Quynh, L., Hoang, B., Nguyen, S. A and Ha Hoang, D. T. (2012). Access to Health Care Services in An Australian Rural Area – A Qualitative Case Study. International Journal of Annotative Interdisciplinary Research Issue, 3: 29-36.
Say, L., and Raine, R. A (2007). A Systematic Review of Inequalities in the Use of Maternal Health Care in Developing Countries: Examining the Scale of the Problem and the importance of context. Bull World Health Organ, 85: 812-819.
Titus, O. B., Adebisola, O. A. and Adeniji, A. O. (2015). Health-care access and utilization among rural households in Nigeria. Journal of Development and Agricultural Economics, 7(5):195 – 203
Wall, L. L. (1998). Dead mothers and injured wives. The social context of maternal morbidity and mortality among the hausa of Northan Nigeria. Studies in Family Planning, 29: 341-359.
World Bank. (2014). World Development Report: Agriculture for Development. Washington DC: World Bank.
Zwi, A. B. (2001). Private Healthcare in Developing Countries. British Medical Journal, 323: 464–466.