Influence of community mobilisation on utilisation of primary health care services among residents of Ilorin-West LGA, Kwara State

https://doi.org/10.53730/ijhs.v9nS1.15815

Authors

Keywords:

Community Mobilisation, Primary Health Care, Utilisation

Abstract

Community mobilisation remains a vital strategy for achieving health for all through effective primary health care (PHC) delivery in Nigeria. Despite this, PHC facilities in Kwara State are largely under-utilised, especially in rural areas. This study examined the influence of community mobilisation on the utilisation of PHC services among residents of Ilorin West Local Government Area, Kwara State. Specifically, it investigated whether increased awareness, improved access to health services, and enhanced community participation influence PHC utilisation. A descriptive survey design was adopted, and a multistage sampling technique was used to select 422 respondents. Data were collected using a validated researcher-designed questionnaire with a reliability coefficient of 0.80, and analysed using chi-square at a 0.05 significance level. The findings revealed that increased awareness (ᵪ² = 56.28, df= 6), improved access to health services (ᵪ² = 21.37, df = 6), and enhanced community participation (ᵪ² =77.87, df= 6) significantly influenced PHC utilisation. The study concluded that community mobilisation positively impacts the use of PHC services in Ilorin West LGA. It recommended that residents support continuous health education campaigns, advocate for regular mobile clinics and outreach initiatives, and actively participate in local health committees to ensure community health needs are effectively met.

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References

Abdulraheem, B. I., Olapipo, A. R., & Amodu, M. O. (2022). Primary health care services in Nigeria: Critical issues and strategies for enhancing the use by the rural communities. Journal of Public Health and Epidemiology, 4(1), 5–13. DOI: https://doi.org/10.5897/JPHE11.133

Abiodun, A. J. (2020). Patient satisfaction with the quality of primary health care services in Nigeria. Journal of Health Management, 12(1), 39–54. DOI: https://doi.org/10.1177/097206340901200104

Agarwal, S., & Sarasua, I. (2022). Community-based health financing: Care India's experience in the maternal and infant survival project. Research in Healthcare Financial Management.

Ajuba, M. O., Nwala, E., Ezeoke, O., Uguru, N., & Okuruosa, C. (2021). Community mobilization and consent seeking for public health action: Experiences from the field. Webmed Central Public Health Journal, 2(1), 78–83.

Baltussen, R., & Ye, Y. (2015). Quality of care of modern health services as perceived by users and non-users in Burkina Faso. International Journal for Quality in Health Care, 18(1), 30–34. DOI: https://doi.org/10.1093/intqhc/mzi079

Buor, D. (2023). Analysing the primacy of distance in the utilization of health services in the Ahafo-Ano South District, Ghana. International Journal of Health Planning and Management, 18(4), 293–311. DOI: https://doi.org/10.1002/hpm.729

Diop, F. (2020). Determinants of childhood morbidity and mortality in Sub-Saharan Africa: Empirical evidence from demographic and health surveys. Journal of Tropical Pediatrics, 36(5), 267–271.

Edwards, S. D. (2016). Traditional and modern medicine in South Africa: A research study. Social Science & Medicine, 22(12), 1273–1276. DOI: https://doi.org/10.1016/0277-9536(86)90194-2

Essien, S. A., & Ekpo, J. (2013). Primary health care services utilization and access among rural women in the Southern Senatorial Zone of Cross River State. Educator, 5(1), 77–84.

Fosu, G. B. (2020). Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data. Social Science & Medicine, 38(9), 1209–1220. DOI: https://doi.org/10.1016/0277-9536(94)90186-4

Freeman, M., & Motsei, M. (2016). Planning health care in South Africa: Is there a role for traditional healers? Social Science & Medicine, 34(11), 1183–1190. DOI: https://doi.org/10.1016/0277-9536(92)90311-D

Haddad, S., & Fournier, P. (2023). Quality, cost and utilization of health services in developing countries. International Journal of Health Planning and Management, 10(2), 133–145.

Hagazy, J. S. (2022). Utilization of maternal health services: A comparative study between residents and nomads. Saudi Medical Journal, 13(1), 4–52.

Lucas, A. O., & Gilles, H. M. (2023). Short textbook of public health medicine for the tropics (4th ed.). CRC Press.

Magawa, R. (2022). Primary health care implementation: A brief review. African Journal of Primary Health Care and Family Medicine, 4(1), 1–6.

Maralankar, B., & Rosenfield, G. (2015). Age grade: A tool in rural health education. Journal of Social Science & Medicine, 3(1), 20–35.

Nagdeve, D., & Bharati, D. (2023). Urban-rural differentials in maternal and child health in Andhra Pradesh, India. Rural and Remote Health, 3(1), 1–11.

Navaneethsm, K., & Dharmalingam, A. (2022). Utilization of maternal health care services in India. Social Science & Medicine, 55(1), 69–184.

Obionu, C. N. (2017). Primary health care for developing countries (2nd ed.). Delta Publications.

Okonkwo, P. O., & Ngene, S. E. (2018). Community participation and ownership in health care services: Principles and practice. African Journal of Medicine and Medical Sciences, 33(3), 231–235.

Omotara, B. A., Yahya, S. J., Amodu, M. O., & Audu, E. M. (2018). Community-based health services utilization in Gindiri, Nigeria. Nigerian Journal of Clinical Practice, 9(1), 16–20.

Onah, H. E., Ikeako, L. C., & Iloabachie, G. C. (2018). Factors associated with the use of maternity services in Enugu, Southeastern Nigeria. Social Science & Medicine, 63(8), 1870–1878. DOI: https://doi.org/10.1016/j.socscimed.2006.04.019

Stock, R. (2018). Distance and the utilization of health facilities in rural Nigeria. Social Science & Medicine, 17(9), 563–570. DOI: https://doi.org/10.1016/0277-9536(83)90298-8

Traditional Medicine. (2018). Role of traditional medicine in health care delivery in developing countries. World Health Organization Bulletin, 86(6), 485–486.

Uzochukwu, B. S. C., Onwujekwe, O. E., & Akpala, C. O. (2018). Community satisfaction with the quality of maternal and child health services in southeast Nigeria. East African Medical Journal, 81(6), 293–299. DOI: https://doi.org/10.4314/eamj.v81i6.9178

Published

04-12-2025

How to Cite

Baba, D. A., Oluwatoyin, S., Uthman, K.- deen A., Jibril, U. N., Kankawi, U. I., Isiaka, G., & Bello, A. (2025). Influence of community mobilisation on utilisation of primary health care services among residents of Ilorin-West LGA, Kwara State. International Journal of Health Sciences, 9(S1), 670–680. https://doi.org/10.53730/ijhs.v9nS1.15815

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Section

Peer Review Articles