Students’ Health Seeking Behaviour and its Rationale at Uganda Christian University
Abstract:
Uganda Christian University’s records of
2013-2014 show that approximately 30% of the 3,300 students in the Easter Semester
did not register for and therefore could not use the University’s health services.
This study analysed Uganda Christian University
students’ health seeking behaviour in order to identify their preferred health care
services and rationale for their choice, and the barriers to the University’s health
system.
A cross-sectional and mixed design was applied.
Data was collected with a questionnaire administered to a sample of 424 Uganda Christian
University students in April 2015. Quantitative data was analysed with SPSS 16.
Qualitative data was analysed by content analysis.
Most students came from urban (51%) or peri-urban
(23.4%) homes and had parents or guardians with post-secondary school education
(80%). Most of the students used the university’s Allan Galpin Health Centre (78%)
when in need of health care but given choice, they would prefer other health facilities,
especially those nearest. The most frequent reason for choice was convenience. The
females perceived their state of health differently from the males (p-value 0.03)
and they had more unmet health needs. Barriers include unavailability of needed
services, long queues, poor customer care, lack of trust in the service, waiting
to see if the health problem would resolve and lack of relevant information.
The findings are similar to those from studies
done in similar contexts. Key influencers of health seeking behaviour were convenience
and gender. Unavailability of needed services and customer care issues were barriers
to the University health services.
Keywords: Health Seeking Behaviour, Barriers, Rationale,
Uganda Christian University.
References:
[1].Abewe C, Kwesiga B, Zikusooka CM. Who Benefits
from Health Care Services in Uganda? Sector-Wide Benefit Incidence Analysis for
Uganda (2005/6 and 2009/10) .2012. Available from: http://ssrn.com/abstract=2281752
. [cited 2016 Jan 8th].
[2].Afolabi
M, Daropale V, Irinoye A. and Adegoke A. Health-seeking behaviour and student perception
of health care services in a university community in Nigeria. Health, 5, 817-824. 2013. [cited
2015 Jun 19th] doi: 10.4236/health.2013.55108.
[3].Aldwin
C.M, Park C, L, Jeong Y, Nath. R. 2014. Differing
pathways between religiousness, spirituality, and health: A self-regulation perspective.
Psychology of Religion and Spirituality, 6 (1): 9 DOI: 10.1037/a0034416
[4].Babitsch B, Gohl D. and Lengerke T. Re-revisiting Andersen’s
Behavioural Model of Health Services Use: a systematic review of studies from1998-
2011. Special issue: Health care utilization in Germany: The NW In research network.
2012. Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488807/pdf/PSM-09-11.pdf
[cited 2015 Jun 1st]
[5].Baruch,
Y., 1999. Response Rates in Academic Studies- A Comparative Analysis Survey response
rate levels and trends in organizational research. Human Relations 2008; 61; 1139.
Available online at
[6]. http://journals.sagepub.com/doi/abs/10.1177/001872679905200401
[cited 2017 May
15th]
[7].Blum. 2009. Young People: Not as healthy
as they seem. The Lancet. Vol. 374 September, 2009.
[8].Bogle V., 2013. A review of the literature:
men’s health-seeking behaviourand use of the internet. Available online at https://www.menshealthforum.org.uk/sites/default/files/pdf/mens_health_literature_review_dec2013_final.pdf
[cited 2015 Sept 25th ]
[9].Boltena A.T., Ali Khan F., Benedict O. Asamoah
B.O. and Agardh A., 2012. Barriers faced by Ugandan university students in seeking
medical care and sexual health counselling: a cross-sectional study. Available at
http://www.biomedcentral.com/1471-2458/12/986
[cited 2015 Jan. 29th]
[10]. Isaac,
V., Mclachlan, C. S., Baune, B. T., Huang, C.-T., & Wu, C.-Y. (2015). Poor Self-Rated
Health Influences Hospital Service Use in Hospitalized Inpatients With Chronic Conditions
in Taiwan. Medicine, 94(36), e1477. https://doi.org/10.1097/MD.0000000000001477
[11]. Konde-Lule J., Okuonzi S., Matsiko C., Mukanga
D., Onama V. and Gitta S.N., 2006. The Potential of The Private Sector to Improve
Health Outcomes in Uganda.
