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Implications of absenteeism of health workers on achieving universal health coverage in Nigeria: exploring lived experiences in primary healthcare.
Agwu, Prince; Odii, Aloysius; Orjiakor, Charles; Ogbozor, Pamela; Mbachu, Chinyere; Onwujekwe, Obinna.
Afiliación
  • Agwu P; Department of Social Work, University of Nigeria, Nsukka, Enugu 410001, Nigeria.
  • Odii A; Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu-Campus, Enugu, Enugu 400241, Nigeria.
  • Orjiakor C; School of Humanities, Social Sciences, and Law, University of Dundee, Dundee, Scotland DD1 4HN, United Kingdom.
  • Ogbozor P; Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu-Campus, Enugu, Enugu 400241, Nigeria.
  • Mbachu C; Department of Sociology and Anthropology, University of Nigeria, Nsukka, Enugu 410001, Nigeria.
  • Onwujekwe O; Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu-Campus, Enugu, Enugu 400241, Nigeria.
Int J Qual Health Care ; 36(1)2024 Feb 27.
Article en En | MEDLINE | ID: mdl-38421029
ABSTRACT
Primary healthcare facilities are the bedrock for achieving universal health coverage (UHC) because of their closeness to the grassroots and provision of healthcare at low cost. Unfortunately, in Nigeria, the access and quality of health services in public primary healthcare centres (PHCs) are suboptimal, linked with persistent occurrence of absenteeism of health workers. We used a UHC framework developed by the World Health Organization-African Region to examine the link between absenteeism and the possible achievement of UHC in Nigeria. We undertook a qualitative study to elicit lived experiences of healthcare providers, service users, chairpersons of committees of the health facilities, and policymakers across six PHCs from six local government areas in Enugu, southeast Nigeria. One hundred and fifty participants sourced from the four groups were either interviewed or participated in group discussions. The World Health Organization-African Region UHC framework and phenomenological approach were used to frame data analysis. Absenteeism was very prevalent in the PHCs, where it constrained the possible contribution of PHCs to the achievement of UHC. The four indicators toward achievement of UHC, which are demand, access, quality, and resilience of health services, were all grossly affected by absenteeism. Absenteeism also weakened public trust in PHCs, resulting in an increase in patronage of both informal and private health providers, with negative effects on quality and cost of care. It is important that great attention is paid to both availability and productivity of human resources for health at the PHC level. These factors would help in reversing the dangers of absenteeism in primary healthcare and strengthening Nigeria's aspirations of achieving UHC.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cobertura Universal del Seguro de Salud / Absentismo Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Int J Qual Health Care Asunto de la revista: SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cobertura Universal del Seguro de Salud / Absentismo Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Int J Qual Health Care Asunto de la revista: SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Reino Unido