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Title:Regional Disparities in Health-Seeking Behaviour in Nigeria : Evidence from the World Bank General Household Survey
Authors:ID Osakede, Uche Abamba (Author)
ID Ayadi, M. Femi (Author)
Files:.pdf ZUP_Osakede_Uche_Abamba_2025.pdf (298,28 KB)
MD5: 7C70425DADE87D1B95FD939FA4FE3D7D
 
Language:English
Work type:Article
Typology:1.01 - Original Scientific Article
Organization:ZUP - University of Primorska Press
Abstract:Regional disparities in socioeconomic factors shape health-seeking behaviour (HSB). This study examined HSB across Northern and Southern Nigeria and the role of socioeconomic factors on HSB. Data was drawn from Wave 4 of the 2018/2019 post-harvest General Household Survey of approximately 5,000 households. Logistic regression and Chi-square (χ2) tests were applied. Findings show that health care is predominantly sought from private providers, especially in the South. No significant regional difference was found between formal and informal care use. Older adults rely on informal care providers such as traditional healers and faith-based centres. Household income significantly influences provider choice, while gender matters mainly in the North, where women utilise public more than private facilities. Longer distances and waiting times increase the likelihood of public facility use, and severe illness drives reliance on public providers. Policy should improve formal health care access for olderadults, strengthen public facilities to manage severe illnesses and women’s health, especially in the North, and tighten oversight of private providers, particularly in the South, to ensure quality health care. 
Keywords:health-seeking behaviour, formal and informal health care, public and private health care, Northern and Southern Nigeria
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Numbering:Vol. 23, no. 4
PID:20.500.12556/RUP-22487 This link opens in a new window
eISSN:1854-6935
DOI:https://doi.org/10.26493/1854-6935.23.451-483 This link opens in a new window
Publication date in RUP:16.01.2026
Views:85
Downloads:1
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Record is a part of a journal

Title:Managing Global Transitions
Publisher:Založba Univerze na Primorskem
ISSN:1854-6935
COBISS.SI-ID:230019072 This link opens in a new window

Licences

License:CC BY-SA 4.0, Creative Commons Attribution-ShareAlike 4.0 International
Link:http://creativecommons.org/licenses/by-sa/4.0/
Description:This Creative Commons license is very similar to the regular Attribution license, but requires the release of all derivative works under this same license.

Secondary language

Language:Slovenian
Title:Regionalne razlike v vedenju pri iskanju zdravstvene oskrbe v Nigeriji : dokazi iz splošne ankete gospodinjstev s strani Svetovne banke
Abstract:Regionalne razlike v socioekonomskih dejavnikih oblikujejo vedenje pri iskanju zdravstvene oskrbe. Ta raziskava je preučevala iskanje zdravstvene oskrbe v severni in južni Nigeriji ter vlogo socioekonomskih dejavnikov pri tem iskanju. Podatki so bili pridobljeni iz četrtega vala splošnega anketiranja gospodinjstev po žetvi 2018/2019, ki je zajelo približno 5.000 gospodinjstev. Uporabljeni sta bili logistična regresija in test hi-kvadrat (χ²). Ugotovitve kažejo, da ljudje zdravstveno oskrbo iščejo večinoma pri zasebnih ponudnikih, zlasti na jugu. Med regijami ni bilo ugotovljenih pomembnih razlik med uporabo formalne in neformalne oskrbe. Starejši odrasli se zanašajo na neformalne ponudnike, kot so tradicionalni zdravilci in verski centri. Dohodek gospodinjstva pomembno vpliva na izbiro ponudnika, medtem ko je spol pomemben predvsem na severu, kjer ženske javne ustanove uporabljajo pogosteje kot zasebne. Daljše razdalje in čakalne dobe povečujejo verjetnost uporabe javnih ustanov, medtem ko huda bolezen spodbuja zanašanje na javne ponudnike. Politike bi morale izboljšati dostop do formalne zdravstvene oskrbe za starejše odrasle, okrepiti javne ustanove za obvladovanje hudih bolezni in zdravja žensk, zlasti na severu, ter zaostriti nadzor nad zasebnimi ponudniki, zlasti na jugu, da se zagotovi kakovostna zdravstvena oskrba.
Keywords:vedenje pri iskanju zdravstvene oskrbe, formalna in neformalna zdravstvena oskrba, javna in zasebna zdravstvena oskrba, severna in južna Nigerija


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