Socioeconomic Status and Healthcare Facilities Patronage among Residents in Urban Slums and Informal Settlements in Ibadan Metropolis

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 revealed that the socio-economic status and other factors that influence patronage of health facilities in the study area varied. The study therefore recommends that improvement strategies through collaborative efforts among stakeholders are required for slummy neighbourhoods, active planning measures and controls are necessary for informal settlements, and subsidized healthcare service delivery for the slum dwellers. This will improve patronage of healthcare facilities and services in the study area.