Dissertation/Thesis Abstract

A Case Study of Primary Healthcare Services in Isu, Nigeria
by Chimezie, Raymond Ogu, Ph.D., Walden University, 2013, 233; 3558764
Abstract (Summary)

Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included that (a) healthcare is focused on children and pregnant women; (b) healthcare is largely ineffective because of insufficient funding, misguided leadership, poor system infrastructure, and facility neglect; (c) residents lack knowledge of and confidence in available primary healthcare services; (d) residents regularly use traditional healers even though these healers are not recognized by local government administrators; and (e) residents can be valuable participants in community-based research. The potential for positive social change includes improved communication between local government, residents, and traditional healers, and improved access to healthcare for residents.

Indexing (document details)
Advisor: Schwab, Michael
Commitee: Gordon, Monica, Jimenez, Richard
School: Walden University
Department: Public Health
School Location: United States -- Minnesota
Source: DAI-B 74/08(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: African Studies, Public health, Health care management
Keywords: Access to healthcare, Barriers to primary healthcare, Community-based research, Healthcare perceptions, Primary healthcare, Rural / community healthcare
Publication Number: 3558764
ISBN: 978-1-303-03331-5
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