Rural-Urban Disparities and Factors Associated with Clients’ Satisfaction with Healthcare in a Nigerian population

  • AK Ahmed
  • OY Ojo
  • MJ Saka
  • GA Salaudeen
Keywords: Clients' Satisfaction, Disparity, Healthcare, Rural, Urban, Waiting Time

Abstract

Background: Clients’ satisfaction surveys are required to identify gaps and challenges in providing healthcare services; to ensure the quality of care and patient satisfaction.

Objectives: To compare and assess factors responsible for healthcare satisfaction among rural and urban communities in Ilorin East Local Government Area (LGA) of Kwara State to improve service provision among the communities.

Methods: This was a comparative, cross-sectional study involving rural (250) and urban (250) respondents selected through a multi-stage sampling technique and surveyed using an interviewer-administered questionnaire. Focus Group Discussion was also used to collect qualitative data. Participants were selected through the purposive sampling technique.

Results: The proportion of clients who expressed satisfaction was 172 (68.8%) among urban and 175 (70.0%) among rural respondents, (z = 0.57; p = 0.45). The attitude of healthcare personnel influenced satisfaction among both the rural (56.0%) and urban (63.3%) respondents, respectively; short waiting time (12.8%) and privacy of the consulting rooms (13.7%) were reasons influencing satisfaction with service.

Conclusion: Short waiting time and privacy of consulting room were reasons for service satisfaction among clients. Waiting time was a strong predictor of satisfaction. There is a need to improve health personnel’s attitude to work to ensure clients’ satisfaction with healthcare services.

References

Babatunde OA, Awoyemi OA, Akande TM, Musa OI, Salaudeen AG, Babatunde OO, Atoyebi OA. Primary Health Care Consumers’ Perception of Quality of Care and its determinants in North-Central. J Asian Sci Res 2013; 3:775-785. https://aessweb.com/journal-detail.php?id=5003

Akande TM. Breaking the barriers to effective health care delivery. A Paper Presentation at 2013, Annual General Meeting of Nigeria Medical Association (Kwara State, Branch); Kwara Hotels, Ilorin. August 2013.

Jane CUE, Obinna EO, Benjamin SCU, Ogochukwu PE. Patients' Satisfaction and Quality of Care in a Tertiary Institution in Southeast Nigeria. Int Res J Baisc Clin Studies 2014; 2: 14-19. https://doi.org/10.14303/irjbcs.2014.014

Uchendu OC, Ilesanmi OS, Olumide AE. Factors Influencing the Choice of Health Care Providing Facility among Workers in a Local Government Secretariat in Southwestern Nigeria. Ann Ibd Postgrad Med 2013; 11: 87-95.

Yahaya JS. Assessment of Students’ Satisfaction and Quality of Patient Care under the Nigerian Tertiary Institutions Social Health Insurance Programme. Eur J Bus Mgt 2015; 7: 20-32.

Zahida A, Amanat AJ. Health Care Facilities and Patients’ Satisfaction: A Case Study of Civil Hospital Karachi. Interdisc J Contemp Res Bus 2012; 4: 781-796.

Adebayo AM, Asuzu MC. Utilization of a community-based health facility in a low-income urban community in Ibadan, Nigeria. Afr J Prm Health Care Fam Med 2015; 7: 735. http://dx.doiorg/10.4102/phcfm.v7i1.735

Mylene L, Natasha P. The Impact of User Fees on Health Service Utilization in Low and Middle-income Countries: How Strong is the Evidence‽ Bull World Health Org 2010; 86: 839-848. https://doi.org/10.2471/BLT.07.049197

Godswill J, Ada HO. Maternal Healthcare Providers and the Challenges of Quality Services in Rural Communities of Kaduna State, Nigeria. Niger J Sociol Anthropol 2012; 10: 137-149. https://doi.org/10.36108/NJSA/2102/01(0140)

Akande TM. Referral System in Nigeria: Study of a Tertiary Health Facility. Ann Afr Med 2011; 3: 135-139.

Olajide BR. Patrons’ Perception of Quality of Healthcare Services in Primary Health Care Centers (PHCs) in Oyo State, Nigeria. Int Know Sharing Platform 2013; 3: 1-25.

Assefa F, Mosse A, Hailemichael Y. Assessment of Clients' satisfaction with health service deliveries at Jimma University Specialized Hospital. Ethiop J Health Sci 2011; 21: 101–109. https://doi.org/10.4314/ejhs.v21i2.69050

Sule SS, Ijadunola KT, Onayade AA, Fatusi AO, Soetan RD, Connell FA. Utilization of Primary Health Care Facilities: Lessons from Rural Community in Southwest, Nigeria. Niger J Med 2010; 17: 98-106. https://doi.org/10.4314/njm.v17i1.37366

Margaret WN, Rosebella O, Rose K. Determinants of Clients’ Satisfaction with Health Care Services of Pumwani Maternity Hospital in Nairobi-Kenya. Int J Soc Behav Sci 2014; 2: 011-017.

Adesiji GB, Dada SO, Komolafe SE. Problems Faced by Rural People in Accessing Health Care Facilities in Akure North and Akure South Local Government Area of Ondo State, Nigeria. J Appl Sci Res 2012; 8: 2260-2266.

