PATIENT AND PROVIDER RELATED FACTORS INFLUENCING UTILIZATION OF COMMUNITY MENTAL HEALTH FACILITIES (A CASE STUDY OF ABEOKUTA NORTH LOCAL GOVERNMENT)

ABSTRACT

This study investigate patient and provider related factors influencing utilization of community mental health facilities.

There seem to be higher use of private health facilities. This could be attributed mostly to issues of easy access, shorter waiting time, longer or flexible opening hours, better availability of staff and drugs, better attitude, and more confidentiality in socially stigmatized diseases. The utilization of private hospital was affected by the household size, the distance of available hospital from home and the total cost of seeking health service. However, in private hospitals, the quality of services, the responsiveness and discipline of the provider has been questionable.

This study was carried out by administering questionnaires to the two target groups. In all the study surveyed two hundred and seventy (270) people parents.

The findings of the study indicates that public health facilities are playing a significant role in the delivery of mental health services to a large segment of the population in Ogun state. it contributes to our understanding of potentially important explanatory variables which need to be considered in the planning and implementing of mental health care in the society.

The study helps us to understand the medical needs of the rural dwellers and thus to provide better mental health care. Rational planning and allocation of resources require an understanding of the effects of different factors on the choice of site of care to allow a closer match in future between provision and need.

Among others the study recommended the government should provide basic infrastructures such as accessible roads, stable power supply, steady water supply or good source of water and functional ambulances to aid utilization of these facilities, mental health care providers should improve on the quality of their services to encourage utilization of the facilities. Periodic evaluation of the quality of care provided by the health facilities should be conducted where clients of the facility are asked to rate the quality of care.

TABLE OF CONTENTSPAGES

Title Pagei

Certification ii

Dedication iii

Acknowledgementsiv

Abstractv

Table of Contents vi

List of Tablesx

CHAPTER ONE: INTRODUCTION

1.1Background of the Study1

1.2Statement of the Problem4

1.3Research Objectives 5

1.4Research Questions6

1.5Scope of the Study6

1.6Significance of the Study6

1.7Operational Definition of Terms7

CHAPTER TWO: LITERATURE REVIEW 

2.1Theoretical Framework8

2.1.1 Andersen’s Health Behavior Model8

2.2Conceptual Framework9

2.2.1Concept of Community Psychiatry9

2.2.1.1Psychiatry for the Community10

2.2.1.2Stages in Planning Community Services10

2.2.1.3Aims of Community Care11

2.2.1.4Psychiatric Services in Community Psychiatry12

2.2.2Concept of Community Mental Health13

2.2.3Factors Affecting the Utilization of Community Mental Health Facilities15

2.2.5Nigerian Health System21

2.2.6Service provision22

2.2.7Concept of Rural Areas23

2.2.7.1Health needs and problems of rural populations24

2.2.8Types of Mental Health Treatment Settings and Levels of Care25

2.3Review of Related Studies28

2.4Research Hypothesis30

CHAPTER THREE:METHODOLOGY

3.1Research Design31

3.2Population of the Study31

3.3Sample and Sampling Technique31

3.4Research Instrument31

3.5Validation of the Instruments31

3.6Reliability of the Instrument32

3.7Method of Data Collection32

3.8Data Analysis Techniques32

CHAPTER FOUR: RESULTS AND DISCUSSIONS OF FINDINGS

4.1Introduction33

4.2Analysis of Research Questions39

4.2.1Research Question 139

4.2.2Research question 241

4.2.3Research question 343

4.2.3Research question 444

4.3Testing of Hypotheses46

4.3.1Hypothesis One46

CHAPTER FIVE: SUMMARY, CONLCUSION AND RECOMMENDATIONS

5.1Summary48

5.2Conclusion49

5.3Recommendations49

References

Appendix