PARENTAL SOCIO-ECONOMIC STATUS AND ACCESS TO CHILD HEALTHCARE UTILIZATION IN NIGERIA
This paper examines socioeconomic status and child health care utilization in Nigeria, using NMIS data. The primary objective of this study is to determine the socioeconomic factors that influence child health care utilization in Nigeria. Using Binary logistic regression as method of analysis, the research result found a positive and significant relationship between socioeconomic status especially wealth differential and child health care utilization. The result is robust to inclusion of relevant covariates such as child and parents individual and regional characteristics. Other indicators of child health care use included were region, family structure, gender of household head and place of residents which were also found to be important determinants of child health care use. Programs that will improve the wealth and education of the poor such as investment in agriculture, free and quality education and increase insurance coverage was recommended to increase child health care access in Nigeria.
Adedokun, S. T., Adekanmbi, V. T., Uthman, O. A. and Lilford, R. J. (2017). Contextual factors Associated with health care service utilization for children with acute childhood illnesses In Nigeria. PLoS ONE. VOL. 12 No. 3, pp.1-14
Adeyanju, O., Tubeuf, S. & Ensor, T. (2017). Socio-eocnomic Inequalities in Access to Maternal and Child Healthcare in Nigeria: Changes Over Time and Decomposition Analysis. Health Policy and Planning, Vol.32 No. 8 pp1111-1118.
Agunwa, C, C., Obi, I. E., Ndu, A. C., Omotowo, I. B., Idoko, C. A., Umeobieri, A. K. and Aniwada, E. C. (2017). Determinants of Patterns of Maternal and Child Health Service Utilization in a Rural Community in South Eastern Nigeria. BMC Health Service Journal. Vol 17 No. 715 Doi 10.1186/s12913-017-2653-x
Ahmed, S., Creanga, A. A., Gillespie, D. G. & Tsui, A. O. (2010). Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries. PLoS One Vol 5:6: e11190. doi: 10.1371/journal.pone.0011190.
Akinbami, L. J. & Schoendorf, K. C. (2002). Trends in Childhood Asthma: Prevalence, Health Care Utilization, and Mortality. Journal of the American Academy of Pediatrics, Vol.110 No.2: http://pediatrics.aappublications.org/content/110/2/315.full.html.
Amin, R., Shah, N. M. & Becker, S. (2010). Socioeconomic Factors Differentiating Maternal and Child Health Seeking Behaviour in Rural Bangladesh: A Cross-Sectional Analysis. International Journal for Equity in Health, Vol. 9:9 pp. 1-11. http://www.equityhealthj.com/content/9/1/9 [Accessed 7 June, 2018].
Amooti-Kaguna, B. & Nuwaha F. (2000). Factors influencing choice of delivery sites in Rakai district of Uganda. Social Science andMedicine 50: 203–13.
Andersen, R., & Newman, J. F. (1973). Societal and Individual Determinants of Medical of Medical Care Utilization in the United States. The Milbank Quarterly, Health and Society. Vol.51 pp 95-124.
Antai, D., Wedrén, S., Bellocco, R. & Moradi, T. (2010). Migration and child health inequities in Nigeria: a multilevel analysis of contextual- and individual-level factors. Tropical Medicine & International Health, 15(12), pp. 1464-1474. doi: 10.1111/j.1365- 3156.2010.02643.x.
Antai, D. (2011). Regional Inequalities in Under-5 Mortality in Nigeria: A population-based Analysis of individual and Community-level Determinants. Population Health Metrics, Vol.9, No.6. http://www.pophealthmetrics.com/content/9/1/6 [Accessed 2 Febraury, 2018].
Babitsch, B., Gohi, D. & Lengerke, T. V. (2012). Re-revisiting Andersen’s Behavioural Model of Health Service Use: a systematic review of studies from1998 – 20111. GNS Psycho- Social-Medicine Journal, Vol.9, Special Issue. Pp1-15
Baker, D. W., Shapiro, M. R. & Schur, C. L. (2000). Health Insurance and Access to Care for Symptomatic Conditions. ARCH INTERN MED, Vol 160 No.1 pp1269-1274.
Davidson, E. J., Silva, T. J., Sofis, L. A., Ganz, M. L. & Palfrey, J. S. (2002). The Doctor’s Dilemma: Challenges for Primary Care Physician Caring for the Child with Special Health Care Needs. Ambul Pediatr. Vol.2 pp218-223.
Heck, K. E. & Parker, J.D. (2002). Family Structure, Socioeconomic Status, and Access to Health Care for Children, Health Service, Vol 37:1 pp. 171-184.
Kadobera, D., Sartorius, B., Masanja, H., Mathew, A. & Waiswa, P. (2012). The effect of distance to formal health facility on childhood mortality in rural Tanzania, 2005_2007. Glob Health Action, Vol. 5: pp.1_9.
