Determinants of the Demand for Primary Health Care Services in Abeokuta South Local Government, Ogun State, Nigeria
Keywords:
Primary Health Care, Multivariate, Abeokuta
Abstract
This study looks at the determinants of the demand for primary health care services in Abeokuta South local government, Ogun state. Multivariate regression model alongside correlation and frequency distribution tables are employed to identify the determinants of the demand for primary health care services. Findings of the study suggest that both economic and demographic factors are vital in determining the demand for healthcare services in Abeokuta South LGA of Ogun state. Although weak, there is a positive relationship between income and access to primary health. Furthermore, income of patients, patient’s education level and quality of care have positive and significant effect on the demand for primary health care services while cost of drugs has negative effect. Consequence upon the findings, cost of drugs needs to be subsidized. Also, government should increase the quality of primary healthcare services so that it can serve people at the grassroot effectively.
References
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Ajakaiye O., & Mwabu, G. (2007). The demand for reproductive health services: An application of control function approach. AERC, Nairobi.
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Amaghionyeodiwe, L.A. (2009). Government health care spending and the poor: evidence from Nigeria. International Journal of Social Economics, 36(3), 220-236.
Amaghionyeodiwe, L.A. (2018) Poverty, user charges and health care demand in Nigeria. The Business and Management Review, 9(3), 367-377.
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Azhar. A, Rahman M.M, & Arif M.T. (2016). Satisfaction on primary health care services in Sarawak, Malaysia: Evidence from a cross-sectional community based study. Malaysian Journal of Public Health Medicine, 16(3), 267-273.
Baltussen R.M.P.M., Haddad, S., & Sauerborn, R.S. (2002). Perceived quality of care of primary health care services in Burkina Faso. Health Policy and Planning, 17(1),42–8.
Belay, M. (2013). Determinants of demand for health care services in Mekelle City.
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Hsiao, C., & Boult, C. (2008). Effects of quality on outcomes in primary care: A review of the literature. American Journal of Medical Quality, 23(4), 302–310. doi:10.1177/1062860608315643
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Ichoku, H.E., & Fonta, W.M. (2006). The distributional impact of healthcare financing in Nigeria: a case study of Enugu State, PMMA Working Paper 2006-17, University of Nigeria, Nsukka.
Jafari A., Ravangard R., Kavosi Z., & Sajjadnia Z. (2014). Estimation of the demand for health for urban households using Grossman's model in Shiraz, Iran. Prog Health Sci, 4(1), 31 – 40.
Jayaraman, A. S., Chadndrasekhar, S., & Gebreselassie, T. (2008). Factors affecting maternal healthcare seeking in Rwanda. USAID. Working Paper.
Kaija D. O., & Okwi, P. O. (2011). Quality and demand for health care in rural Uganda: Evidence from 2002/03 household survey. Economic Research Consortium, Nairobi.
Khursheed, H. (2017). Empirical analysis of determinants of patient satisfaction: A case study of primary health centres. Journal of Global Economics, 5(1), 1 – 3. doi: 10.4172/2375-4389.1000234
Lawson, D. (2004). A microeconomic analysis of health, health care and chronic poverty. Unpublished, The university of Nottingham.
Leibowitz, A.A. (2004). The demand for health and health concerns after 30 years. Journal of Health Economics, 23, 663–671.
Lindelow, M. (2002). Health care demand in rural Mozambique: Evidence from 1996/97, household survey. International Food Policy Research Institute (IFPRI), FCND, Discussion Paper, No. 126.
Lindelow M. (2005). The utilisation of curative healthcare in Mozambique: Does income matter? Journal of African Economies, 14(3), 435–482. doi:10.1093/jae/eji015
Marcos, C. (2004). The origins of primary health care and selective primary health care. Am J public health, 22(94), 1864-1874.
Mhlanga, D. (2021). A dynamic analysis of the demand for healthcare in post-apartheid South Africa. Nurs, Rep 2021:484-494.
doi.org/10.3390/nueserep11020045.
