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Effects of Utilization of Basic Health Care Provision Fund on Service Delivery in Primary Health Centres in Osun State

Adagbasa E., Olagunju F.A., Akinwumi A.I., Adeagbo O.Y., Akinleye R.O., Aderinwale A.D., Atolagbe J.

Abstract


Introduction: Since the implementation of the of PHC strategy in Nigeria, inadequate funding of its various laudable programmes remains one of the daunting challenges militating against the provision of quality healthcare services at the various primary health centres located in the different parts of the country and this has hindered the ability of the successive governments to provide sustainable and equitable PHC for all the citizens and residents of the country.

Objective: This study intends to evaluate how the Basic Health Care Provision Funds are used in relation to service delivery in Osun state's primary health clinics.

Materials and Methods: A descriptive cross-sectional study was adopted for this study among 384 respondents selected using multistage sampling methods from different LGAs in Osun State. The research instrument was a semi-structured questionnaire analysed with SPSS version 25.0. Univariate and bivariate analysis were done as appropriate and a p-value of <0.05 was taken as statistically significant.

Results: This study revealed that the commonest frequency of release of BHCPF to the supported facilities was monthly, 93.2% utilised the BHCPF-supported PHCs. Most (98.2%) were satisfied with service delivery in the facilities. Although not statistically significant, satisfaction with the service delivery was found to influence the utilisation of the PHC facilities by the patients. Conclusion: While most services of the component PHCs were offered by  90% of the facilities visited less than one-third offered mental and dental health services,  implementation of mental and dental health services in the BHCPF-supported PHCs is recommended.


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