Noncommunicable Diseases Healthcare-Specific Service Readiness at the Primary Health-care Centers in Ekiti State, Nigeria

Author:

Adeniran Adeyinka12,Oluwole Esther O.3,Chieme Chisom Florence4,Ojo Omobola Yetunde5,Ilesanmi Marcus M.6,Olujobi Babatunde A.6,Ogundimu Opeyemi2,Durojaiye Temitope2

Affiliation:

1. Department of Community Health and Primary Health Care, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Nigeria

2. Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital, Ikeja, Nigeria

3. Department of Community Health and Primary Care, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria

4. Research Unit, Petra Global Consulting, Lagos, Nigeria

5. Department of Community Medicine and Primary Care, Faculty of Public Health, Federal Medical Centre, Abeokuta, Nigeria

6. Department of Planning, Research and Statistics, Primary Healthcare Development Agency, Ekiti State Primary Healthcare Development Agency, Nigeria

Abstract

Background: Noncommunicable diseases (NCDs) have been highlighted as a major challenge for sustainable development and an alarming public health challenge of global concern. This study was aimed at assessing the PHC facilities' readiness to provide NCDs management services in Ekiti state, Nigeria. Methodology: A descriptive cross-sectional study was conducted among PHCs in Ekiti state between August and October 2020 in 177 PHC facilities using some components of the World Health Organization's Service Availability and Readiness Assessment tool. Analysis was done using STATA SE 12. Statistical significance was set at a P < 0.05. Results: Majority (95%) of the primary health-care facilities were located in rural areas. Approximately 19% were in Ekiti North II and Ekiti Central II constituencies, and the majority (95%) were health centers. Only 29.4% offer management of NCDs. Among the spacers for inhalers available in 1.7% of the facilities, none were functioning and only 1.4% had equipment for NCD management and control, and 6% had trained staff and guidelines for NCD management. NCD-specific service readiness index was just 11% among the health care, facilities studied. Health-care facilities in the urban areas and the Ekiti North I had statistically significant higher NCD service readiness compared to the rural areas and the other federal constituencies, respectively (P < 0.05). Conclusion: The overall NCD-specific service readiness in Ekiti State was extremely low. The government should provide sufficient tools and equipment with trained workers that will offer adequate management of NCDs in the state.

Publisher

Medknow

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4. Equity and noncommunicable disease reduction under the sustainable development goals;Schmidt;PLoS Med,2015

5. Implementing prevention interventions for non-communicable diseases within the primary health care system in the federal capital territory, Nigeria;Okpetu;J Community Med Primary Health Care,2018

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