[12]. Lawson D., 2004. Determinants of Health Seeking Behaviour in Uganda –Is it Just Income and
User Fees That Are Important?. Available online at https://ideas.repec.org/p/ags/idpmde/30553.html
[cited 2015 January 20th]
[13]. Lwanga S.K., and Lemeshow S.,1991. Sample
Size Determination In Health Studies: A practical Manual. World Health Organisation.
Geneva.
[14]. Mackian S., 2003. University of Manchester
Health Systems Development Programme. A review of health seeking behaviour: problems
and prospects. Available at http://r4d.dfid.gov.uk/pdf/outputs/healthsysdev_kp/05-03_health_seeking_behaviour.pdf
[cited 2015 March 13th]
[15]. Ministry
Of Health (Uganda). (2015). Health Sector Strategic and Development Plan (2015-2020)
From: http://health.go.ug/content/health-sector-development-plan-201516-201920
[ cited 2015 Dec. 20th]
[16]. Musoke D, Boynton P, Butler C, Musoke MB.
Health seeking behaviour and challenges in utilising health facilities in Wakiso
district, Uganda. 2014. Available from http://www.bioline.org.br/pdf?hs14155
[cited 2015 Jun 23rd].
[17]. Naing
L., Winn T. and Rusli B.N., 2006. Practical Issues in Calculating Sample Sizes for
Prevalence Studies. Archives of Orofacial Sciences 2006; 1:9-14. Available online
at http://www.kck.usm.my/ppsg/aos/Vol_1/09_14_Ayub.pdf
(cited 2015 Feb. 3rd]
[18]. National Planning Authority [NPA] (Uganda).
Second National Development Plan (NDPII) 2015/16 – 2019/20. 2015.
Available from: npa.ug/wp-content/uploads/NDPII-Final.pdf
[cited
2015 Oct 10th].
[19].
Olenja
J. Health Seeking Behaviour in Context. East African Medical Journal. 2003. Available
from http://www.ajol.info/index.php/eamj/article/viewFile/8689/1927
[cited 2015 Jan 28th].
[20]. Otwombe K., Dietrich J., Laher F., Hornschuh
S., Nkala B., Chimoyi L., Kaida A., Gray G.E., and Miller C.L., 2001. Health-seeking
behaviour by gender among adolescents in Soweto, South Africa. Available online
at http://www.globalhealthaction.net/index.php/gha/article/view/25670/pdf_28
[cited 2016 June 19th]
[21]. Polit, D.F., & Beck, C.T., 2009. Nursing
research: generating and assessing evidence for nursing practice. 8th edition. Philadelphia:
JB Lippincott.
[22]. Rahman S. 2016. Sex, Gender and Health Seeking
Behaviour Determinants. NU Journal of Humanities, Social Sciences & Business
Studies Vol. 2, No. 2, January-June 2016. Available at www.nu.edu.bd/.../01.%20Sex,%20Gender%20and%20Health%20Seeking%20Behav...
[23]. [cited 2016 Jan. 3rd]
[24]. Ssewanyana S., Nabyonga
O.J., Kasirye I. & Lawson D., 2004. Demand for health care services in Uganda
Implications for poverty eradication. Economic Policy Research Center Research series
No. 40, EPRC Makerere University, Kampala Uganda.
[25]. Statistics South Africa., 2004. Perceived
health and other health indicators in South Africa Statistics South. Available online
at www.statssa.gov.za/.../HealthOHS/HealthOHS1999....
[ cited 2015 Sept. 27th]
[26]. UBOS., 2012. Uganda Demographic and Health Survey 2011. Uganda Bureau of
Statistics Kampala, Uganda
[27]. Uganda Bureau of
Statistics (UBOS). The National Population
and Housing Census 2014 – Main Report, Kampala, Uganda. 2016.
[28].
Uganda
Bureau of Statistics (UBOS). 2013. Statistical Abstract. Uganda Bureau of Statistics, Statistics House. Kampala.
[29]. UNESCO., 2015. What do we mean by “youth”?. Available online at http://www.unesco.org/new/en/social-and-human-sciences/themes/youth/youth-definition/
(accessed on 1st October 2015).
[30]. WHO.,
2010. Workload Indicators of Staffing Need (WISN) User's manual. Available online
at http://www.who.int/hrh/resources/wisn_user_manual/en/
(accessed on 7th Oct. 2015)
[31]. Zikusooka C.M.,
Kwesiga B., Lagony S., and Abewe C.,
2014. Universal Health
Coverage Assessment Uganda. Global Network for Health Equity (GNHE).