Influence of socio determinants on healthcare delivery in rural Nigeria

This study aims to establish a strategic approach for enhancing quality of life in rural settings through effective healthcare delivery. Society constantly strives to improve the social determinants that impact quality of life. This article identifies and examines key social determinants that influence the lifestyle and quality of life of people in the rural settings of Bayelsa State, Nigeria, and their access to health services. It also presents approaches for enhancing healthcare delivery. The methods used to achieve these objectives were literature review, questionnaire survey, interviews and direct observation. A questionnaire survey was distributed between August 2016 and July 2017 within seven selected states in the Niger Delta region of Nigeria. Out of the 1500 questionnaires distributed, 1300 were completed and returned. Informal interviews were also conducted across respondents from the public and health sector within Bayelsa State. To establish a satisfactory guide, socio determinants (e.g. essential amenities, job opportunities, security and level of literacy) in rural settings, which differ from those in urban areas, were observed and measured. Most of the respondents acknowledged that the identified determinants significantly influence quality of life and wellbeing of people due to their impact on the economic growth of the communities and healthcare delivery, as observed from further analysis. These findings form the basis for the developed guide. However, the actual results from the execution of these strategies remain a function of government action.