ArticleBMC public health2025
Factors influencing primary health care service provision to older adults in lagos, nigeria: understanding the experiences of the demand population.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current advances in the epidemiology, risk factors, prevention, management, and long-term outcomes of herpes zoster and post-herpetic neuralgia.Frontiers in microbiology · 2026Pooled it
- Article
- Ethical issues in caring for older persons in Sub-Saharan Africa: a scoping review.BMC medical ethics · 2026Article
- Ethical Issues in Caring for Older Persons in Sub-Saharan Africa: A Scoping Review.Research square · 2026Article
- Infrastructure, service delivery, and staffing gaps in primary health care facilities in Lagos State, Nigeria: a state-wide assessment.Discover public health · 2025Article
- Perceptions and Barriers to Utilisation of Primary Health Care Services among 1,010 households in Health District IV, Lagos State.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundAs the population in Nigeria ages, primary health care (PHC) is a critical, inclusive, and cost-effective approach to improving the health status and care for older adults who require regular care for noncommunicable diseases and age-related conditions. To address age-related healthcare disparities and promote healthy aging there is a need to identify barriers and facilitators to PHC access for older adults in Nigeria.
methodsWe conducted a qualitative study using focus group discussions (FGDs) with older adults in Lagos State. We purposefully sampled two groups of adults aged 60 years and above: recent users (within the last six months) and past users (more than six months ago) of PHC centers. A rapid thematic analysis was conducted using an inductive approach to identify themes, with any discrepancies resolved through consensus.
resultsWe interviewed 19 participants in two FGDs. Using a healthcare accessibility framework (5As), we identified shared barriers across both groups in multiple areas. These included Affordability (high cost of laboratory tests and medications), Availability (frequent drug shortages, too few healthcare workers, long wait times) and Appropriateness (lack of services tailored to meet the specific needs of older adults). Differences in barriers were also observed with recent users highlighting the need for more compassionate care from healthcare providers (Acceptability), while past users advocated for improved services for chronic conditions and the availability of specialized equipment (Appropriateness). Facilitators identified by both groups included the accessibility of PHC facility locations and user-friendly facility designs (Accessibility). Both groups emphasized the importance of addressing the barriers to improve PHC service delivery for older adults including expanding health insurance coverage and implementing system redesign.
conclusionsBarriers including high service costs and long waiting times hinder the utilization of PHC centers by older adults, while geographic location and building accessibility serve as significant facilitators for care-seeking. There are opportunities to improve the access, affordability, and delivery of age-friendly health services in primary healthcare facilities in Lagos, Nigeria, an area where future research is underway.
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Registered trials
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