Prospect And Challenges Of Primary Healthcare Programme In Rural Community

Table of Content

Chapter One

Introduction

1.1 Background to the Study

1.2 Statement of the Problem

1.3 Research Questions

1.4 Objectives of the Study

1.5 Significance of the Study

1.6 Definition of Concepts

Chapter Two: 

Literature Review

2.1 Review of Empirical Literature

2.1.1 Global Trends in Child Mortality

2.1.2 Child Mortality in Nigeria

2.1.3 Factors Associated With Child Mortality in Nigeria

2.1.3.1 Poor Maternal Health

2.1.3.2 Nutritional Status

2.1.3.3 Demographic Factors

2.1.3.4 Environmental Factors

2.1.4 Access to Primary Healthcare Programs in Nigeria

2.1.5 Factors Affecting Access to Healthcare Programs in Nigeria

2.1.5.1 Political Factors

2.1.5.2 Organizational Factors

2.1.5.3 Location/geographic Factors

2.1.5.4 Educational Factors

2.1.5.5 Cost of Services

2.1.5.6 Cultural Barriers

2.1.5.7 Presence of Patent Medicine Vendors

2.1.6 Efforts to Improve Access to Healthcare Programs in Nigeria

2.2 Review of Relevant Theories

2.2.1 Individual or Intrapersonal Health Behavior Models/theories

2.2.1.1 Health Belief Model

2.2.1.2 Theory of Planned Behaviour

2.2.2 Interpersonal Health Behavior Model/theories

2.2.2.1 Social Network Theory

2.2.2.2 Structural Basis for Action Theory

2.2.3 Community Level Model/theory

2.2.3.1 Culture-bound Theory of Disease

2.3 Theoretical Framework

2.4 Study Hypothesis

Chapter Three

Research Methodology

3.1 Research Design

3.2 Area of Study

3.3 Study Population

3.4 Sample Size

3.5 Sampling Procedure

3.6 Instrument for Data Collection

3.7 Methods of Data Collection

3.8 Methods of Data Analysis

3.9 Limitations of the Study

Chapter Four: 

Analysis and Presentation of Data

4.1.1 Age Distribution

4.1.2 Marital Status

4.1.3 Occupational Distribution

4.1.4 Level of Education

4.1.5 Religious Affiliation

4.1.6 Number of Years Lived in the Community

4.2 Issues on Child Health: Common Health Problems Among Children

4.2.1 Common Health Problems in Children and Their Managements

4.2.2 Options Taken by Respondents for Childs Healthcare

4.2.3 Options Taken for Child Health and the Level of Education of Respondents.

4.2.4 Options Taken for Child Health and Marital Status

4.2.5 Reasons for Taking Various Options

4.3 Situation of Primary Healthcare Programs

4.3.2 Decisions-making on Health and Education in the Households.

4.3.3 Respondents Perception of Cost of Services at PHC

4.3.4 Use of PHC in the Communities

4.3.5 Distribution of Respondents on How Often They Visited the PHC

4.3.6 Respondents’ Experiences at the PHC

4.3.7 Major Problems in Accessing Healthcare Programs

4.4 Issues on Immunization and Use of Insecticide Treated Nets

4.4.1 Knowledge About Immunization.

4.4.2 Bringing Out Children for Immunization.

4.4.3 Immunization of Children and Level of Education of Respondents

4.4.4 Effectiveness of the Immunization Exercise

4.4.5 Reasons for Bringing Out Children for Immunization

4.4.6 Ever Heard About ITNS

4.4.7 Reasons for Not Using ITNS.

4.4.8 Common Statements About ITNS and Immunization.

4.5 Multiple Regression Analysis

4.6 Test of Hypotheses

4.6.1 Hypothesis One

4.6.2 Hypothesis Two

4.6.3 Hypothesis Three

4.6.4 Hypothesis Four

4.6.5: Hypothesis Five

4.7 Summary of Findings

Chapter Five: 

Discussions, Conclusion and Recommendations

5.1 Discussions

5.1.1 Options Taken in Child Healthcare

5.1.2 Problems in Accessing PHC Services

5.1.3 Common Health Problems Among Children in the LGA

5.1.4 Awareness of Health Interventions Like Immunization and ITNS

5.2 Conclusions

5.3 Recommendations

References

Appendix

Questionnaire