Level of community contribution toward the financing of health care services in Jigawa state

Ado Shehu 1, *, Salihu Abubakar Dauda 2, Bar. Baffa Alasan 3, Attahir Sa’ad Ayuba 4, Ummukulsum Mustapha 1, Muftahu Sa’adu 5, Emmanuel Ejambe Anyebe 6, Usman Sunusi Usman 7, Hayat Gomaa 8, Saleh Ngaski Garba 9, MB Tukur 8, Abdullahi Haruna Ibrahim 9, D.K Sani 8, 10, AA Imam and Yunusa A 8

1 Faculty of Basic Medical Sciences, Khadija University Majia, Jigawa State, Nigeria.
 2 Public Health Department, Faculty of Basic Medical Sciences, Al-Istiqama University, Nigeria.
3 College of Education and legal studies, Department of Criminology and Security Studies Jigawa State, Nigeria.
4 Faculty of Pharmacy, Suresh Gyan Vihar University, Jaipur, Indi, Nigeria.
5 Department of Social Management Sciences, Khadija University Majia, Jigawa State, Nigeria.
6 Department of Nursing Science, University of Ilorin, Nigeria
7 Public Health Department Bauchi State University, Nigeria
8 Faculty of Basic Medical Sciences, Department of Nursing Science Ahmadu Bello University Zaria, Kaduna State, Nigeria.
9 Faculty of Basic Medical Sciences Department of Nursing Science Bayero University Kano Nigeria.
10 Faculty of Basic Medical Sciences, Department of Biochemistry Bayero University Kano, Nigeria.
 
Research Article
World Journal of Advanced Research and Reviews, 2023, 19(03), 767–780
Article DOI: 10.30574/wjarr.2023.19.3.1832
 
Publication history: 
Received on 31 July 2023; revised on 17 September 2023; accepted on 19 September 2023
 
Abstract: 
Community involvement in health related activities is generally acknowledged by international and national health planners to be the key to the successful organization of primary health care, comparatively little is known about its potential and limitations. Drawing on the experiences of Jigawa State, this paper reports on research undertaken to compare and contrast the scope and Extent of community participation in the delivery of primary health care in a community run and financed health post and a state run and financed health post. Unlike many other health posts in Jigawa these facilities do provide effective curative services, and neither of them suffers from chronic shortage of drugs. However, community-financing did not appear to widen the scope and the extent of participation. Villagers in both communities relied on the health post for the treatment of less than one-third of symptoms, and despite the planners' intentions, community involvement outside participation in benefits was found to be very limited.
Aim: This study assess the level of community contribution toward the financing of health care services in Jigawa state, Nigeria
Methodology: A cross-sectional descriptive research was conducted on the respondents. The study population comprised the entire eligible respondent in a case study of government hospitals in Jigawa state Nigeria within the study area, who were selected and agreed to participate in the study. Sample sizes of One Hundred (100), respondents were recruited using a multistage sampling technique. Data was collected using Questionnaire Data collected was coded, entered, and analyzed using the Statistical Package for the Social Sciences (SPSS) version 24.
Result: The cooperation within department and with other departments in cooperation with equals was very good were 65(68.4%), good were 17(17.9%), Ok were 10(10.5%), not so good were 3(3.2%) and bad were 0(0.0%) respectively. The cooperation within department and with other departments in cooperation with PWD was Very good were 50(52.6%), good were 25(26.3%), Ok were 12(12.6%), not so good were 5(5.3%) and bad were 3(3.2%) respectively. In this studied many of the respondents has Diploma with 38.9% as their highest education qualification working with the Jigawa State Healthcare. Therefore, there is need for the continuous education programme of the health workers in the facility for proper and effective conduct of operations.
Conclusions: The findings from this study will help to develop programs that can improve knowledge of community Health Financing and services provided by the health-care system and can reduce burden on government by providing other alternative.
 
Keywords: 
Community; Contribution; Financing; Health care services; Jigawa
 
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