Muriithi, M.K (2013). The demand for health care in a Nairobi slum: The role of quality and information. Published by European Scientific Institute, Kocani, Republic of Macedonia
Varian, H. (2014). Intermediate microeconomics: A modern approach, Norton W.W company, New York.
Nwosu, E.J. (2000). The challenge of poverty in Africa, Skillmark Media Ltd, Owerri.
Obionu, C.N. (2007). Primary health care for developing countries. Second edition. Institute for development studies. Enugu
Peabody, J.W., Nordyke, R.J., Tozija, F., Luck, J., Munoz, J.A., Sunderland, A., DeSalvo, K., Ponce, N., & McCulloch, C. (2006). Quality of care and its impact on population health: A cross-sectional study from Macedonia’, Social Science and Medicine, 62(6), 2216-2224.
Propper, C. (2000). The demand for private health care in UK. Journal of Health Economics, 19(6), 1-17.
Qian, D., Lucas, H., Chen, J., Xu, L., & Zhang, Y. (2010). Determinants on the use of different types of health care providers in urban China: A tracer illness study of URTI. Health Policy, 98(2-3), 227 – 235. doi:10.1016/j.healthpol.2010.06.014
Rajpurohit, A.C., Srivastava, A.K., & Srivastava, V.K. (2013). Utilization of primary health centre services amongst rural population of northern India - some socio-demographic correlates. Indian Journal of Community Health, 25(4), 445 – 450.
Rous, J.J., & Hotchkiss, D.R. (2003). Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice. Health Economics, 12(6), 431-451.
Ruhara M.C., & Urbanus, M.K. (2016). The role of economic factors in the choice of medical providers in Rwanda. Rwanda Journal Series B: Social Sciences, 3, 41-62.
Sahn. E.D., Young, S., & Genicot, G. (2003). The demand for health services in rural Tanzania. Oxford Bulletin of Economics and Statistics, 65(2), 241-260.
Sanchez-Piedra, C.A., Prado-Galbarro, F.J., Garcıa-Perez, S., & Santamera, A.S. (2014). Factors associated with patient satisfaction with primary care in Europe. Quality in Primary Care, 22, 147–155.
Sarma, S.K. (2003). Demand for outpatient health care in rural India: A nested multinomial logit approach.
Ssewanyana S., Nabyonga, O.J., Kasirye, I., & Lawson, D. (2004). Demand for health care services in Uganda, implications for poverty reduction. Munich Personal RePEc archive, Unpublished.
Union of International Association (2019)
UNDP, (2000). Human development report 2000. United Nation’s Development Program. New York, NY.
World Bank, (1994). Better health in Africa: Experience and lessons learned, World Bank. Washington, DC.
World Health Organisation, (2002). WHO country cooperation strategy: Federal Republic of Nigeria 2002-2007, The World Health Organisation Regional Office of Africa, Brazzaville.
World Health Organization, (2008). The world health report 2008: Primary health care now more than ever. Geneva.
World Health Organization, (1978). Declaration of Alma-Ata. Adopted at the international conference on primary health care, Alma-Ata, USSR 6-12.
Aina O.S., Olowa O.W, Ibrahim I, & Asana S.O. (2015) Determinant of demand for health care services among rural household in Ekiti State, Nigeria. Journal of Biology, Agriculture and Healthcare, 5(7), 154 – 158.
Ajakaiye O., & Mwabu, G. (2007). The demand for reproductive health services: An application of control function approach. AERC, Nairobi.
Akin, J.S., Griffin, C., Guilkey, D., & Popkin, B. (1986). The demand for primary health care services in the Bicol region of the Philippines, Economic Development and Cultural Change, 34(4), 755B782.
Ali, K.J & Noman, A.N.K. (2010). An analysis of demand for health care in Bangladesh: The case of Rajshahi. Bangladesh Economic Studies, 12, 34-50.
Ali, K.J., & Noman, A.N.K. (2013). Determinants of demand for health care in Bangladesh: An econometric analysis. World Journal of Social Sciences, 3(6), 153 – 163.
