ArticlePloS one2024
Barriers and facilitators to the delivery of age-friendly health services in Primary Health Care centres in southwest, Nigeria: A qualitative study.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Health-related quality of life and associated factors among older adults attending primary care clinics in Nigeria: a cross-sectional study.BMC primary care · 2026Article
- Facilitators and barriers of general health service readiness in the primary level public health facilities of Baitadi, Nepal: A qualitative study.PLOS global public health · 2026Article
- Factors influencing primary health care service provision to older adults in lagos, nigeria: understanding the experiences of the demand population.BMC public health · 2025Article
- Aging, Poverty, and Healthcare Access and Affordability in Nigeria: Implications for Policy.Public health challenges · 2025Article
- Evaluating older adults' satisfaction with age-friendly hospitals services: insights from an Eastern Taiwan regional teaching hospital.BMC geriatrics · 2025Article
- Health care service utilization among elderly in rural setting of Gandaki province, Nepal: a mixed method study.Frontiers in health services · 2024Article
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the rapid growth of Nigeria's older population, it has become important to establish age-friendly healthcare systems that support care for older people. This study aimed to explore the barriers and facilitators to the delivery of age-friendly health services from the perspectives of primary healthcare managers in Lagos State, Nigeria.
methodWe conducted 13 key informant interviews including medical officers of health, principal officers of the (Primary Health Care) PHC Board and board members at the state level. Using a grounded theory approach, qualitative data analysis was initially done by rapid thematic analysis followed by constant comparative analysis using Dedoose software to create a codebook. Three teams of two coders each blind-coded the interviews, resolved coding discrepancies, and reviewed excerpts by code to extract themes.
resultsThe main barriers to the delivery of age-friendly services included the lack of recognition of older adults as a priority population group; absence of PHC policies targeted to serve older adults specifically; limited training in care of older adults; lack of dedicated funding for care services for older adults and data disaggregated by age to drive decision-making. Key facilitators included an acknowledged mission of the PHCs to provide services for all ages; opportunities for the enhancement of older adult care; availability of a new building template that supports facility design which is more age-friendly; access to basic health care funds; and a positive attitude towards capacity building for existing workforce.
conclusionWhile we identified a number of challenges, these offer opportunities to strengthen and prioritize services for older adults in PHCs and build on existing facilitators. Work is needed to identify and test interventions to overcome these challenges and improve the responsiveness of the PHC system to older adults through the delivery of age-friendly health services in PHCs in Lagos, Nigeria.
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