Search this journal:     Advanced search
Original Research

Utilisation of a community-based health facility in a low-income urban community in Ibadan, Nigeria

Ayodeji M. Adebayo, Michael C. Asuzu

African Journal of Primary Health Care & Family Medicine; Vol 7, No 1 (2015), 8 pages. doi: 10.4102/phcfm.v7i1.735

Submitted: 20 June 2014
Published:  05 May 2015


Background: Primary healthcare is established to ensure that people have access to health services through facilities located in their community. However, utilisation of health facilities in Nigeria remains low in many communities.

Aim: To assess the utilisation of community-based health facility (CBHF) amongst adults in Ibadan, Nigeria.

Settings: A low-income community in Ibadan North West Local Government Area of Oyo State.Methods:A cross-sectional survey was conducted using a simple random sampling technique to select one adult per household in all 586 houses in the community. A semi-structured interviewer-administered questionnaire was used to collect information on respondents’ sociodemographic characteristics, knowledge and utilisation of the CBHF. Data analysis included descriptive statistics and association testing using the Chi-square test at p = 0.05.

Results: The mean age of the respondents was 46.5 ± 16.0 years; 46.0% were men and 81.0% married; 26% had no formal education and 38.0% had secondary-level education and above; traders constituted 52.0% of the sample; and 85.2% were of low socioeconomic standing; 90%had patronised the CBHF. The main reasons for non-utilisation were preference for general hospitals (13.8%) and self-medication (12.1%). Respondents who had secondary education and above, were in a higher socioeconomic class, who had good knowledge of the facility and were satisfied with care, utilised the CBHF three months significantly more than their counterparts prior to the study (p < 0.05). However, only satisfaction with care was found to be a significant predictor of utilisation of the CBHF.

Conclusion: The utilisation of the CBHF amongst adults in the study setting is high, driven mostly by satisfaction with the care received previously. Self-medication, promoted by uncontrolled access to drugs through pharmacies and patent medicine stores, threatens this high utilisation.

Full Text:  |  HTML  |  EPUB  |  XML  |  PDF (375KB)

Author affiliations

Ayodeji M. Adebayo, Department of Preventive Medicine and Primary Care, College of Medicine, University of Ibadan, Nigeria
Michael C. Asuzu, Department of Preventive Medicine and Primary Care, College of Medicine, University of Ibadan, Nigeria



Total abstract views: 3080
Total article views: 4190  


1. Engendering maternal and child health care services in cross river state health agenda in Nigeria: what worked well in a pilot study
Kabiru K Salami, David O Akeju
Research Journal of Women's Health  vol: 4  issue: 1  first page: 3  year: 2017  
doi: 10.7243/2054-9865-4-3

Comments on this article

Before posting your comment, please read our policy.
Post a Comment (Login required)

ISSN: 2071-2928 (print) | ISSN: 2071-2936 (online)

Connect on: Facebook, Twitter, Google+, LinkedIn and YouTube

Subscribe to our newsletter

All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license, unless otherwise stated.

Website design & content: ©2017 AOSIS (Pty) Ltd. All rights reserved. No unauthorised duplication allowed.

AOSIS Publishing | Empowering Africa through access to knowledge
Postnet Suite #110, Private Bag X19, Durbanville, South Africa, 7551
Tel: 086 1000 381 
Tel: +27 21 975 2602 
Fax: 086 5004 974

publishing(AT) replace (AT) with @

Please read the privacy statement.