Responsiveness of primary health care services in Nigeria: The patients’ perspective

Health system responsiveness reflects the extent national health systems meet the legitimate expectations of patients. This study assessed the responsiveness of primary health care services in Nigeria from the clients’ perspective. A cross-sectional survey of 379 participants were randomly selected...

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Autores principales:	Daprim Ogaji, Chinedu Egu, Michael Nwakor-osaji, Amala Smart, Emeka Anyiam, Faith Diorgu
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	responsiveness primary health care patient-centered care patient experience patients’ perspective nigeria Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6263929b694c43fab74d4a239a04e251
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spelling	oai:doaj.org-article:6263929b694c43fab74d4a239a04e2512021-11-15T04:31:28ZResponsiveness of primary health care services in Nigeria: The patients’ perspective2372-0247https://doaj.org/article/6263929b694c43fab74d4a239a04e2512020-11-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss3/18https://doaj.org/toc/2372-0247Health system responsiveness reflects the extent national health systems meet the legitimate expectations of patients. This study assessed the responsiveness of primary health care services in Nigeria from the clients’ perspective. A cross-sectional survey of 379 participants were randomly selected from 7 centers from a sample frame of 20 primary healthcare centers. Descriptive results were presented in frequencies and percentages. The associations between the importance and performance ranking were examined using the Spearman’s ranked correlation coefficient. Multivariate logistic regression was used to identify predictors of responsiveness with p-values ≤ 0.05 considered statistically significant. There were equal proportion of respondents aged≥30 years but more were female (95%), had attained less than the tertiary level of schooling (60.9%), and currently married (92.3%). The highest proportion of patients reported good responsiveness for dignity (81.8%) and least proportion for the choice of care provider (53.8%). Patient-level predictors of good responsiveness in relation to autonomy were younger age (p = 0.003) attainment of tertiary level of education (p = 0.001); tertiary education was associated with confidentiality (p = 0.009) and those who are not married with prompt attention (p = 0.027). Dignity, confidentiality, and prompt attention were identified as priority areas to focus in improving the responsiveness of primary healthcare services in Rivers State. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Daprim OgajiChinedu EguMichael Nwakor-osajiAmala SmartEmeka AnyiamFaith DiorguThe Beryl Institutearticleresponsivenessprimary health carepatient-centered carepatient experiencepatients’ perspectivenigeriaMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	responsiveness primary health care patient-centered care patient experience patients’ perspective nigeria Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	responsiveness primary health care patient-centered care patient experience patients’ perspective nigeria Medicine (General) R5-920 Public aspects of medicine RA1-1270 Daprim Ogaji Chinedu Egu Michael Nwakor-osaji Amala Smart Emeka Anyiam Faith Diorgu Responsiveness of primary health care services in Nigeria: The patients’ perspective
description	Health system responsiveness reflects the extent national health systems meet the legitimate expectations of patients. This study assessed the responsiveness of primary health care services in Nigeria from the clients’ perspective. A cross-sectional survey of 379 participants were randomly selected from 7 centers from a sample frame of 20 primary healthcare centers. Descriptive results were presented in frequencies and percentages. The associations between the importance and performance ranking were examined using the Spearman’s ranked correlation coefficient. Multivariate logistic regression was used to identify predictors of responsiveness with p-values ≤ 0.05 considered statistically significant. There were equal proportion of respondents aged≥30 years but more were female (95%), had attained less than the tertiary level of schooling (60.9%), and currently married (92.3%). The highest proportion of patients reported good responsiveness for dignity (81.8%) and least proportion for the choice of care provider (53.8%). Patient-level predictors of good responsiveness in relation to autonomy were younger age (p = 0.003) attainment of tertiary level of education (p = 0.001); tertiary education was associated with confidentiality (p = 0.009) and those who are not married with prompt attention (p = 0.027). Dignity, confidentiality, and prompt attention were identified as priority areas to focus in improving the responsiveness of primary healthcare services in Rivers State. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Daprim Ogaji Chinedu Egu Michael Nwakor-osaji Amala Smart Emeka Anyiam Faith Diorgu
author_facet	Daprim Ogaji Chinedu Egu Michael Nwakor-osaji Amala Smart Emeka Anyiam Faith Diorgu
author_sort	Daprim Ogaji
title	Responsiveness of primary health care services in Nigeria: The patients’ perspective
title_short	Responsiveness of primary health care services in Nigeria: The patients’ perspective
title_full	Responsiveness of primary health care services in Nigeria: The patients’ perspective
title_fullStr	Responsiveness of primary health care services in Nigeria: The patients’ perspective
title_full_unstemmed	Responsiveness of primary health care services in Nigeria: The patients’ perspective
title_sort	responsiveness of primary health care services in nigeria: the patients’ perspective
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/6263929b694c43fab74d4a239a04e251
work_keys_str_mv	AT daprimogaji responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective AT chineduegu responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective AT michaelnwakorosaji responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective AT amalasmart responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective AT emekaanyiam responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective AT faithdiorgu responsivenessofprimaryhealthcareservicesinnigeriathepatientsperspective
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Responsiveness of primary health care services in Nigeria: The patients’ perspective

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