The effect of health promotion on primary health care services: an analysis of primary health care policy

Authors

DOI:

https://doi.org/10.15587/2519-4798.2022.253953

Keywords:

analysis, health promotion, leadership, primary health care, primary health care policies

Abstract

Health promotion is the best way to prevent mental illness and other illnesses in the community. However, the high rate of corruption and embezzlement of funds has impeded the effectiveness of health promotion in Primary health care system in Nigeria. More so, health promotion is the best way to alleviate diseases and prevent diseases. However, nearly all the health care workers are aware of the benefits of health promotion but to implement it is the problem.

The aim: to examine the effect of health promotion on primary health care service through the analysis of Primary Health Care policy.

Method: this study was guided by a pragmatic paradigm. The pragmatist paradigm is highly essential to this study because it emphasizes the link between action and truth. It is also ideal for this study as it advocates for mixed methods that are in line with ethnographic research approach to provide the best understanding of a research problem.

Furthermore, pragmatic paradigm was adopted for this study and this paradigm encourages the study to combine two research methods (qualitative and quantitative) to achieve quality research findings. In this study a non-experimental, exploratory-descriptive design was used to analyse the quantitative aspect of the national health policies on primary health care service delivery in Nigeria. While ethnographic method analysed the qualitative aspect of the study perfectly.

Result: out of three hundred respondents, majority of them revealed that bad leadership is the main reason why health promotion is not effective. While majority of the participants opined that we lack good leaders. The study hereby emphasized more on why the Government is not working on the effectiveness of health promotion in PHC and the findings showed that bad leadership is the main factor that is causing the ineffectiveness of health promotion in PHC and when the respondents were questioned on what to do to ensure a more effective health promotion in the community, majority (34.7 %) of the respondents opined that the community members should be involved actively at every stage while (33.3 %) of the respondents revealed that there is need for active involvement of other essential sectors in formulation and implementation of PHC policy to ensure a permanent change.

Conclusion: this study shows that poor health promotion in Primary health care is having negative effect on the health of children, adolescents, adults, and old ones. This study here by recommends that the policy makers and the government should eradicate corruption and embezzlement of funds in all sectors especially in primary health care

