Patronage Pattern and Accessibility of Healthcare Facilities in Urban Slums and Informal Settlements in Ibadan Metropolis
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Date
2024
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Science Publishing Group
Abstract
Slums and informal settlements are residential areas physically and socially disintegrated. In spite of this, inadequate
health-related data on slum areas and informal settlements has led to inappropriate and unrealistic allocation of healthcare
resources by the public and private health providers. This study investigates the patronage pattern and accessibility of healthcare
facilities to residents of urban slums and Informal settlements in Ibadan Metropolis, a rapidly growing urban area in Nigeria
facing challenges related to urbanization and healthcare infrastructure. Data were collected from both primary and secondary
sources. Structured questionnaire was administered on 1,389 residents of the slummy neighbourhoods and informal settlements
in Ibadan metropolis, and obtained data were analyzed using descriptive and inferential statistics. Results revealed that out of 109
neighbourhoods, 42.1% were categorized as slummy neighbourhoods, 36.7% as slums/informal settlements, while 21.2% were
informal settlement using slummy and informality conditions respectively. Results revealed that distance to health facility (β=
-0.353, p<0.05), educational qualification (β=-0.063, p<0.05) and household size (β= -0.052, p<0.05) had an inverse relationship
with patronage of health facilities, while age (β=0.086, p< 0.05) had a positive relationship. It was also revealed that access to
PHC and dispensary/clinic in slummy neighbouhoods and slum/informal settlements is higher compared to informal settlements
in the study area. The study therefore recommends implementation of slum improvement program for the slummy and
slums/informal neighbourhoods, provision of additional healthcare facilities to be located especially in the slummy
neighbourhoods and informal settlements to ensure equitable distribution.
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Jacob Ayorinde Adejare , Musibau Omoakin Jelili , Akeem Bamidele Muili (2024)Patronage Pattern and Accessibility of Healthcare Facilities in Urban Slums and Informal Settlements in Ibadan Metropolis, Urban and Regional Planning, Vol. 9, No. 3, pp. 71-87 https://doi.org/10.11648/j.urp.20240903.12