Alubo, S.O. (2001). The promise and limits of private medicine: health policy dilemmas in Nigeria. Health Policy and Planning, 16(3), 313-21.
Amaghionyeodiwe, L.A (2007) Determinants of the choice of health care provider in Nigeria. Health Care Manage Sci, 11, 215–227.
Amaghionyeodiwe, L.A. (2009). Government health care spending and the poor: evidence from Nigeria. International Journal of Social Economics, 36(3), 220-236.
Amaghionyeodiwe, L.A. (2018) Poverty, user charges and health care demand in Nigeria. The Business and Management Review, 9(3), 367-377.
Andy, H., & Cassels, A. (2004). Can the millenium development goals be attained. British Medical Journal, 329(7462):394-7.doi: 10.1136/bmj.329.7462.394.
Awoyemi T. T., Obayelu, O. A., & Opaluwa, H. I. (2011). Effect of distance on utilization of health care services in rural Kogi State, Nigeria. J Hum Ecol, 35(1): 1-9.
Azhar. A, Rahman M.M, & Arif M.T. (2016). Satisfaction on primary health care services in Sarawak, Malaysia: Evidence from a cross-sectional community based study. Malaysian Journal of Public Health Medicine, 16(3), 267-273.
Baltussen R.M.P.M., Haddad, S., & Sauerborn, R.S. (2002). Perceived quality of care of primary health care services in Burkina Faso. Health Policy and Planning, 17(1),42–8.
Belay, M. (2013). Determinants of demand for health care services in Mekelle City.
Cisse A. (2006). Analysis of health care utilization in Cote d’Ivoire. Final report Submitted to AERC.
Deininger, K., & Mpuga, P. (2005). Does greater accountability improve the quality of public service delivery?: Evidence from Uganda. World development, Elsevier, 33(1), 171-191.
Federal Ministry of Health (2003), Priorities for Action within the Context of Health Sector Reform Agenda, Federal Ministry of Health, Abuja.
Federal Ministry of Health Nigeria (FMOHN) (2004). Revised National Health Policy. Abuja: Federal Ministry of Health.
Grossman, M. (1972a). On the concept of health capital and the demand for health. The Journal of Political Economy, 80(2), 223-255.
Grossman M. (1972b). The demand for health: a theoretical and empirical investigation. NBER and Columbia University Press, New York.
Hanson, K, Yip, W.C. & Hsiao, W. (2004). The impact of quality on the demand for outpatient services in Cyprus, Health Economics, 13(120, 1167-1180.
Hsiao, C., & Boult, C. (2008). Effects of quality on outcomes in primary care: A review of the literature. American Journal of Medical Quality, 23(4), 302–310. doi:10.1177/1062860608315643
Ichoku H.E., & Leibbrandt, M. (2003). Demand for healthcare services in Nigeria: A multivariate nested logit model. African Development Bank 2003. Published by Blackwell Publishing Ltd, 396-424.
Ichoku, H.E., & Fonta, W.M. (2006). The distributional impact of healthcare financing in Nigeria: a case study of Enugu State, PMMA Working Paper 2006-17, University of Nigeria, Nsukka.
Jafari A., Ravangard R., Kavosi Z., & Sajjadnia Z. (2014). Estimation of the demand for health for urban households using Grossman's model in Shiraz, Iran. Prog Health Sci, 4(1), 31 – 40.
Jayaraman, A. S., Chadndrasekhar, S., & Gebreselassie, T. (2008). Factors affecting maternal healthcare seeking in Rwanda. USAID. Working Paper.
Kaija D. O., & Okwi, P. O. (2011). Quality and demand for health care in rural Uganda: Evidence from 2002/03 household survey. Economic Research Consortium, Nairobi.
Khursheed, H. (2017). Empirical analysis of determinants of patient satisfaction: A case study of primary health centres. Journal of Global Economics, 5(1), 1 – 3. doi: 10.4172/2375-4389.1000234
Lawson, D. (2004). A microeconomic analysis of health, health care and chronic poverty. Unpublished, The university of Nottingham.
