Abstract:

The study set out to assess Primary Health Care in Kosofe Local Government Area of Lagos State : It identified the roles played by Kosofe Local Government in the management of PHC in the area: determined the effects of PHC programmes on the lives of the people and communities in the Local Government Area.: and also, examined the problems militating against successful management of the programme.

Primary data were collected through the use of questionnaire and interview method. Sixty (60) copies questionnaire were administered on both health service providers and health care beneficiaries in the Local Government in order of twenty (20) for the health care providers and forty (40) for the health care beneficiaries .Nineteen(19) respondents were also interviewed: six (6) health care providers-The Community Health Officer (CHO), two (2) Nurses, 1 Health Educator, Health Attendants and a Community Health Extension Workers (CHEW);thirteen (13) from the health care beneficiaries -4 Pregnant Women,4 Nursing Mothers,3 Students and 2 Market Women. Secondary data were sourced from relevant textbooks, internet and journals. The data were analyzed using frequency distribution, tables and simple percentages.

The findings of the study show that Primary Health Care is the major service provided by the Local Government as indicated in the analysis where 65% of the respondents strongly agreed to,86% of respondents also agreed that PHC’s services have effects over their lives positively,58% of the respondents claimed that poor funding is a major problem of PHC etc.

The study concluded that Primary Health Care (PHC) delivery in Kosofe L.G.A is not yet satisfactory.

References:

[1.] Aday, L.A., & Andersen, R.M.(1984).`Exploring Dimensions of Access to Medical Care” . Health Services Research,18,49-74.

[2.] Adeniyi, J., Oladepo ,O. and A.Soyibo.2003."Survey of Primary Health Care Service Delivery in Lagos and Kogi: A Field Report``. Mimeo, African. Regional Health Education Center,University of Ibadan.

[3.] Asuzu, M.C.(2004) ‘‘The necessity for a health systems reform in Nigeria’’. Journal of Community Medicine & Primary Health Care, Vol.16,No.1. June, pp. 1-3.

[4.] Dare O. (2000), ‘‘Linking health and development in Nigeria: The Oriade innovative’’, Ibadan Archives of Medicine, Guest edition.

[5.] Fung C.H., Woo, H.E., Asch S.M., (2004), Controversies and Legal Issues of Prescribing and Dispensing Medications using the Internet. Mayo Clin. Proc, 79(2):188-94.

[6.] Implications for Serving the Elderly``. Journal of Aging Studies,5, 375-389.Gazettes and Official Publications

[7.] Lawler, T.G., & Valand, M.C. (1988). ‘‘Patterns of Practice of Nurse Practitioners in an Underserved Rural Region’’. Journal of Community Health Nursing,5(3),187-194.

[8.] Magilvy, J.K, Congdon, J.G., & Martinez, R.(1994). ‘‘Circles of Care:Home and Community Support for Rural Older Adults’’. Advances in Nursing Science, 16(3), 22-33.

[9.] Miller, T.E., Derse A.R., (2002) ‘‘Between Strangers: The Practice of Medicine Online’’Health Aff. (Millwood); 21(4):168-79.

[10.]   Rowland,D., & Lyons, B. (1989).``Triple Jeopardy: Rural, Poor and Uninsured’’. Health Services Research, 23, 975-1004``.

[11.]   Rowles, G.D.(1991).``Changing Health Culture in Rural Appalachia

[12.]   U.S Library of Congress (2000), ``Nigeria Primary Health Care Policies.Icweb2.Ioc.

[13.]   Unpublished work Federal Republic of Nigeria, Federal Ministry of Health. (1996). ``National Health Policy``. Abuja Nigeria.

[14.]   World Health Organization (1975).`Primary Health Care for all. Monograph No1.