Author Biography

Olunike Blessing Olofinbiyi, University of KwaZulu-Natal

School of Nursing and Public Health

College of Health Sciences

References

  1. Uzobo, E. (2020). Perceived benefits, problems and risks in complementary and alternative medicine use among pregnant women in the Niger delta, Nigeria. Women’s Health, 9 (1), 7–18. doi: http://doi.org/10.15406/mojwh.2020.09.00261
  2. Lemke, A. A., Harris-Wai, J. N. (2015). Stakeholder engagement in policy development: challenges and opportunities for human genomics. Genetics in Medicine, 17 (12), 949–957. doi: http://doi.org/10.1038/gim.2015.8
  3. Akekere, J., Yousuo, P. O. J. (2014). An Empirical Analysis of Wage Differentials Among Public Servants in Nigeria. International Journal of Business and Management Invention, 3, 55–63.
  4. Uzochukwu, B., Onwujekwe, E., Mbachu, C., Okeke, C., Molyneux, S., Gilson, L. (2018). Accountability mechanisms for implementing a health financing option: the case of the basic health care provision fund (BHCPF) in Nigeria. International Journal for Equity in Health, 17 (1). doi: http://doi.org/10.1186/s12939-018-0807-z
  5. White, M. S., Govender, P., Lister, H. E. (2017). Community health workers lensed through a South African backdrop of two peri-urban communities in KwaZulu-Natal. African Journal of Disability, 6. doi: http://doi.org/10.4102/ajod.v6i0.294
  6. Mckay, R. (2020). Global health's durable dreams: ethnography, ‘community health workers' and health without health infrastructure. Medical History, 90, 95–111. doi: http://doi.org/10.1017/s0001972019000950
  7. Akinyemi, J. O., Bamgboye, E. A., Ayeni, O. (2015). Trends in neonatal mortality in Nigeria and effects of bio-demographic and maternal characteristics. BMC Pediatrics, 15 (1). doi: http://doi.org/10.1186/s12887-015-0349-0
  8. Adeloye, D., David, R. A., Olaogun, A. A., Auta, A., Adesokan, A., Gadanya, M. et. al. (2017). Health workforce and governance: the crisis in Nigeria. Human Resources for Health, 15 (1). doi: http://doi.org/10.1186/s12960-017-0205-4
  9. Oleribe, O. O., Ezieme, I. P., Oladipo, O., Akinola, E. P., Udofia, D., Taylor-Robinson, S. D. (2016). Industrial action by healthcare workers in Nigeria in 2013–2015: an inquiry into causes, consequences and control – a cross-sectional descriptive study. Human Resources for Health, 14 (1). doi: http://doi.org/10.1186/s12960-016-0142-7
  10. Uzochukwu, B., Onwujekwe, O., Mbachu, C., Okwuosa, C., Etiaba, E., Nyström, M. E., Gilson, L. (2016). The challenge of bridging the gap between researchers and policy makers: experiences of a Health Policy Research Group in engaging policy makers to support evidence informed policy making in Nigeria. Globalization and Health, 12 (1). doi: http://doi.org/10.1186/s12992-016-0209-1
  11. Labonté, R., Sanders, D., Mathole, T., Crush, J., Chikanda, A., Dambisya, Y. et. al. (2015). Health worker migration from South Africa: causes, consequences and policy responses. Human Resources for Health, 13 (1). doi: http://doi.org/10.1186/s12960-015-0093-4
  12. Ezeh, O. K., Agho, K. E., Dibley, M. J., Hall, J., Page, A. N. (2014). Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey. BMC Public Health, 14 (1). doi: http://doi.org/10.1186/1471-2458-14-521
  13. Morakinyo, O. M., Fagbamigbe, A. F. (2017). Neonatal, infant and under-five mortalities in Nigeria: An examination of trends and drivers (2003–2013). PLOS ONE, 12 (8), e0182990. doi: http://doi.org/10.1371/journal.pone.0182990
  14. Guerrier, G., Oluyide, B., Keramarou, M., Grais, R. (2013). High maternal and neonatal mortality rates in northern Nigeria: an 8-month observational study. International Journal of Women’s Health, 5, 495–499. doi: http://doi.org/10.2147/ijwh.s48179
  15. Zakwe (2018). Enhancing the provision of quality higher education by institutions in Durban Metropolitan area. Supervisor, 304.
  16. Creswell, J., Plano Clark, V. (2017). Designing and conducting mixed methods research. Thousand Oaks: Sage.
  17. Wang, X., Cheng, Z. (2020). Cross-Sectional Studies: Strengths, Weaknesses, and Recommendations.. Chest, 158 (1), S65–S71. doi: http://doi.org/10.1016/j.chest.2020.03.012
  18. Reeves, S., Peller, J., Goldman, J., Kitto, S. (2013). Ethnography in qualitative educational research: AMEE Guide No. 80. Medical Teacher, 35 (8), e1365–e1379. doi: http://doi.org/10.3109/0142159x.2013.804977
  19. Polit, D. F., Beck, C. T. (2017) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolters Kluwer Health, 784.
  20. Ravitch, S. M., Carl, N. M. (2019). Qualitative research: Bridging the conceptual, theoretical, and methodological. SAGE Publications, Incorporated.
  21. Sanders, D., Nandi, S., Labonté, R., Vance, C., Van Damme, W. (2019). From primary health care to universal health coverage – one step forward and two steps back. The Lancet, 394 (10199), 619–621. doi: http://doi.org/10.1016/s0140-6736(19)31831-8
  22. Pattavina, P. J. (2019). The Alternative Educator's Handbook: Tools for Managing Students with Emotional and Behavioral Issues. Brown Walker Press, 212.
  23. Iyer, H. S., Kamanzi, E., Mugunga, J. C., Finnegan, K., Uwingabiye, A., Shyaka, E. et. al. (2015). Improving district facility readiness: a 12-month evaluation of a data-driven health systems strengthening intervention in rural Rwanda. Global Health Action, 8 (1), 28365. doi: http://doi.org/10.3402/gha.v8.28365
  24. Waithaka, D., Kagwanja, N., Nzinga, J., Tsofa, B., Leli, H., Mataza, C. et. Al. (2020). Prolonged health worker strikes in Kenya- perspectives and experiences of frontline health managers and local communities in Kilifi County. International Journal for Equity in Health, 19 (1). doi: http://doi.org/10.1186/s12939-020-1131-y
  25. Tackling Coronavirus (COVID-19) Contributing to a Global Effort. Beyond Containment: Health systems responsesto COVID-19 in the OECD Health (2020). OECD.

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Published

2022-03-31

How to Cite

Olofinbiyi, O. B. (2022). The effect of health promotion on primary health care services: an analysis of primary health care policy. ScienceRise: Medical Science, (2(47), 39–44. https://doi.org/10.15587/2519-4798.2022.253953

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Section

Medical Science