Leibowitz, A.A. (2004). The demand for health and health concerns after 30 years. Journal of Health Economics, 23, 663–671.
Lindelow, M. (2002). Health care demand in rural Mozambique: Evidence from 1996/97, household survey. International Food Policy Research Institute (IFPRI), FCND, Discussion Paper, No. 126.
Lindelow M. (2005). The utilisation of curative healthcare in Mozambique: Does income matter? Journal of African Economies, 14(3), 435–482. doi:10.1093/jae/eji015
Marcos, C. (2004). The origins of primary health care and selective primary health care. Am J public health, 22(94), 1864-1874.
Mhlanga, D. (2021). A dynamic analysis of the demand for healthcare in post-apartheid South Africa. Nurs, Rep 2021:484-494.
doi.org/10.3390/nueserep11020045.
Muriithi, M.K (2013). The demand for health care in a Nairobi slum: The role of quality and information. Published by European Scientific Institute, Kocani, Republic of Macedonia
Varian, H. (2014). Intermediate microeconomics: A modern approach, Norton W.W company, New York.
Nwosu, E.J. (2000). The challenge of poverty in Africa, Skillmark Media Ltd, Owerri.
Obionu, C.N. (2007). Primary health care for developing countries. Second edition. Institute for development studies. Enugu
Peabody, J.W., Nordyke, R.J., Tozija, F., Luck, J., Munoz, J.A., Sunderland, A., DeSalvo, K., Ponce, N., & McCulloch, C. (2006). Quality of care and its impact on population health: A cross-sectional study from Macedonia’, Social Science and Medicine, 62(6), 2216-2224.
Propper, C. (2000). The demand for private health care in UK. Journal of Health Economics, 19(6), 1-17.
Qian, D., Lucas, H., Chen, J., Xu, L., & Zhang, Y. (2010). Determinants on the use of different types of health care providers in urban China: A tracer illness study of URTI. Health Policy, 98(2-3), 227 – 235. doi:10.1016/j.healthpol.2010.06.014
Rajpurohit, A.C., Srivastava, A.K., & Srivastava, V.K. (2013). Utilization of primary health centre services amongst rural population of northern India - some socio-demographic correlates. Indian Journal of Community Health, 25(4), 445 – 450.
Rous, J.J., & Hotchkiss, D.R. (2003). Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice. Health Economics, 12(6), 431-451.
Ruhara M.C., & Urbanus, M.K. (2016). The role of economic factors in the choice of medical providers in Rwanda. Rwanda Journal Series B: Social Sciences, 3, 41-62.
Sahn. E.D., Young, S., & Genicot, G. (2003). The demand for health services in rural Tanzania. Oxford Bulletin of Economics and Statistics, 65(2), 241-260.
Sanchez-Piedra, C.A., Prado-Galbarro, F.J., Garcıa-Perez, S., & Santamera, A.S. (2014). Factors associated with patient satisfaction with primary care in Europe. Quality in Primary Care, 22, 147–155.
Sarma, S.K. (2003). Demand for outpatient health care in rural India: A nested multinomial logit approach.
Ssewanyana S., Nabyonga, O.J., Kasirye, I., & Lawson, D. (2004). Demand for health care services in Uganda, implications for poverty reduction. Munich Personal RePEc archive, Unpublished.
Union of International Association (2019)
UNDP, (2000). Human development report 2000. United Nation’s Development Program. New York, NY.
World Bank, (1994). Better health in Africa: Experience and lessons learned, World Bank. Washington, DC.
World Health Organisation, (2002). WHO country cooperation strategy: Federal Republic of Nigeria 2002-2007, The World Health Organisation Regional Office of Africa, Brazzaville.
World Health Organization, (2008). The world health report 2008: Primary health care now more than ever. Geneva.
World Health Organization, (1978). Declaration of Alma-Ata. Adopted at the international conference on primary health care, Alma-Ata, USSR 6-12.
Published
2022-08-28
Section
Articles
