Measures of the Determinants of Demand for Personal Healthcare Services Delivery in Nigeria (Published)
This study sought to assess the relationship between the determinants of demand for personal healthcare services delivery in Nigeria. The main objective of the study was to assess the determinants of demand for personal healthcare services delivery in Nigeria. The specific objectives were to examine the relationship between literacy; income; environmental factors, government and private expenditures on health in Nigeria. Specifically, the study is a descriptive statistics research with the use of secondary sources of data from the World Health Development Indicators (WDI) and Central Bank of Nigeria (CBN) bullettins. The study adopted Pooled Ordinary Least Square (OLS) regression model and Autoregressive Distributed Lag Model (ARDL). The analysis was based on annual time series data for the period of 1990 to 2023. The result revealed that literacy rate has a significant negative relationship with demand for personal healthcare services in Nigeria, which implies that literacy rate in Nigeria directly contributed to the decline of private demand for personal healthcare services over time. The study also observed that per capita income has a significant positive relationship with demand for personal healthcare services, which means that a rise in income levels increases demand for private health expenditure in Nigeria. Moreso, the study found that there is actually no significant relationship between environmental factor and demand for personal healthcare services in Nigeria. Finally, the study shows that government expenditure on health significantly reduces demand for personal healthcare services in Nigeria. Therefore, government health expenditure is a substitution for private health expenditure in Nigeria over time. It concludes that demand for personal healthcare services requires a deep evaluation of public health investments, economic growth policies and educational reforms. It suggested that there is the need to focus on health promotion campaigns at all levels of governance in Nigeria, and however, policies that combine literacy initiatives with health promotion campaigns can both improve demand for quality healthcare services at the private level and also ensure healthier lifestyles and preventive care.
Keywords: Demand, Environmental Factors, HealthCare Services, Healthcare, Income, Inflation, Literacy, delivery, government expenditures, personal services, private expenditure
Women’s Perception of Males’ Involvement in Maternal Healthcare in Rivers State, Nigeria (Published)
Men play a significant role in the reproductive life of women, from the pre-pregnancy stages of family planning to pregnancy, birth and post-natal periods. This study was a survey of the perceptions of women on males’ involvement in maternal healthcare in Rivers State. This involved some selected health centres in Rivers State, using a pre-tested and validated questionnaire. Aspects of men’s involvement that were taken into consideration included decision-making, economic and geographic accessibility as well as utilization of maternal health-care services. Responses from a total of 300 pregnant and post–natal mothers who were purposively selected from randomly drawn health centres in the three Senatorial Districts in Rivers State were analyzed. The results showed no significant difference in the perceptions of women with primary or post-primary education, unemployed or employed women as well as those residing in rural or urban areas. In addition, there was a unanimous agreement that joint decision-making was better than a decision solely taken by the man or woman alone. They all agreed that financial empowerment and autonomy were crucial for enabling women to access and utilize maternal healthcare facilities. It was concluded that despite the pivotal role of men in family affairs, their involvement in maternal health process was abysmal and this could be due to some extraneous factors. The study therefore recommended that women empowerment, in terms of education and finances would go a long way towards improving maternal health which, over the years, has been on the decline, despite men’s good intentions.
Keywords: Education, Gender, Healthcare, Men, Nigeria, Women