Factors influencing choice of healthcare facilities utilisation by rural households in Ogun State, Nigeria

Abstract Understanding the choice of healthcare facility utilisation is essential to the provision of need-based healthcare services to the population. This study was carried out to estimate factors influencing the choice of healthcare facilities utilised by rural households. A multistage sampling procedure was used to select 240 rural households comprising 1440 persons. Data were collected with the use of a structured questionnaire and analysed with descriptive techniques and a multivariate probit (MVP) model. The MVP result showed that households supplement public healthcare facilities with private clinics, support traditional medical treatment with self-medication, and replace self-medication with public healthcare facilities and private clinics. Similarly, age, gender, household size, cost of drugs, distance to public healthcare facilities, travelling cost, contact with community health workers, total income, awareness of public health facilities, quality of health facilities, and terrain of health facilities influence the choice of healthcare facilities utilised. The study concluded that increased total income, contact with community health extension workers, awareness of health facilities, and perceived quality of services rendered positively influence the choice of healthcare facilities sorted after while the increase in the cost of drugs, distance to health facilities, travelling cost and difficult terrain of health facilities negatively impact the choice of healthcare facilities utilised. The study recommended that public healthcare facilities should be located within the reach of the people and equipped with essential drugs at a reduced cost. Households should also engage in activities that will increase their income so that they can use better healthcare facilities.