SOCIAL AND NON-SOCIAL FACTORS INFLUENCING ACCESS TO HEALTHCARE IN
EKITI AND KOGI STATES OF NIGERIA
C. T. Oluwadare
1
, K. E. Igbekoyi
1
, O. A. Ijabadeniy
2
and A. A. Olurunfemi
1
1
Department of Sociology, Ekiti State University, Ado-Ekiti, Ekiti State
2
Department of Sociology, AfeBabalola University, Ado-Ekiti, Ekiti State
ARTICLE INFO ABSTRACT
This study examined social and non-social factors affecting healthcare access in Ekiti and Kogi States
of Nigeria. These two States represent a cultural plurality of Nigeria. Ekiti State is homogeneously
Yoruba while Kogi State is heterogeneous home to at least five ethnic groups. The study adopts a
descriptive research design using a quantitative method to conduct a comparative study between Ekiti
and Kogi States. The study population involves all adults 18 years and above who are aware to engage
in health-seekingbehaviour. The sample size for this study is eight hundred and fifty-six (856)
respondents. Multi-stage sampling techniques were adopted in selecting the respondents for the study.
Analysis was done using a special package social sciences (SPSS version 21) and it is presented in
frequency percentage. Findings show that Kogi State has more female respondents. While Ekiti State
has more respondents having above secondary school education. Kogi State also has more respondents
with diverse ethnic identities and engaged in self-employed occupations. About 30% of Kogi State
respondents were either widowed or divorced. Income level did not show a significant difference.
Analysis of social factors of healthcare access indicated that level of education, ethnic identity, type of
education, marital status and religion had a significant influence on access to healthcare. Findings on
the social factors showa more significant influence in Ekiti State than Kogi State. Also, waiting time,
health personnel shortage and frequent strikes were the most significant non-social factors of healthcare
access in Ekiti State. In Kogi State, availability of health facilities, personnel shortage and waiting time
were the most significant non-social factors of healthcare access. It was concluded that educational
status and quality of health personnel are significant predictors of healthcare access. In Kogi State, the
physical availability of health facilities is equally a unique non-social factor. As a result, the study
recommends that Government should establish additional modern healthcare institutions to make
healthcare accessibility easier for the users, and Professional staff should be recruited to various
healthcare institutions to avoid patient delay and poor service delivery.
Copyright©2023, C. T. Oluwadare et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work is properly cited.
INTRODUCTION
Achieving access to healthcare services as envisaged by Dawkins,
Renwick, Ensor, Shinkins, David and Mead (2021) is an intentionally
recognized worldview and aim, which was reinforced by the
Universal Healthcare Movement and Sustainable Development Goals
(SDGs). Nevertheless, inequalities in the healthcare sector persist
among people due to differences in both social and non-social factors.
It is on this note that this study intends to examine the social and non-
social factors that influence access to healthcare services in Ekiti and
Kogi State, Nigeria. Access to healthcare services is a fundamental
human right and central to the performance of the healthcare system
as posited by Dassah, Aldersay, McColl and Davison (2018).
Ideally, access to healthcare services reflects a need for care, but that
is not the case for several social and non-social factors. This is not
far-fetched as numerous factors affect access to healthcare services.
Access to healthcare is having timely use of personnel and facilities to
achieve the best possible health outcome. However, several social and
non-social factors have posed a barrier to achieve its objective.
According to NCHS (2018), access requires gaining entry as far as it
enables patients and physicians to prevent illness, control diseases or
manage chronic conditions which could avoid exacerbation or
complication of health conditions.
Statement of the Problem: In the past, several studies have focused
on access to healthcare service which include both social and no-
social factors such as education, economic stability, community
safety and availability of adequate housing and healthful food, has
ISSN: 2230-9926
International Journal of Development Research
Vol. 13, Issue, 05, pp. 62837-62843, May, 2023
https://doi.org/10.37118/ijdr.26786.05.2023
Article History:
Received 25
th
March, 2023
Received in revised form
03
rd
April, 2023
Accepted 28
th
April, 2023
Published online 30
th
May, 2023
Available online at http://www.journalijdr.com
Citation: C. T. Oluwadare; A. A. Olorunfemi; and K. E. Igbekoyi. 2023. “Social and non-social factors influencing access to healthcare in ekiti and kogi states of
nigeria”. International Journal of Development Research, 13, (05), 62837-62843.
RESEARCH ARTICLE OPEN ACCESS
KeyWords:
Access, Availability, Healthcare,
Non-social Factors and Social Factors.
*Corresponding author:
C. T. Oluwadare,