Factors associated with health care utilization among vulnerable households in Oshimili South LGA, Delta State, Nigeria
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261392Keywords:
Healthcare utilization, Oshimili South, Perceived factors, Vulnerable households, Vulnerability statusAbstract
Background: Vulnerable households in Nigeria face persistent barriers utilizing healthcare services, resulting in poor health outcomes. This study assessed the factors associated with healthcare utilization among vulnerable households in Oshimili South Local Government Area, Delta State, Nigeria.
Methods: The study employed a descriptive cross-sectional survey design. Using purposive and simple random sampling techniques, 349 vulnerable households were enrolled between April and July, 2024. Collected data was analyzed using IBM/SPSS version 25.
Results: The findings revealed that the majority of respondents were female (85.4%), while those aged 30–39 years constituted the largest age group (37.2%). The results showed that vulnerable households in Oshimili South LGA experience moderate health challenges, with nearly half (48.4%) falling sick 2–5 times and hypertension (25.2%) being the most common condition. While more than half (54.7%) rated their health as “fair” and 51.3% engaged in daily physical activity, access to medication remained a major concern, with 80.8% reporting occasional difficulties. In terms of healthcare services, most households (76.5%) had a facility in their community, but visits were irregular, with 74.2% attending only sometimes and quality of services were rated “poor” by over half (54.7%). General hospitals were the most used (32.7%) and the majority (58.2%) preferred public facilities,
Conclusions: The high prevalence of “Most Vulnerable” households, combined with socioeconomic, cultural and institutional barriers, underscores the need for deliberate interventions to enhance healthcare access and utilization. Targeted social protection programs should also be prioritized to mitigate the health risks faced by vulnerable populations.
References
Aboaba KO, Akamo AA, Obalola TO, Bankole OA, Oladele AO, Yussuf OG. Factors influencing choice of healthcare facilities utilisation by rural households in Ogun State, Nigeria. Agricultura Tropica et Subtropica. 2023;56(1):143-52. DOI: https://doi.org/10.2478/ats-2023-0016
Chauhan RC, Purty AJ, Samuel A. Determinants of healthcare seeking behavior among rural population of a coastal area in South India. Int J Scient Rep. 2015;1118–22. DOI: https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150218
Katung PY. Socio-economic factors responsible for poor utilisation of the primary health care services in a rural community in Nigeria. Nigerian J Med. 2001;10(1):28-9. DOI: https://doi.org/10.4103/1118-8561.148166
Chukwuani CM, Olugboji A, Akuto EE, Odebunmi A, Ezeilo E, Ugbene E. A baseline survey of the primary healthcare system in south eastern Nigeria. Heal Pol. 2006;77(2):182-201. DOI: https://doi.org/10.1016/j.healthpol.2005.07.006
Sule SS, Ijadunola KT, Onayade AA, Fatusi AO, Soetan RO, Connell FA. Utilization of primary health care facilities: lessons from a rural community in southwest Nigeria. Nigerian J Med. 2008;17(1):98-106. DOI: https://doi.org/10.4314/njm.v17i1.37366
Dalal K, Dawad S. Non-utilization of public healthcare facilities: examining the reasons through a national study of women in India. Rur Rem Heal. 2009;9(3):1-10. DOI: https://doi.org/10.22605/RRH1178
World Health Organisation, WHO. (2016). Vulnerable groups. Available at: http://www.who.int/environmental_health_emergencies/vulnerable_groups/en. Accessed on 21 November 2025.
De Chesnay M, Anderson B. Caring for the Vulnerable: Perspectives in Nursing Theory, Practice, and Research: Perspectives in Nursing Theory, Practice, and Research. Jones & Bartlett Learning. 2019.
George S, Daniels K, Fioratou E. A qualitative study into the perceived barriers of accessing healthcare among a vulnerable population involved with a community centre in Romania. Int J Equ Heal. 2018;17(1):41. DOI: https://doi.org/10.1186/s12939-018-0753-9
Shi L, Stevens GD. Vulnerability and unmet health care needs: the influence of multiple risk factors. J Gen Int Med. 2005;20(2):148-54. DOI: https://doi.org/10.1111/j.1525-1497.2005.40136.x
Anyanwu EC, Obionu CN, Ajayi IO. Health seeking behaviour of rural households in southeast Nigeria. J Comm Med Prim Health Care. 2019;1(3):15-9.
Egharevba K, Chukwuorji JC, Olusegun E. Economic vulnerability of female-headed households: a case study of selected urban communities in Rivers State, Nigeria. Cogent Social Sci. 2017;4(1):1497147.
Oridota OE, Obua VC, Chima-Oduko AA. determinants of utilization of healthcare services among older adults in a selected local government area of Lagos, Nigeria: a cross-sectional study. J Comm Med Prim Health Care. 2025;37(2):537. DOI: https://doi.org/10.4314/jcmphc.v37i2.8
Osundare AA, Oluwole AB, Ogundele OS. Health-seeking behaviour among women in a rural community in southwestern Nigeria: a mixed-methods study. BMC Public Heal. 2022;22(1):1-10.
Das S, Mitra K, Mandal M. Sample size calculation: Basic principles. Indian J Anaesth. 2016;60(9):652–6. DOI: https://doi.org/10.4103/0019-5049.190621
Joseph O, Muhammed A, Raji A, Ibimidu A, Joseph A, Kehinde K. Factors determining the utilization of healthcare facilities in a semi urban setting in Kwara State Nigeria. Anthropol Res Stud. 2017;1(7):80-7. DOI: https://doi.org/10.26758/7.1.9
Asibey BO. Determinants of healthcare utilization in rural communities in Bekwai Municipality, Ghana. Unpublished thesis. Faculty of Social Sciences, College of Art and Social Science. Kwame Nkrumah University of Science and Technology. 2015.
Hasan MZ, Ahmed MW, Mehdi GG, Khan JA, Islam Z, Chowdhury ME. Factors affecting the healthcare utilization from Shasthyo Suroksha Karmasuchi scheme among the below-poverty-line population in one subdistrict in Bangladesh: a cross sectional study. BMC Health Serv Res. 2022;22(1):885. DOI: https://doi.org/10.1186/s12913-022-08254-1
Alkhawaldeh A, ALBashtawy M, Rayan A, Abdalrahim A, Musa A, Eshah N, et al. Application and use of Andersen’s behavioral model as theoretical framework: a systematic literature review from 2012–2021. Iranian J Publ Heal. 2023;52(7):1346. DOI: https://doi.org/10.18502/ijph.v52i7.13236
Adebayo AO, Adebiyi O, Adetunji A. Factors influencing healthcare utilization among rural households in Kaduna State, Nigeria. Int J Comm Med Publ Health. 2018;5(5):1675-80.
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