Justina Kwaskebe, James E. Atolagbe, Bode Kayode


Primary Health Care (PHC) plays a very vital and significant role in the decentralization of health care services in the society. The services of primary health care are designed to ensure that the coverage of health care delivery at the community level remains at an efficient level. This involves the efforts of the government and the community to ensure   improvement in the living standard of the citizens. Primary health care centers should provide preventive, curative and rehabilitative services to the communities which they serve. The sole objective of this study is to find out the factors which impede the growth and retard the services of PHC with special attention to the situation in Isiala –Ngwa North LGA. The study used cross-sectional descriptive design with a structured questionnaire which was used to collect data from the Primary health care workers, Doctors, nurses, Community health extension workers, the community heads as well as patients. A total of fifty respondents were used for this study. Data collected was analyzed via SPSS version 16 and results presented in frequency distribution tables and x2was used for statistical test of significance at 5% confidence level. The study revealed that there is shortage of health care workers, also poor funding which could be responsible for the inadequate medical facilities observed in the study. Primary health-care workers are faced with many challenges such as delay in payment of salaries and work stress due to lack of equipment to work with. All these are responsible for lack of job motivation.


Primary Healthcare, Challenge, Service Delivery, Factors, Services.

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