Lavy, V., Strauss, J., Thomas, D. and de Vreyer, P. (1996). Quality of Health Care, Survival
and Health Outcomes in Ghana. Journal of Health Economics, Vol. 15 No.3, pp333-357. Link, B. and Phelan, J. (1995). Social Conditions as Fundamental Causes of Diseases. Journal of
Health and Social Behaviour, Extra Isue, pp.80-94.
Minkovitz, C. S., Campo, P. J. O., Chen, Y. & Grason, H. A. (2002). Associations Between Maternal and Child Health Status and Patterns of Medical Care Use. Ambulatory Pediatrics, Vol.2 No.2 pp 85-92.
Nnonyelu, A. N. & Nwankwo, I. U. (2014). Social Determinants of Differential Access to Health Services Across Five States of SouthEast Nigeria. European Scientific Journal. Vol. 3 Special Edition, pp. 286-296. ISSN: 1857-7881.
Ogunlesi, T. A. & Olanrewaju, D. M. (2010). Socio-demographic Factors and Appropriate Health Care-seeking Behaviour for Childhood Illnesses. Journal of Tropical Pediatrics, Vol. 56, No. 6.
Onwujekwe, O. & Uzochukwu, B. (2005). Socio-economic and Geographic Differentials in Costs and Payment Strategies for Primary Healthcare Services in Southeast Nigeria. Health Policy Journal, Vol. 71 pp 383-397.
Owoseni, J. S., Jegede, L. I. & Ibikunle, A. M. (2014). Socio-economic Status and Utilization of Healthcare Facilities in Rural Ekiti, Nigeria. Journal of Medicine and Medical Sciences, Vol. 2 No. 1 pp1-43.
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R. & Raham, M. H. (2008). Poverty and Access to Health Care in Developing Countries. Annals of the New York Academy of Science, 1136 pp 161-171: doi: 10.1196/annals. 1425.011.
Raso, g., Utzinger, J., Silue, K. D., Ouattara, M., Yapi, A., Toty, A., Matthys, B., Vounatsou, P., Tanner, M. & N’Goran, E. K. (2005). Disparities in Parasitic Infections, Perceived Ill Health and Access to Health Care Among Poorer and Less Poor Schoolchildren in Rural Cote d’Ivoire . Tropical Medicine and International Health, Vol.10 No.1 pp 42-57.
Simoes, E. A. F., Peterson, S., Gamatie, Y., Kisanga, F. S., Mukasa, G.,
Nsungwa-Sabiiti, J., Were, M. W. & Weber, M. W. (2003). Management of Severely Ill Children at First-Level Health Facilities in Sub-Saharan Africa When Referral is Difficult. Billetin of World Health Organization, Vol 81 No.7 pp522-531.
Sina, O. J., Jegede, L. Y. & Ibikunle, A. M. (2014). Socio-economic Status and Utilization of Healthcare Facilities in Rural Ekiti, Nigeria. Journal of Medicine and Medical Sciences. Vol. 2 No.1 pp. 1-43.
Takai, I. U., Dlakwa, H. D., Bukar, M., Audu, B. M. & Kwayabura, A. S. (2015). Factors Responsible for Under-Utilization of Postanatal Care Services in Maiduguri, North-East Nigeria. Sahel Medical Journal. Vol. 18 No. 3, pp. 109-115.
Titus, O. B., Adebisola, O. A. & Adeniji, A. O. (2015). Health-care Access and Utilization Among Rural Households in Nigeria. Journal of Development and Agricultural Economics. Vol. 7, No. 5, pp. 195-203.
Ugbor, I. K., David-Wayas, O. M., Arua, M. & Nwanosike, D. U. (2017). The Socioeconomic Factors That Determine Women Utilization of Healthcare Services in Nigeria. International Journal of Asian Social Science, Vol.7 No.5 pp359-366.
UNICEF-WHO-World Bank Group-UNIGME. (2017). Levels & Trends in Child Mortality Report, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation, United Nations Children’s Fund, New York, 2017.
World Health Organization and International Initiative for Impact Evaluation. (2016). An Evidence Map of Social Behavioural and Community Engagement Interventions for Reproductive, Maternal, Newborn and Child Health Geneva: Licence: CCBY-NC- SA3.OIGO.
World Health Organization and International Initiative for Impact Evaluation. (2017) An evidence map of social, behavioural and community engagement interventions for reproductive, maternal, newborn and child health. Geneva: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO.
Yar’zever, I. S. & Said, I. Y. (2013). Knowledge and Barriers in Utilization of Maternal Health Care Services in Kano State, Nigeria. European Journal of Biology and Medical Science Research. Vol. 1 No. 1, pp.1-14
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