Kwara State Government. Profiles of Ilorin East Local Government Area. Ilorin, Kwara State. KWSG. February 2013. Available at http//www.kwaraadv.asp_files.ng Accessed 14 February 2016.

Kwara State Government. Information document on Health care services in Ilorin East Local Government area. Ilorin, Kwara State. (Unpublished data: Source - Office of the Public Relations Officer, Ilorin East Local Government Area. 2016)

The Federal Republic of Nigeria. Nigeria Demographic and Health Survey 2016. National Population Commission Abuja.

Jekel JF, Katz DL, Elmor JG, Wild DMG. Sample Size, Randomization, and Probability Theory. In: Epidemiology, Biostatistics and Preventive Medicine. 3rd Eed. Philadelphia: Saunders Elsevier: 20013. p. 197-202.

Osungbade KO, Obembe TA, Oludeyi A. Users’ Satisfaction with Service Provided under National Health Insurance Scheme in South-western, Nigeria. Int J Trop Dis Health 2014; 4: 595-607. https://:doi.org/10.9734/IJTDH/2014/7280

Sambo MN, Lewis I, Idris SH. Quality of Care in Primary Health Centres of Tafa Local Government Area of Niger State, North-Central, Nigeria; the Clients’ perspective. Niger J Med 2012; 19: 194-198. https://doi.org/10.4314/njm. v19i2.56519

Nwabueze SA, Adogu PO, Ilika AL, Asuzu MC, Adinma ED. Perception of quality of care in HIV/AIDS programmes among patients in a tertiary health care facility in Anambra State. Niger J Med 2011; 20: 144-150. https://doi.org/10.12691/jpm-1-3-1

Shaikh BT, Hatcher J. Health Seeking behaviour and Health Service Utilization in Pakistan: Challenging the Policy Makers. J Public Health 2010; 27: 49-54. https://doi.org/10.1093/pubmed/fdh207

Onyeonoro UU, Chukwu JN, Nwafor CC, Anthony OM, Babatunde IO, Nelson OM, et al. Evaluation of Patient Satisfaction with Tuberculosis Services in Southern Nigeria. Health Services Insights 2015; 8: 25-33. https://doi.org/10.4137/HSI.S27177

Godfrey BS, Sarah II. Health-Seeking Behaviour of Rural Dwellers in Southern Nigeria: Implications for Health care professionals. Int J Trop Dis Health 2012; 2: 62-71.

Federal Ministry of Health. The National Strategic Health Development Plan Framework (2009-2015), Abuja. 2009: 14-30. Accessed 26 March 2016

Federal Ministry of Health. Health Sector Reform Program: Strategic Thrusts and long reform. Abuja. Federal Ministry of Health. 2010. Accessed 26 March 2016.

Gup I, Ofoedu JN, Njoku P U, Odu F U, Ifedigbo CV, Iwuamanam KD. Evaluation of Patients’ Satisfaction with Quality of Care Provided at the National Health Insurance Scheme Clinic of a Tertiary Hospital in South-Eastern Nigeria. Niger J Clin Pract 2012; 12: 69-74. http://dx.doi.org/10.4103/1119-3077.104529

Iliyasu Z, Abubakar IS, Abubakar S, Lawan UM, Gajida AU. Patients’ Satisfaction with Services Obtained from Aminu Kano Teaching Hospital, Kano, Northern, Nigeria. Niger J Clin Pract 2010; 13: 371-378.

Oyo-Ita A, Etuk SJ, Ikpeme BM, Ameh SS, Nsan EN. Patients’ Perception of Obstetric Practice in Calabar, Nigeria. Niger J Clin Pract 2010; 10: 224-228.

Kuzma J, Jennifer S, Absalom M, Brian M, Jessica H, Emmanuel P, et al. Assessment of patients' satisfaction with rural health services. Contemporary PNG Studies: DWU Research Journal 2012; 17: 60-67.

World Health Organization. Urbanization and Health: Health Equity and Vulnerable Population Case Studies from the Eastern Mediterranean Region. Geneva. WHR, 2010. 5. https://apps.who.int/iris/handle/10665/119914

Eze C, Okaro A. Survey of Patients’ Satisfaction and Obstetric Ultrasound Scan Services at University of Nigeria Teaching Hospital, Enugu, Nigeria. Niger J Health Biomed Sci 2012; 5: 93-97. https://doi.org/10.4314/njhbs. v5i1.11583

Safiu M, Mohammed NS, Hengjin D. Understanding Clients’ Satisfaction with a Health Insurance Scheme in Nigeria: factors and enrolees’ experience. Health Res Policy Sys 2011; 9: 9-20. https://doi.org/10.1186/1478-4505-9-20

Hanan Abbas AAR. Maternal Satisfaction about Childhood Immunization in Primary Health Care Center, Egypt. Pan Afr Med J 2014; 18: 1-10. https://doi.org/10. 11604/pamj.2014.18.157.1773

Olusimbo KI, Cynthia CN. Areas of Dissatisfaction with Primary Health Care Services in Government Owned Health Facilities in a Semi-urban Community in Nigeria. J Rural Trop Public Health 2010; 19: 19-23.

World Health Organization. Evaluating the Quality of Health care. E-Source Behavioural and Social Sciences Research. Geneva. WHR. 29 April 2013.

Published
2021-09-27
Section
Original Research