ArticleBMC health services research2014
The long walk to universal health coverage: patterns of inequities in the use of primary healthcare services in Enugu, Southeast Nigeria.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Through a gender lens: a scoping review of gendered experiences of AMR causes, burden and workforce in Nigeria.Frontiers in global women's health · 2025Pooled it
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- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Investigating physician self-referral in public hospitals in South East Nigeria: Insights from stakeholders.African journal of primary health care & family medicine · 2022Article
- Successes and challenges of health systems governance towards universal health coverage and global health security: a narrative review and synthesis of the literature.Health research policy and systems · 2022Review
- Determinants of primary healthcare services utilisation in an under-resourced rural community in Enugu State, Nigeria: a cross-sectional study.The Pan African medical journal · 2022Article
- Identification and mitigation of high-risk pregnancy with the Community Maternal Danger Score Mobile Application in Gboko, Nigeria.PloS one · 2022Article
- Primary health care facility readiness to implement primary eye care in Nigeria: equipment, infrastructure, service delivery and health management information systems.BMC health services research · 2021Article
- How ready is the system to deliver primary healthcare? Results of a primary health facility assessment in Enugu State, Nigeria.Health policy and planning · 2020Article
- Intersectional equity in health care: assessing complex inequities in primary and secondary care utilization by gender and education in northern Sweden.International journal for equity in health · 2020Article
- Inequities in the use of sulphadoxine-pyrimethamine for malaria prophylaxis during pregnancy in Nigeria.Malawi medical journal : the journal of Medical Association of Malawi · 2020Article
- The role of place of residency in childhood immunisation coverage in Nigeria: analysis of data from three DHS rounds 2003-2013.BMC public health · 2020Article
- Trends in mortality at Federal Medical Centre, Owo, Ondo State, Nigeria 2006-2014.The Pan African medical journal · 2019Article
- Bypassing health facilities in rural Mozambique: spatial, institutional, and individual determinants.BMC health services research · 2018Article
- Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach.BMC health services research · 2018Article
- Investigating socio-economic inequity in access to and expenditures on routine immunization services in Anambra state.BMC research notes · 2017Article
- Investigating client perception and attitude to decentralization of HIV/AIDS treatment services to primary health centres in three Nigerian states.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Social and economic determinants of pediatric health inequalities: the model of chronic kidney disease.Pediatric research · 2016Review
- A Comparative Study of Scientific Publications in Health Care Sciences and Services from Mainland China, Taiwan, Japan, and India (2007-2014).International journal of environmental research and public health · 2015Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKnowledge and understanding of health service usage are necessary for health resource allocation, planning and monitoring the achievement of universal coverage (UHC). There is limited information on patterns of utilization among adult users of primary health care (PHC) services. Lack of understanding of current and past utilization patterns of health services often hinders the improvement of future Primary Health Care (PHC) delivery in the remote areas of developing countries. This paper presents new knowledge on the patterns of utilization of PHC services among adults in Enugu metropolis southeast Nigeria.
methodsA cross-sectional study was conducted in 15 PHC facilities of Enugu North Local Government Area (LGA) from June to July 2012. A total of 360 consenting adult users aged 18 years and above were consecutively recruited as they attended the health facilities. An interviewer-administered questionnaire was used to collect data from the respondents. A modified Likert scale questionnaire was used to analyze data on patterns of utilization. Utilization of PHC services was compared by gender, socio-economic status (SES) and level of education.
resultsOut of the 360 respondents, (46.9%) utilized PHC services regularly. The components of PHC mostly utilized by respondents were immunization with a mean score of 3.05, treatment of common ailments (2.99) and maternal and child health (2.64). The least poor SES group utilized PHC services the most while the very poor and poor SES groups used PHC services least. There were statistically significant relationships between utilization of PHC services and gender (p = 0.0084), level of education (p=0.0366) and income (p =0.0001).
conclusionsMost adult users in this study did not utilize the health facilities regularly and there were gender, educational and SES inequities in the use of PHC services. These inequities will negate the achievement of universal health coverage with PHC services and should be remedied using appropriate interventions.
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